HERE IS A SHORT STORY OF A FRIEND WHO SUFFERS KIDNEY FAILURE DUE TO VITAMIN D DEFICIENCY.
I hope you will learn something from his experience.
Matthew is a workaholic that usually sticks to his computer all day long to make sure he completes his work. He rarely takes a break to enjoy the sunshine and unfortunately for him he now has chronic kidney disease. Chronic Kidney Disease is described in five different stages depending on the cause, however to prevent further decline and kidney function Matthew has managed his kidney problem by eating healthy foods like fruits, vegetables and water instead of sugary beverages. Deficiency of vitamin D in adults is the serum level of less than 10ng/ml which is often treated with high dose of vitamin D such as 50 000 international unit (IU) given once per day weeraysk for 8-12 weeks. Once the serum level is back to normal above 30 the doctor might describe a daily supplement of 800-2000 IU vitamin D.
The fact that Matthew stays indoors for the majority of the day contributed to his risk of developing the disease. Interesting fact remains that the SUN’S UV produces sufficient amount of vitamin D, hence, my friend requires exposure to sunlight for about 5 to 15 minutes at midday and a few times per week to do the trick. He doesn’t eat much fish either, the largest quantities of the vitamin food are found in very fatty fish. Matthew did not want to suffer brittle bones which is a norm with vitamin D deficiency, so he started to think from the area to improve his vitamin D intake. His plan was to take break throughout the day outside to get more sunlight exposure, take vitamin D supplement. Now Matthew is feeling much better, hope you learnt something.
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VITAMIN D DEFICIENCY AND RENAL FAILURE
Few foods naturally contain vitamin D and only a few are fortified with vitamin D. Most people get more than 90% of their vitamin D requirements from exposure to sunlight. Vitamin D deficiency is common in both the general population and in patients with chronic renal failure (CKD). Increased use of sun-blocking agents and decreased exposure to sunlight, to reduce the risk of skin cancer, attributed to exposure to UV radiation, may contribute to the increase in vitamin D deficiency in the population. These issues are particularly important in the dialysis population who are at particular risk because these, mostly elderly, individuals have an inactive life style and have reduced exposure to sunshine and UV light, thus limiting the actinic synthesis of vitamin D. Vitamin D not only contributes to skeletal health but also plays a major role in the health of a wide variety of other organ systems. It seems that vitamin D supplementation is the most effective way of preventing vitamin D deficiency in patients with renal failure
Vitamin D deficiency is an increasing health problem in the general population. Chronic kidney disease is known as a risk factor for the development of vitamin D deficiency and is associated with increased mortality and morbidity. The main way to create vitamin D in our body is through direct sunlight contact. Vitamin D is found in sufficient amounts in very little food. Although it is abundant in oily fish, it is almost impossible to get enough vitamin D from daily foods. Vitamin D is known to have many important effects on calcium, phosphorus and parathormone metabolism, body growth and development, cell differentiation, brain development, immune and defense systems. These effects of Vitamin D should not be ignored in dialysis and chronic kidney patients. There is a need for studies evaluating the effects of replacing vitamin D in dialysis and chronic kidney patients. Naturally, very little food contains vitamin D, and only some of it has been processed with vitamin D. Most people get over 90% of their vitamin D requirements from food. Vitamin D deficiency is common in both the general population and chronic kidney patients. Increased use of sunscreen agents, avoiding sun exposure to reduce the risk of skin cancer, may contribute to increasing Vitamin D deficiency in the population. This is especially important in dialysis patients, especially in elderly dialysis patients, in those with an inactive lifestyle, and in those with reduced exposure to sunlight, the actinic synthesis of vitamin D is reduced. Vitamin D plays a major role not only for skeletal health, but also for the health of many organ systems. The most effective way to prevent vitamin D deficiency in patients with kidney failure is to give vitamin D.
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