Research Article
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Year 2020, , 232 - 237, 04.05.2020
https://doi.org/10.18621/eurj.476438

Abstract

References

  • 1. Ganz T, Nemeth E. Iron imports. IV. Hepcidin and regulation of body iron metabolism. Am J Physiol Gastrointest Liver Physiol 2006;290:G199-203.
  • 2. Oner AF, Bay A. [Iron deficiency anemia]. Türkiye Klinikleri J Pediatr Sci 2005;1:7-15. [Article in Turkish]
  • 3. Diaz-Castro J, Alferez MJ, Lopez-Aliaga I, Nestares T, Granados S, Barrionuevo M, et al. Influence of nutritional iron deficiency anemia on DNA stability and lipid peroxidation in rats. Nutrition 2008;24:1167-73.
  • 4. Aslan M, Horoz M, Kocyigit A, Ozgonul S, Celik H, Celik M, et al. Lymphocyte DNA damage and oxidative stress in patients with iron deficiency anemia. Mutat Res 2006;601:144-9.
  • 5. Coghetto Baccin A, Lauerman Lazzaretti L, Duarte Martins Brandao V, Manfredini V, Peralba MC, Silveira Benfato M. Oxidative stress in older patients with iron deficiency anaemia. J Nutr Health Aging 2009;13:666-70.
  • 6. Hollick MF. Sunlight and vitamin D for bone health and prevention of autoimmune diseases, cancer and cardiovascular disease. Am J ClinNutr 2004; 80 (6suppl): S1678-88.
  • 7. Ward LM. Vitamin D deficiency in the 21st century: a persistent problem among Canadian infants and mothers. CMAJ 2005;172:769-70.
  • 8. Heaney RP. Long-latency deficiency disease: insights from calcium and vitamin D. Am J Clin Nutr 2003;78:912- 9.
  • 9. Pilz S, Tomaschitz A, Drechsler C, de Boer RA. Vitamin D deficiency and heart disease. Kidney Int Suppl 2011;1:111-5.
  • 10. Chen S, Sims GP, Chen XX, Gu YY, Chen S, Lipsky PE. Modulatory effect of 1,25 dihydroxyvitaminD3 on human B cell differentiation. J Immunol 2007;179:1634-47.
  • 11. Blazsek I, Farabos C, Quittet P, Labat ML, Bringuier AF, Triana BK, et al. Bone marrow stromal cell defects and 1 alpha, 25-dihydroxyvitamin D3 deficiency underlying human myeloid leukemias. Cancer Detect Prev 1996;20:31-42.
  • 12. Reichel H, Koeffler HP, Norman AW. The role of the vitamin D endocrine system in health and disease. N Engl J Med 1989;320:980-91.
  • 13. Norman AW. Minireview: vitamin D receptor: new assignments for an already busy receptor. Endocrinology 2006;147:5542-8.
  • 14. Alon DB, Chaimovitz C, Dvilansky A, Lugassy G, Douvdevani A, Shany S, et al. Novel role of 1, 25 (OH)(2)D(3) in induction of erythroid progenitor cell proliferation. Exp Hematol 2002;30:403-9.
  • 15. Lanzkowsky P. İron-deficiency anemia. Manual of Pediatric Hematology and Oncology 3rd ed., USA: Academic Press, 2000;33-47.
  • 16. Prasad AN, Prasad C. Iron deficiency; non-hematological manifestations. Prog Food Nutr Sci 1991;15:255-83.
  • 17. Ramakrishnan U, Aburto N, McCabe G, Martorell R. Multimicronutrient interventions but not vitamin A or iron interventions alone improve child growth: results of 3 meta-analyses. J Nutr 2004;134:2592-602.
