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Table 5 Some Studies on the effect of vitamin D repletion therapy on the 24-hour urine calcium in kidney stone formers

From: Effect of two vitamin D repletion protocols on 24-h urine calcium in patients with recurrent calcium kidney stones and vitamin D deficiency: a randomized clinical trial

References

Study methodology

Vitamin D repletion dose

Sample size

Baseline

25-OH D (ng/ml)

Study time

24-Urine calcium (mg/day)

Other main findings

25-OH D (ng/ml) PTH

Vitale et al. [7]

Retrospective

Oral bolus of 100,000–200,000 IU; followed by 5000–10,000 IU/weekly OR, 25,000–50,000 IU/monthly

33

 < 20

6 months

Significant increase (p < 0.01)

Significant 25(OH)D mean increase; 11.8 to 40.2 (p < 0.01)

Significant PTH decrease (p < 0.01)

Ganji et al. [8]

Non-controlled clinical trial

50,000 IU/weekly/ for 8 weeks followed by 50,000 IU/ every forth night

30

 < 30

3 months

No significant increase (p = 0.39)

Significant 25(OH)D mean increase; 10.4 to 44.0 (p < 0.001)

Significant PTH decrease (p < 0.001)

Taheri et al. [9]

Retrospective

50,000 IU/weekly

26

 < 30

8–12 weeks

Significant increase (p < 0.001)

Significant 25(OH)D mean increase from 14.1 to 33.6 (p < 0.001)

Significant PTH decrease (p < 0.001)

Ferroni et al. [5]

Randomized controlled trial

1,000 IU/daily (8 patients) OR, 50,000 IU/weekly (13 patients)

21

 < 30

6 weeks

No significant increase§ (p > 0.05)

Significant 25(OH)D increase only in 50,000 IU group (p < 0.01)

PTH: Not evaluated

Hesswani et al. [10]

Retrospective

1000 IU Vitamin D/daily + 945 mg Calcium /daily

34

 < 30

39 months

Significant increase (p < 0.001)

Significant 25(OH)D mean increase from 20.83 to 26.60, (p < 0.001)

No significant PTH change (p = 0.98)

Leaf et al. [6]

Non-controlled clinical trial

50,000 IU/weekly

29

 < 30

8 weeks

No significant increase (p = 0.91)

Significant 25(OH)D mean increase from 17 to 35, (p < 0.001)

No significant PTH change (p = 0.71)

  1. All of these studies didn’t have any dietary assessment
  2. 25(OH)D, 25-hydroxyvitamin D; PTH, parathyroid hormone
  3. The range of vitamin D and calcium were 400–1500 IU/daily and 315–1500 mg/daily, respectively
  4. The range of follow-up time was 7 to 60 months
  5. §24-urine calcium changed from 231 mg/day to 219 mg/day and from 195 mg/day to 263 mg/day in group with vitamin D dose of 1,000 IU/ per day or 50,000 IU/per week, respectively