Table 2.
Observational studies of the association between vitamin D levels and outcomes in Crohn’s disease and ulcerative colitis
Author | Year | Study Design | Number of patients | Predictor variable | Outcome | Result |
---|---|---|---|---|---|---|
Joseph89 | 2009 | Cross-sectional | 34 CD | Serum 25(OH)D | HBI | Serum 25(OH)D negatively correlated with disease activity (correlation co-efficient −0.484) |
El-Matary76 | 2011 | Cross-sectional | 60 IBD (39 CD, 21 UC) | Serum 25(OH)D | PCDAI or PUCAI | Vitamin D levels were not associated with disease activity |
Ulitsky19 | 2011 | Retrospective | 504 IBD (403 CD, 101 UC) | Serum 25(OH)D | HBI or SCCAI Health-related quality of life | Vitamin D deficiency was associated with lower HRQoL (−2.2, 95% CI −4.1 to −0.3) and increased disease activity (1.1, 95% CI 0.4 – 1.7) in CD but not UC |
Ananthakrishnan13 | 2013 | Prospective | 3217 IBD (1763 CD, 1454 UC) | Serum 25(OH)D | IBD-related surgery IBD-related hospitalizations |
Vitamin D deficiency (<20ng/mL) was associated with increased risk of surgery (OR 1.8, 95% CI 1.2 – 2.5) in CD and hospitalizations in both CD (OR 2.1, 95% CI 1.6 – 2.7) and UC (OR 2.3, 95% CI 1.7 – 3.1) |
Zator79 | 2013 | Retrospective | 101 IBD (74 CD, 27 UC) patients initiating anti-TNF therapy | Serum 25(OH)D within 3 months of anti-TNF initiation | Cessation of anti-TNF therapy | Patients with low vitamin D had an increased risk of early cessation of anti-TNF therapy (HR 2.1, 95% CI 1.0 – 4.4) |
CD – Crohn’s disease; UC – ulcerative colitis; IBD – inflammatory bowel disease; HBI – Harvey Bradshaw index; PCDAI – Pediatric crohn’s disease activity index; PUCAI – pediatric ulcerative colitis activity index; SCCAI – simple clinical colitis activity index,