CFDB - Cystic Fibrosis DataBase

primary studies published RCT

A pilot study of the effect of inhaled buffered reduced glutathione on the clinical status of patients with cystic fibrosis.

Study design (if review, criteria of inclusion for studies)

RCT

Participants

30 adult CF subjects with vitamin D insufficiency

Interventions

patients were randomized into one of three treatment arms: D3, D2, or UV light. Subjects randomized to D3 or D2 ingested 50,000 IU of vitamin D weekly, and those randomized to UV exposed their skin to UV light from a lamp five times a week.

Outcome measures

Serum was collected for 25(OH)D and PTH at baseline and at 12 wk

Main results

Treatment with D3 and D2 raised 25(OH)D levels significantly, from a mean of 21.2 +/- 10.18 to 47.1 +/- 20.5 ng/ml (P < 0.001) and 24.4 +/- 10.3 to 32.7+/- 9.7 ng/ml (P = 0.01), with 100% and 60% reaching 25(OH)D levels above 30 ng/ml, respectively. Treatment with UV did not raise 25(OH)D levels significantly; however, only 55% of subjects were adherent with UV therapy.

Authors' conclusions

This study demonstrates that CF subjects are able to achieve or maintain optimal vitamin D status (>30 ng/ml) with two oral regimens of either D3 or D2 treatment, the former being more efficacious. A confounding variable for this observation is the fact that the D3 and D2 capsules contained different carriers, powder-based vs. oil-based, respectively. UV therapy did not alter vitamin D status, possibly due to poor adherence to UV therapy.

Keywords: Adolescent; Adult; Aged; non pharmacological intervention - diet; Nutrition Disorders; prevention; Ultraviolet light; vitamins; Vitamin D; Vitamin D Deficiency; Vitamin deficiencies; Vitamins; pharmacological_intervention;