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Efficacy of vitamin D3 in patients with diabetic nephropathy : an updated meta-analysis
Joint Authors
Li, Wenge
Gong, Weijun
Yang, Xusheng
Xi, Jianing
Liu, Tiejun
Zhang, Min
Source
Iranian Red Crescent Medical Journal
Issue
Vol. 19, Issue 12 (31 Dec. 2017), pp.1-10, 10 p.
Publisher
Publication Date
2017-12-31
Country of Publication
United Arab Emirates
No. of Pages
10
Main Subjects
Abstract EN
Context: Diabetic nephropathy is a common complication of diabetes mellitus with a higher incidence.
Renin-angiotensin system blockers, as the main treatment for patients with diabetic kidney disease, can not only reduce albuminuria, but also lead to hyperkalaemia and creatinine.
Therefore, additional protective therapeutic interventions are needed.
Evidence Acquisition: An electronic literature search was conducted in international and domestic databases including PubMed, Embase, CNKI, Scopus, Index Copernicus, DOAJ, and Wanfang database for trials up to January 2017.
The search terms used were as follow: "Diabetic Nephropathies", "vitamin D3", "Cholecalciferol", "Calcitriol", "Alfacalcidol", "Paricalcitol", and "Randomized Controlled Trial".
Quality assessments were evaluated with the Newcastle-Ottawa Quality Assessment Scale.
Data were extracted by 2 independent reviewers (TJL and WGL).
For all analysis, the standard mean difference (SMD) or odds ratio (OR) with 95% confidence intervals (CIs) were calculated, and heterogeneity of the studies was analyzed using I2 statistics.
Results: Twenty-four studies were (1,978 patients) identified in the literature retrieve process.
The assessment scores indicated that all the admitted studies were reliable with scores ranging from 6 to 9.
The pooled results indicated that vitamin D3 had a significant effect in reducing albuminuria (MD = -0.23, 95% CI: -0.30, -0.15) and that the vitamin D3 group had a low ratio of urinary microalbumin to creatinine than the control group (SMD = -0.49, 95% CI: -0.90, -0.08).
The results also revealed that vitamin D3 group had a lower hs-CRP than the control group (MD = -0.80, 95% CI: -1.26, -0.34).
Conclusions: Based on the evidence of this study, vitamin D3 could be suggested as a recommended drug for patients with diabetic nephropathy in clinical practice.
American Psychological Association (APA)
Zhang, Min& Liu, Tiejun& Li, Wenge& Gong, Weijun& Yang, Xusheng& Xi, Jianing. 2017. Efficacy of vitamin D3 in patients with diabetic nephropathy : an updated meta-analysis. Iranian Red Crescent Medical Journal،Vol. 19, no. 12, pp.1-10.
https://search.emarefa.net/detail/BIM-835232
Modern Language Association (MLA)
Zhang, Min…[et al.]. Efficacy of vitamin D3 in patients with diabetic nephropathy : an updated meta-analysis. Iranian Red Crescent Medical Journal Vol. 19, no. 12 (Dec. 2017), pp.1-10.
https://search.emarefa.net/detail/BIM-835232
American Medical Association (AMA)
Zhang, Min& Liu, Tiejun& Li, Wenge& Gong, Weijun& Yang, Xusheng& Xi, Jianing. Efficacy of vitamin D3 in patients with diabetic nephropathy : an updated meta-analysis. Iranian Red Crescent Medical Journal. 2017. Vol. 19, no. 12, pp.1-10.
https://search.emarefa.net/detail/BIM-835232
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 8-10
Record ID
BIM-835232