Smjernice za prevenciju, prepoznavanje i liječenje nedostatka vitamina D u odraslih [Guidelines for the prevention, detection and therapy of vitamin D deficiency in adults]

Vranešić Bender, Darija and Giljević, Zlatko and Kušec, Vesna and Laktašić Žerjavić, Nadica and Bošnjak Pašić, Marija and Vrdoljak, Eduard and Ljubas Kelečić, Dina and Reiner, Željko and Anić, Branimir and Krznarić, Željko (2016) Smjernice za prevenciju, prepoznavanje i liječenje nedostatka vitamina D u odraslih [Guidelines for the prevention, detection and therapy of vitamin D deficiency in adults]. Liječnički vjesnik, 138 (5-6). pp. 121-132. ISSN 0024-3477

PDF - Published Version Download (1MB)

Abstract

It is estimated that over one billion of people around the globe have low serum values of vitamin D, therefore, we can consider vitamin D deficiency as a pandemic and public health problem. Geographic position of Croatia, especially the continental part of the country, is a risk factor for the development of deficiency of vitamin D in the population. The aim of these guidelines is to provide the clinicians with easy and comprehensive tool for prevention, detection and therapy of vitamin D deficienney in healthy population and various groups of patients. They were made as a result of collaboration of clinicians of different backgrounds who are dealing with patients at risk of vitamin D deficiency. These guidelines are evi- dence-based, according to GRADE-system (Grading of Recommendations, Assessment, Development and Evaluation), which describes the level of evidence and strength of recommendation. The main conclusions address the recommended serum vitamin D values in the population which should be between 75 and 125 nmol/L and defining recommended preven- tive and therapeutic dosages of vitamin D in order to reach the adequate levels of serum vitamin D.

Abstract in Croatian

Procjenjuje se da više od milijarde ljudi diljem svijeta ima niske koncentracije vitamina D zbog čega se s pravom govori o „pandemiji“ hipovitaminoze D te se razmatraju teške posljedice za javno zdravstvo. Geografski položaj Republike Hrvatske, posebice kontinentalnog dijela zemlje, čimbenik je rizika od pojave nedostatka vitamina D u populaciji. Cilj je ovih smjernica pružiti kliničarima jasan i jednostavan alat za prevenciju, prepoznavanje i liječenje nedostatka vitamina D u zdravoj populaciji i u različitih skupina bolesnika. Ove su smjernice nastale suradnjom kliničara različitih disciplina koji se bave brojnim aspektima skrbi o bolesnicima u riziku od razvoja nedostatka vitamina D. Utemeljene su na dokazima, prema sustavu GRADE (engl. Grading of Recommendations, Assessment, Development and Evaluation) koji uz snagu dokaza opisuje i razinu preporuke. Temeljni zaključci ovih smjernica odnose se na preporučenu populacijsku koncentra­ciju vitamina D u krvi koja iznosi 75 – 125 nmol/L te na definiranje preventivnih i terapijskih doza vitamina D za postizanje njegovih preporučenih koncentracija.

Actions (login required)

View Item

Downloads