Study2023Open access

Guidelines for Preventing and Treating Vitamin D Deficiency: A 2023 Update in Poland

Płudowski P, Kos-Kudła B, Walczak M, Fal A, Zozulińska-Ziółkiewicz D, Sieroszewski P, Peregud-Pogorzelski J, Lauterbach R, Targowski T, Lewiński A, Spaczyński R, Wielgoś M, Pinkas J, Jackowska T, Helwich E, Mazur A, Ruchała M, Zygmunt A, Szalecki M, Bossowski A, Czech-Kowalska J, Wójcik M, Pyrżak B, Żmijewski MA, Abramowicz P, Konstantynowicz J, Marcinowska-Suchowierska E, Bleizgys A, Karras SN, Grant WB, Carlberg C, Pilz S, Holick MF, Misiorowski W

Nutrients · 208 citations

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Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Expert or government fact sheet (classified by our AI screen)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Independent funding
Authors
At least one author declares a financial tie to industry

Based on full-text disclosure statement.

Publication

Published
2023-01-30 · Nutrients · vol. 15 · issue 3 · p. 695
Publisher
Multidisciplinary Digital Publishing Institute
Cited
299 citations · more than 100% of similar papers · 50.8× the field average
Impact
Top 10% most cited in its field
References
84 works
Access
Open access (journal) · CC-BY
Research areas
Vitamin D Research Studies · Bone health and osteoporosis research · Healthcare cost, quality, practices
Keywords
vitamin D deficiency, Medicine, Vitamin D and neurology, Intensive care medicine, Pediatrics, Environmental health, Internal medicine
MeSH
humans, vitamin d deficiency, cholecalciferol, calcifediol, vitamins, vitamin d, dietary supplements, poland

34 authors

From PL, LT, GR, US, AT

  • Paweł Płudowski · correspondingChildren's Memorial Health Institute
  • Beata Kos‐KudłaMedical University of Silesia
  • Mieczysław WalczakPomeranian Medical University
  • Andrzej FalCentral Clinical Hospital
  • Dorota Zozulińska‐ZiółkiewiczPoznan University of Medical Sciences
  • Piotr SieroszewskiMedical University of Lodz

Abstract

Introduction: All epidemiological studies suggest that vitamin D deficiency is prevalent among the Polish general population. Since vitamin D deficiency was shown to be among the risk factors for many diseases and for all-cause mortality, concern about this problem led us to update the previous Polish recommendations. Methods: After reviewing the epidemiological evidence, case-control studies and randomized control trials (RCTs), a Polish multidisciplinary group formulated questions on the recommendations for prophylaxis and treatment of vitamin D deficiency both for the general population and for the risk groups of patients. The scientific evidence of pleiotropic effects of vitamin D as well as the results of panelists' voting were reviewed and discussed. Thirty-four authors representing different areas of expertise prepared position statements. The consensus group, representing eight Polish/international medical societies and eight national specialist consultants, prepared the final Polish recommendations. Results: Based on networking discussions, the ranges of total serum 25-hydroxyvitamin D concentration indicating vitamin D deficiency [3) as the first choice for prophylaxis and treatment of vitamin D deficiency were developed. Calcifediol dosing as the second choice for preventing and treating vitamin D deficiency was introduced. Conclusions: Improving the vitamin D status of the general population and treatment of risk groups of patients must be again announced as healthcare policy to reduce a risk of spectrum of diseases. This paper offers consensus statements on prophylaxis and treatment strategies for vitamin D deficiency in Poland.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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