The weak correlation between serum vitamin levels and chronic kidney disease in hospitalized patients: a cross-sectional study

BMC Nephrol. 2021 Aug 26;22(1):292. doi: 10.1186/s12882-021-02498-5.

Abstract

Background: Chronic kidney disease (CKD) has become a global public health problem. Accumulating evidence suggested that vitamins play important roles in the progression of CKD.

Methods: A cross-sectional study was conducted to investigate the vitamin status of patients with CKD at stage 1-5. The serum concentrations of 9 vitamins, vitamin A, B1, B2, B6, B9, B12, C, D, and E were measured by electroanalytical method with a Multi-Vitamin Analyzer. Pearson correlation and multiple linear regression between serum level of vitamins were analyzed.

Results: The median levels of vitamin A, B1, B2, B6, B9, B12, C and E were within the reference ranges or on the borderline. Vitamin D deficiency was found in all patients. Weak correlation was found between vitamin A or vitamin D and estimated glomerular filtration rate (eGFR). The Pearson correlation coefficient were - 0.21766 and 0.19752, respectively. Hypertension, diabetes mellitus, and atherosclerosis were the major comorbidities.

Conclusions: For the first time, the serum levels of 9 vitamins were measured simultaneously in patients with CKD at different stages. Vitamin D deficiency was found in all patients. Weak correlation between vitamin A or vitamin D and eGFR was found.

Keywords: Chronic kidney disease; Cross-sectional study; Deficiency; Glomerular filtration rate; Vitamin.

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Female
  • Glomerular Filtration Rate
  • Hospitalization
  • Humans
  • Male
  • Middle Aged
  • Renal Insufficiency, Chronic / blood*
  • Vitamin D / blood
  • Vitamin D Deficiency / blood
  • Vitamin D Deficiency / diagnosis
  • Vitamin D Deficiency / epidemiology
  • Vitamins / blood*

Substances

  • Vitamins
  • Vitamin D