  • 18. Isler M, Delibas N, Guclu M, Gultekin F, Sutcu R, Bahceci M, Kosar A. Superoxide dismutase and glutathione peroxidase in erythrocytes of patients with ıron deficiency anemia: effects of different modalities. Croat Med J 2002;43 16-9.
  • 19. Vural H, Erel Ö, Koçyiğit A, Sabuncu T. [Oxidative stress in erythrocytes of patients with iron deficiency anemia]. Genel Tıp Dergisi 1997;7:77-80. [Article in Turkish]
  • 20. Kumerova A, Lece A, Skesters A, Silova A, Petuhovs V. Anaemia and antioxidant defence of the red blood cells. Mater Med Pol 1998;30:12-5.
  • 21. Yoo JH, Maeng HY, Sun YK, Kim YA, Park DW, Park TS, et al. Oxidative status in iron-deficiency anemia. J Clin Lab Anal 2009;23:319-2.
  • 22. İmazeki I, MatsuzakiJ, Tsuji K, Nishimura T. Immunomodulating effect of vitamin D3 derivaties on type-1 cellular immunity. Biomed Res 2006;27:1-9.
  • 23. Modan M, Halkın H, Karasık A, Lusky A. Elevated serum uric acid: a facet of hyperinsulinemia. Diabetologia 1987;30:713-8.
  • 24. Saab G, Young DO, Gincherman Y, Giles K, Norwood K, Coyne DW. Prevalence of vitamin D deficiency and the safety and effectiveness of monthly ergocalciferol in hemodialysis patients. Nephron Clin Pract 2007;105:c132-8.
  • 25. Aucella F, Scalzulli RP, Gatta G, Vigilante M, Carella AM, Stallone C. Calcitriol increases burst-forming unit-erythroid proliferation in chronic renal failure. A synergistic effect with r-HuEpo. Nephron Clin Pract 2003;95:c121-7.
  • 26. Perlstein TS, Pande R, Berliner N, Vanasse GJ. Prevalence of 25-hydroxyvitamin D deficiency in subgroups of elderly persons with anemia: association with anemia of inflammation. Blood 2011;117:2800-6.
  • 27. Sim JJ, Lac PT, Liu IL, Meguerditchian SO, Kumar VA, Kujubu DA, et al. Vitamin D deficiency and anemia: a cross-sectional study. Ann Hematol 2010;89:447-52.
  • 28. Lee JA, Hwang JS, Hwang IT, Kim DH, Seo J-H, Lim JS. Low vitamin D levels are associated with both iron deficiency and anemia in children and adolescents. Pediatr Hematol Oncol 2015;32:2:99-108.
  • 29. Thomas CE, Guillet R, Queenan RA. Vitamin D status is inversely associated with anemia and serumerythropoietin during pregnancy. Am J Clin Nutr 2015;102:1088-95.
  • 30. Meguro S, Tomita M, Katsuki T, Kato K, Oh H, Ainai A, et al. Plasma 25-hydroxyvitamin d is independently associated with hemoglobin concentration in male subjects with type 2 diabetes mellitus. Int J Endocrinol 2011;2011:362981.
  • 31. Zittermann A, Jungvogel A, Prokop S, Kuhn J, Dreier J, Fuchs U, et al. Vitamin D deficiency is an independent predictor of anemia in end-stage heart failure. Clin Res Cardiol 2011;100:781-8.
  • 32. Ganz T, Nemeth E. Hepcidin and iron homeostasis. Biochim Biophys Acta 2012;1823:1434-43.
  • 33. Carvalho C, Isakova T, Collerone G, et al. Hepcidin and disordered mineral metabolism in chronic kidney disease. Clin Nephrol 2011;76:90-8.
  • 34. Holick MF. Vitamin D deficiency. N Engl J Med 2007;357:266-81.

