Gut Liver.
2017 May;11(3):363-369. 10.5009/gnl16333.
Risk Factors for Vitamin D, Zinc, and Selenium Deficiencies in Korean Patients with Inflammatory Bowel Disease
- Affiliations
-
- 1Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, Korea.
- 2Department of Internal Medicine and Healthcare Research Institute, Healthcare System Gangnam Center, Seoul National University Hospital, Seoul, Korea.
- 3Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea. bodnsoul@hanmail.net
- 4Department of Food and Nutrition, Sookmyung Women’s University, Seoul, Korea.
- KMID: 2412209
- DOI: http://doi.org/10.5009/gnl16333
Abstract
- BACKGROUND/AIMS
Studies on the micronutrient status of Asian patients with inflammatory bowel disease (IBD) are scarce. We evaluated the prevalence of micronutrient deficiency and verified the risk factors for micronutrient deficiency in Korean patients with IBD.
METHODS
We measured the serum levels of 25-hydroxyvitamin D3 [25-(OH)D], zinc, and selenium to analyze the clinical risk factors for micronutrient levels below the reference values. In addition, we compared the 25-(OH)D levels of patients with IBD to those of age- and sex-matched healthy controls.
RESULTS
Among the 83 patients, 74 (89.2%) had suboptimal serum 25-(OH)D levels. The mean plasma 25-(OH)D level in patients with IBD was significantly reduced compared to that of the healthy controls (12.3±6.2 ng/mL vs 20.0±6.7 ng/mL; p<0.001). The proportions of patients with lower serum zinc and selenium levels were 39.0% and 30.9%, respectively. Female sex (p=0.012) and Crohn's disease (p=0.012) were associated with vitamin D deficiency. Patients younger than 40 years were at increased risk for zinc deficiency (p=0.045). Female sex (p=0.015) and low serum albumin level (<3.3 g/dL) (p=0.047) were risk factors for selenium deficiency.
CONCLUSIONS
Many Korean patients with IBD have vitamin D, zinc, and selenium deficiencies, suggesting the necessity for monitoring levels of these micronutrients.
Keyword
MeSH Terms
-
Adolescent
Adult
Aged
Case-Control Studies
Colitis, Ulcerative/blood/*complications
Crohn Disease/blood/*complications
Female
Humans
Male
Middle Aged
Nutritional Status
Prevalence
Republic of Korea/epidemiology
Risk Factors
Selenium/blood/*deficiency
Vitamin D/analogs & derivatives/blood
Vitamin D Deficiency/epidemiology/*etiology
Young Adult
Zinc/blood/*deficiency
Vitamin D
Selenium
Zinc
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