Vitamin D deficiency in chronic obstructive pulmonary disease.

Monica L L Mullin, Stephen Milne

Current opinion in pulmonary medicine 2023 Mar 01

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There is biological and epidemiological evidence supporting a role for vitamin D in the respiratory system, and vitamin D deficiency (VDD) may be associated with poor health outcomes in people with chronic obstructive pulmonary disease (COPD). This review summarizes recent findings relevant to the role of vitamin D in COPD. The prevalence of VDD in people with COPD may be underestimated. Treatment of severe VDD [serum 25(OH)D3 < 10 ng/ml] may reduce the risk of COPD exacerbations. Vitamin D supplementation may also improve functional capacity and quality of life in people with COPD. However, there is no strong evidence that vitamin D supplementation slows the decline in lung function. Although there are many known associations between vitamin D and COPD outcomes, the causal nature of these associations and the precise benefits of vitamin D supplementation remain unclear. High-quality randomized controlled trials are necessary. Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.

Citation

Monica L L Mullin, Stephen Milne. Vitamin D deficiency in chronic obstructive pulmonary disease. Current opinion in pulmonary medicine. 2023 Mar 01;29(2):96-103