Rational use of vitamin D test: Is it a test? Or treatment?

Year 2019, Volume: 10 Issue: 2, 168 - 178, 12.06.2019

Huri Seval Çakmak , Yunus Nadi Yüksek , Tanju Tütüncü , Emine Özer Küçük Turan Turhan Dilek Berker Rabia Kahveci

https://doi.org/10.18663/tjcl.440877

Cited By: 4

Abstract

Aim: The worldwide increase in vitamin
D deficiency and vitamin D testing has led to lower vitamin D costs and lower
unnecessary testing. In this study, we aimed to shed light on clinical practice
by conducting a literature search on the rational use of vitamin D test.

Material and Methods: 4372 studies
published between April 2007 and April 2017 were examined to determine the
prevalence, vitamin D deficiency prevalence, treatment modalities and
approaches in the world. The scans were made using Cochrane Library, PubMed,
Ulakbim, Science Direct electronic databases. The scans were made using the
keywords "Vitamin D status", "Vitamin D screening", "Vitamin
D measurements", "Vitamin D Testing", "supplements".
Finally seventy-four studies that met the study limits were evaluated.

Results: It is found that the number of
vitamin D deficiency tests is increasing in our country and in the world,
increasing the financial burden on health care. It is demonstrated that it is
safe to start vitamin D supplementation without testing in risky groups in
which D vitamin toxicity is low. Guidelines published in the world do not refer
to test for lack of vitamin D, but rather raise awareness, make untested
vitamin D supplementation in certain groups, and test for vitamin D in certain
groups. Avoidance of high dose vitamin D therapy and awareness of the use of
vitamin D supplementation as a drop should be performed.

Conclusion: Regardless of the rate of
vitamin D, it is much easier, safer and cheaper to start vitamin D
supplementation with a doctor's assessment.

Keywords

vitamin D, vitamin D testing, vitamin D supplements

D vitamini testinin akılcı kullanımı: Test mi? Ya da tedavi mi?

Abstract

Amaç: Dünya çapında D vitamini
eksikliğinin ve D vitamini test oranlarının artması, D vitamininin
yetersizliğini yönetmek ve gereksiz testleri azaltarak maliyeti düşürme gündeme
gelmiştir. Bu çalışmada D vitamini testinin akılcı kullanımı konusunda
literatür taraması yapılarak klinik uygulamaya ışık tutmak amaçlanmıştır.

Gereç ve Yöntemler: D vitamini eksiklik
prevalansı, tedavi şekilleri ve yaklaşımlar konusunda mevcut durumu ortaya
koyabilmek için 2007 Nisan ile 2017 Nisan tarihleri arasında yayınlanmış 4372
çalışma incelenmiştir. Taramalar Cochrane Library,  PubMed, 
Ulakbim, Science Direct elektronik veri tabanları kullanılarak
yapılmıştır. Taramalar “Vitamin D status”, “Vitamin D screening”, “Vitamin D
measurements”, “Vitamin D Testing”, “supplements” anahtar kelimeleri
kullanılarak yapılmıştır.  Çalışma
sınırlarına uyan 74 çalışma değerlendirilmiştir.

Bulgular: D vitamini eksikliği test
sayısı ülkemizde ve dünyada giderek önemli bir artış göstermekte ve sağlık
bakımına mali yük getirmektedir. D vitamini toksisitesinin az görüldüğü riskli
gruplarda D vitamini takviyesine test yapmadan başlanmasının güvenli olduğu
ortaya konulmaktadır. Dünyada yayınlanan rehberler D vitamini eksikliği için
test yapmak yerine, farkındalığın artırılması, belli gruplarda testsiz D
vitamini takviyesi yapıp, belli gruplarda D vitamini testi yapılmasını
önermektedir. Depo D vitamini tedavisinden kaçınılması, D vitamini takviyesinin
damla olarak kullanılması konusunda farkındalık yaratılması gerekmektedir.

SonuçAmaç: Dünya çapında D vitamini
eksikliğinin ve D vitamini test oranlarının artması, D vitamininin
yetersizliğini yönetmek ve gereksiz testleri azaltarak maliyeti düşürme gündeme
gelmiştir. Bu çalışmada D vitamini testinin akılcı kullanımı konusunda
literatür taraması yapılarak klinik uygulamaya ışık tutmak amaçlanmıştır.

Gereç ve Yöntemler: D vitamini eksiklik
prevalansı, tedavi şekilleri ve yaklaşımlar konusunda mevcut durumu ortaya
koyabilmek için 2007 Nisan ile 2017 Nisan tarihleri arasında yayınlanmış 4372
çalışma incelenmiştir. Taramalar Cochrane Library,  PubMed, 
Ulakbim, Science Direct elektronik veri tabanları kullanılarak
yapılmıştır. Taramalar “Vitamin D status”, “Vitamin D screening”, “Vitamin D
measurements”, “Vitamin D Testing”, “supplements” anahtar kelimeleri
kullanılarak yapılmıştır.  Çalışma
sınırlarına uyan 74 çalışma değerlendirilmiştir.

Bulgular: D vitamini eksikliği test
sayısı ülkemizde ve dünyada giderek önemli bir artış göstermekte ve sağlık
bakımına mali yük getirmektedir. D vitamini toksisitesinin az görüldüğü riskli
gruplarda D vitamini takviyesine test yapmadan başlanmasının güvenli olduğu
ortaya konulmaktadır. Dünyada yayınlanan rehberler D vitamini eksikliği için
test yapmak yerine, farkındalığın artırılması, belli gruplarda testsiz D
vitamini takviyesi yapıp, belli gruplarda D vitamini testi yapılmasını
önermektedir. Depo D vitamini tedavisinden kaçınılması, D vitamini takviyesinin
damla olarak kullanılması konusunda farkındalık yaratılması gerekmektedir.

Sonuç: D vitamini damla takviyesinin
kanda D vitamini oranına bakılmaksızın, doktor değerlendirmesi ile başlanması
çok daha kolay, güvenli ve ucuz bir yaklaşım olarak denenebilir.: D vitamini damla takviyesinin
kanda D vitamini oranına bakılmaksızın, doktor değerlendirmesi ile başlanması
çok daha kolay, güvenli ve ucuz bir yaklaşım olarak denenebilir.

Keywords

D Vitamin Eksikliği, D Vitamin Test

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