Evaluation of serum vitamin D levels in premenopausal women with iron deficiency anemia

Year 2020, , 232 - 237, 04.05.2020
https://doi.org/10.18621/eurj.476438

Abstract

Objectives:
In recent years, many effects of
vitamin D except on bone metabolism have been discovered. Vitamin D contributes
to the correction of the anemia by acting on the erythroid precursors in the
bone marrow via Vitamin D Receptor and provides the elimination of free
radicals and prooxidant substances secondary to iron deficiency due to its
antioxidant effect in iron deficiency anemia (IDA).



Methods: A total of 97 female premenopausal
women aged 18-44 were included in the study. Fifty patients with hemoglobin
levels below 12 mg/dl and iron deficiency were classified as IDA group, and 47
subjects with hemoglobin levels of 12 mg/dl and above were classified as
control group. The demographic data and biochemical parameters of all patients
included in the study were analyzed.



Results: The vitamin D of the patient group
was found to be 7.87 ± 3.63 ng/ml and the vitamin D of the control group was
11.84 ± 6.72 ng/ml. The difference between the groups was statistically
significant. There was a positive correlation between serum vitamin D and serum
hemoglobin, hematocrit, serum MCH, serum iron level, transferrin saturation
index, ferritin.



Conclusions: In the light of the results of our study and other studies in the
literature, we think that vitamin D deficiency may be important in patients
with IDA and that vitamin D deficiency in these individuals will contribute to
the regulation of anemia due to positive effects of vitamin D on both
erythropoiesis and hepcidin in IDA are considered. However, larger studies are
needed to clarify this issue. 

References

  • 1. Ganz T, Nemeth E. Iron imports. IV. Hepcidin and regulation of body iron metabolism. Am J Physiol Gastrointest Liver Physiol 2006;290:G199-203.
  • 2. Oner AF, Bay A. [Iron deficiency anemia]. Türkiye Klinikleri J Pediatr Sci 2005;1:7-15. [Article in Turkish]
  • 3. Diaz-Castro J, Alferez MJ, Lopez-Aliaga I, Nestares T, Granados S, Barrionuevo M, et al. Influence of nutritional iron deficiency anemia on DNA stability and lipid peroxidation in rats. Nutrition 2008;24:1167-73.
  • 4. Aslan M, Horoz M, Kocyigit A, Ozgonul S, Celik H, Celik M, et al. Lymphocyte DNA damage and oxidative stress in patients with iron deficiency anemia. Mutat Res 2006;601:144-9.
  • 5. Coghetto Baccin A, Lauerman Lazzaretti L, Duarte Martins Brandao V, Manfredini V, Peralba MC, Silveira Benfato M. Oxidative stress in older patients with iron deficiency anaemia. J Nutr Health Aging 2009;13:666-70.
  • 6. Hollick MF. Sunlight and vitamin D for bone health and prevention of autoimmune diseases, cancer and cardiovascular disease. Am J ClinNutr 2004; 80 (6suppl): S1678-88.
  • 7. Ward LM. Vitamin D deficiency in the 21st century: a persistent problem among Canadian infants and mothers. CMAJ 2005;172:769-70.
  • 8. Heaney RP. Long-latency deficiency disease: insights from calcium and vitamin D. Am J Clin Nutr 2003;78:912- 9.
  • 9. Pilz S, Tomaschitz A, Drechsler C, de Boer RA. Vitamin D deficiency and heart disease. Kidney Int Suppl 2011;1:111-5.
  • 10. Chen S, Sims GP, Chen XX, Gu YY, Chen S, Lipsky PE. Modulatory effect of 1,25 dihydroxyvitaminD3 on human B cell differentiation. J Immunol 2007;179:1634-47.
  • 11. Blazsek I, Farabos C, Quittet P, Labat ML, Bringuier AF, Triana BK, et al. Bone marrow stromal cell defects and 1 alpha, 25-dihydroxyvitamin D3 deficiency underlying human myeloid leukemias. Cancer Detect Prev 1996;20:31-42.
  • 12. Reichel H, Koeffler HP, Norman AW. The role of the vitamin D endocrine system in health and disease. N Engl J Med 1989;320:980-91.
  • 13. Norman AW. Minireview: vitamin D receptor: new assignments for an already busy receptor. Endocrinology 2006;147:5542-8.
  • 14. Alon DB, Chaimovitz C, Dvilansky A, Lugassy G, Douvdevani A, Shany S, et al. Novel role of 1, 25 (OH)(2)D(3) in induction of erythroid progenitor cell proliferation. Exp Hematol 2002;30:403-9.
