A Prospective Study on 25 Hydroxyvitamin D Serum Levels in Patients with Relapsing-Remitting Multiple Sclerosis

To assess the changes in the serum concentrations of 25(ОH)D in relapse and remission and their relation to the degree of neurological deficit. We analyzed 53 subjects (30 controls and 23 patients) from October 2012 to Маy 2013. Diagnosis was based on McDonald 2010 criteria. The severity of neurolog...

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Main Authors: Georgi Slavov, Maria Manova, Anastasiya Trenova, Ivanka Kostadinova, Pavel Pavlov, Nonka Mateva
Format: Article
Language:English
Published: Medical University - Pleven 2014-11-01
Series:Journal of Biomedical & Clinical Research
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Online Access:https://jbcr.arphahub.com/article/34332/download/pdf/
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author Georgi Slavov
Maria Manova
Anastasiya Trenova
Ivanka Kostadinova
Pavel Pavlov
Nonka Mateva
author_facet Georgi Slavov
Maria Manova
Anastasiya Trenova
Ivanka Kostadinova
Pavel Pavlov
Nonka Mateva
author_sort Georgi Slavov
collection DOAJ
description To assess the changes in the serum concentrations of 25(ОH)D in relapse and remission and their relation to the degree of neurological deficit. We analyzed 53 subjects (30 controls and 23 patients) from October 2012 to Маy 2013. Diagnosis was based on McDonald 2010 criteria. The severity of neurological deficit was assessed by the Expanded Disability Status Scale. Serum concentrations of 25(ОH)D (nmol/l) were measured by ELISA once in controls and twice in patients - in relapse and remission. Mean levels in all groups were in the mild to moderate deficiency range, being lowest in the patients in relapse (controls 31.46±7.3; relapse 26.93±7.44; remission 28.06±7.28). There was a trend for lower levels of 25(ОH)D in healthy females in comparison to their male counterparts, and in female patients in relapse as compared to males (female controls - 26.56±8.4, male controls - 41.35±11.86; females in relapse - 26.33±10.03, males in relapse - 28.06±11.08). Negative statistically significant correlations between the concentrations of 25(ОH)D during relapse and remission and the degree of neurological deficit in the corresponding period were found (cc. -0.593, Sig 0.03, relapse; -0.46, Sig 0.024, remission). Assessment of the risk for development of MS, regarding the 25(ОH)D showed protective effect with respect to the risk of disease occurrence (ОR: 04125 relapse; 0.578 remission).
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spelling doaj-art-d0a479c3e4da48d896c75704895a973e2025-08-20T03:08:55ZengMedical University - PlevenJournal of Biomedical & Clinical Research1313-90532014-11-0171374110.1515/jbcr-2015-012334332A Prospective Study on 25 Hydroxyvitamin D Serum Levels in Patients with Relapsing-Remitting Multiple SclerosisGeorgi SlavovMaria ManovaAnastasiya TrenovaIvanka KostadinovaPavel PavlovNonka MatevaTo assess the changes in the serum concentrations of 25(ОH)D in relapse and remission and their relation to the degree of neurological deficit. We analyzed 53 subjects (30 controls and 23 patients) from October 2012 to Маy 2013. Diagnosis was based on McDonald 2010 criteria. The severity of neurological deficit was assessed by the Expanded Disability Status Scale. Serum concentrations of 25(ОH)D (nmol/l) were measured by ELISA once in controls and twice in patients - in relapse and remission. Mean levels in all groups were in the mild to moderate deficiency range, being lowest in the patients in relapse (controls 31.46±7.3; relapse 26.93±7.44; remission 28.06±7.28). There was a trend for lower levels of 25(ОH)D in healthy females in comparison to their male counterparts, and in female patients in relapse as compared to males (female controls - 26.56±8.4, male controls - 41.35±11.86; females in relapse - 26.33±10.03, males in relapse - 28.06±11.08). Negative statistically significant correlations between the concentrations of 25(ОH)D during relapse and remission and the degree of neurological deficit in the corresponding period were found (cc. -0.593, Sig 0.03, relapse; -0.46, Sig 0.024, remission). Assessment of the risk for development of MS, regarding the 25(ОH)D showed protective effect with respect to the risk of disease occurrence (ОR: 04125 relapse; 0.578 remission).https://jbcr.arphahub.com/article/34332/download/pdf/vitamin Dmultiple sclerosisEDSS
spellingShingle Georgi Slavov
Maria Manova
Anastasiya Trenova
Ivanka Kostadinova
Pavel Pavlov
Nonka Mateva
A Prospective Study on 25 Hydroxyvitamin D Serum Levels in Patients with Relapsing-Remitting Multiple Sclerosis
Journal of Biomedical & Clinical Research
vitamin D
multiple sclerosis
EDSS
title A Prospective Study on 25 Hydroxyvitamin D Serum Levels in Patients with Relapsing-Remitting Multiple Sclerosis
title_full A Prospective Study on 25 Hydroxyvitamin D Serum Levels in Patients with Relapsing-Remitting Multiple Sclerosis
title_fullStr A Prospective Study on 25 Hydroxyvitamin D Serum Levels in Patients with Relapsing-Remitting Multiple Sclerosis
title_full_unstemmed A Prospective Study on 25 Hydroxyvitamin D Serum Levels in Patients with Relapsing-Remitting Multiple Sclerosis
title_short A Prospective Study on 25 Hydroxyvitamin D Serum Levels in Patients with Relapsing-Remitting Multiple Sclerosis
title_sort prospective study on 25 hydroxyvitamin d serum levels in patients with relapsing remitting multiple sclerosis
topic vitamin D
multiple sclerosis
EDSS
url https://jbcr.arphahub.com/article/34332/download/pdf/
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