Comparison of the prevalence of calcidiol insufficiency in predialysis and osteoporotic populations.
OBJECTIVE
Calcidiol insufficiency is highly prevalent in chronic kidney disease (CKD) and osteoporotic patients. We assessed and compared calcidiol levels in these two groups from the same geographical area to differentiate environmental factors from characteristics related to CKD.


METHODS
We measured calcidiol levels in 160 predialysis (group 1) and 53 osteoporotic (group 2) patients from a single center. Calcidiol insufficiency was defined as a level between 37.5 and 75 nmol/l and calcidiol deficiency was defined as a level below 37.5 nmol/l.


RESULTS
In group 1, mean glomerular filtration rate (GFR), calcidiol, and parathyroid hormone (PTH) levels were 18.3 +/- 4.7 ml/min, 38.7 +/- 15.1 nmol/l, and 21.9 +/- 19.1 pmol/l. Calcidiol insufficiency and deficiency were present in 98.7% of patients. There was an inverse correlation between calcidiol and PTH levels (r = -0.25; P = 0.001). In group 2, mean GFR, calcidiol levels, and PTH levels were 68.6 +/- 17.6 ml/min, 73.8 +/- 27.1 nmol/l, and 4.23 +/- 1.83 pmol/l, respectively. Calcidiol insufficiency and deficiency were present in 50.9% of patients. There was an inverse correlation between calcidiol and PTH levels (r =-0.44; P = 0.02).


CONCLUSIONS
In our predialysis population, calcidiol insufficiency and deficiency are present in almost every patient, being more common than previously reported. It is also more frequent than in a similar osteoporotic population, suggesting a cause unrelated to environmental factors. Interestingly, there is a significant inverse correlation between calcidiol and parathyroid levels in both populations. Further studies are needed to enable understanding of the mechanisms underlying calcidiol insufficiency.
Bouchard
Josée
J
Service de néphrologie, Hôpital Maisonneuve-Rosemont, Université de Montréal, 5415 Blvd. de l'Assomption, Montreal, QC, Canada.
Ouimet
Denis
D
Vallée
Michel
M
Lafrance
Jean-Philippe
JP
Leblanc
Martine
M
Sénécal
Lyne
L
Bonnardeaux
Alain
A
Mathieu
Jean-Pierre
JP
Pichette
Vincent
V
D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D015415:Biomarkers / Q000032:analysis / Q000378:metabolism; D002112:Calcifediol / Q000172:deficiency*; D016022:Case-Control Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D010024:Osteoporosis / Q000097:blood* / Q000175:diagnosis / Q000453:epidemiology; D010281:Parathyroid Hormone / Q000032:analysis / Q000378:metabolism*; D015995:Prevalence; D011336:Probability; D006435:Renal Dialysis / Q000009:adverse effects* / Q000379:methods; D051436:Renal Insufficiency, Chronic / Q000097:blood* / Q000453:epidemiology / Q000628:therapy; D018570:Risk Assessment; D012621:Seasons; D017678:Sex Distribution; D014808:Vitamin D Deficiency / Q000175:diagnosis* / Q000453:epidemiology
D015415:Biomarkers; D010281:Parathyroid Hormone; D002112:Calcifediol