  • 15. Lanzkowsky P. İron-deficiency anemia. Manual of Pediatric Hematology and Oncology 3rd ed., USA: Academic Press, 2000;33-47.
  • 16. Prasad AN, Prasad C. Iron deficiency; non-hematological manifestations. Prog Food Nutr Sci 1991;15:255-83.
  • 17. Ramakrishnan U, Aburto N, McCabe G, Martorell R. Multimicronutrient interventions but not vitamin A or iron interventions alone improve child growth: results of 3 meta-analyses. J Nutr 2004;134:2592-602.
  • 18. Isler M, Delibas N, Guclu M, Gultekin F, Sutcu R, Bahceci M, Kosar A. Superoxide dismutase and glutathione peroxidase in erythrocytes of patients with ıron deficiency anemia: effects of different modalities. Croat Med J 2002;43 16-9.
  • 19. Vural H, Erel Ö, Koçyiğit A, Sabuncu T. [Oxidative stress in erythrocytes of patients with iron deficiency anemia]. Genel Tıp Dergisi 1997;7:77-80. [Article in Turkish]
  • 20. Kumerova A, Lece A, Skesters A, Silova A, Petuhovs V. Anaemia and antioxidant defence of the red blood cells. Mater Med Pol 1998;30:12-5.
  • 21. Yoo JH, Maeng HY, Sun YK, Kim YA, Park DW, Park TS, et al. Oxidative status in iron-deficiency anemia. J Clin Lab Anal 2009;23:319-2.
  • 22. İmazeki I, MatsuzakiJ, Tsuji K, Nishimura T. Immunomodulating effect of vitamin D3 derivaties on type-1 cellular immunity. Biomed Res 2006;27:1-9.
  • 23. Modan M, Halkın H, Karasık A, Lusky A. Elevated serum uric acid: a facet of hyperinsulinemia. Diabetologia 1987;30:713-8.
  • 24. Saab G, Young DO, Gincherman Y, Giles K, Norwood K, Coyne DW. Prevalence of vitamin D deficiency and the safety and effectiveness of monthly ergocalciferol in hemodialysis patients. Nephron Clin Pract 2007;105:c132-8.
  • 25. Aucella F, Scalzulli RP, Gatta G, Vigilante M, Carella AM, Stallone C. Calcitriol increases burst-forming unit-erythroid proliferation in chronic renal failure. A synergistic effect with r-HuEpo. Nephron Clin Pract 2003;95:c121-7.
  • 26. Perlstein TS, Pande R, Berliner N, Vanasse GJ. Prevalence of 25-hydroxyvitamin D deficiency in subgroups of elderly persons with anemia: association with anemia of inflammation. Blood 2011;117:2800-6.
  • 27. Sim JJ, Lac PT, Liu IL, Meguerditchian SO, Kumar VA, Kujubu DA, et al. Vitamin D deficiency and anemia: a cross-sectional study. Ann Hematol 2010;89:447-52.
  • 28. Lee JA, Hwang JS, Hwang IT, Kim DH, Seo J-H, Lim JS. Low vitamin D levels are associated with both iron deficiency and anemia in children and adolescents. Pediatr Hematol Oncol 2015;32:2:99-108.
  • 29. Thomas CE, Guillet R, Queenan RA. Vitamin D status is inversely associated with anemia and serumerythropoietin during pregnancy. Am J Clin Nutr 2015;102:1088-95.
  • 30. Meguro S, Tomita M, Katsuki T, Kato K, Oh H, Ainai A, et al. Plasma 25-hydroxyvitamin d is independently associated with hemoglobin concentration in male subjects with type 2 diabetes mellitus. Int J Endocrinol 2011;2011:362981.
  • 31. Zittermann A, Jungvogel A, Prokop S, Kuhn J, Dreier J, Fuchs U, et al. Vitamin D deficiency is an independent predictor of anemia in end-stage heart failure. Clin Res Cardiol 2011;100:781-8.
  • 32. Ganz T, Nemeth E. Hepcidin and iron homeostasis. Biochim Biophys Acta 2012;1823:1434-43.
  • 33. Carvalho C, Isakova T, Collerone G, et al. Hepcidin and disordered mineral metabolism in chronic kidney disease. Clin Nephrol 2011;76:90-8.
  • 34. Holick MF. Vitamin D deficiency. N Engl J Med 2007;357:266-81.
There are 34 citations in total.

Details

Primary Language English
Subjects Endocrinology, ​Internal Diseases
Journal Section Original Articles
Authors

Eray Atalay 0000-0002-9700-7019

Gökhan Bilgehan This is me 0000-0001-8538-2340

Pınar Şişman 0000-0002-6561-6207

Halil İbrahim Erdoğdu 0000-0001-7231-7646

Publication Date May 4, 2020
Submission Date October 31, 2018
Acceptance Date March 16, 2019
Published in Issue Year 2020

Cite

AMA Atalay E, Bilgehan G, Şişman P, Erdoğdu Hİ. Evaluation of serum vitamin D levels in premenopausal women with iron deficiency anemia. Eur Res J. May 2020;6(3):232-237. doi:10.18621/eurj.476438

e-ISSN: 2149-3189 


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