Evidence map›Paper›PMID 31064117›Full record

ReviewNutrients2019

Hypovitaminosis D: Is It Time to Consider the Use of Calcifediol?

Roberto Cesareo, Alberto Falchetti, Roberto Attanasio, Gaia Tabacco, Anda Mihaela Naciu, Andrea Palermo

Open access · goldAbstract readReview
In one paragraph

Review in Nutrients, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
4.5field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 50 citations in OpenAlex.

  1. Treatment With 25-Hydroxyvitamin DEndocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2021
    Trial
  2. Trial
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Calcifediol: Why, When, How Much?Pharmaceuticals (Basel, Switzerland) · 2023
    Review
  12. Understanding the Role of Vitamin D in Heart Failure.Reviews in cardiovascular medicine · 2023
    Review
  13. Review
  14. Osteomalacia Is Not a Single Disease.International journal of molecular sciences · 2022
    Review
  15. Review
  16. Review
  17. Review
  18. Review
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Roberto CesareoUnit of Metabolic Diseases, Department of Internal Medicine, S. Maria Goretti Hospital, 04100 Latina, Italy. robertocesareo@libero.it.
Alberto FalchettiIstituto Auxologico Italiano, IRCCS, Unit for Bone Metabolism Diseases and Diabetes & Lab of Endocrine and Metabolic Research; University of Milan, and EndOsMet, Villa Donatello Private Hospital, 50100 Florence, Italy. alberto.falchetti2@alice.it.ORCID 0000-0002-6739-4417
Roberto AttanasioEndocrinology Service, IRCCS Orthopedic Institute Galeazzi, 20161 Milan, Italy. roberto.serena@libero.it.ORCID 0000-0002-1417-287X
Gaia TabaccoUnit of Endocrinology and Diabetes, University Campus Bio-Medico, 00128 Rome, Italy. g.tabacco@unicampus.it.
Anda Mihaela NaciuUnit of Endocrinology and Diabetes, University Campus Bio-Medico, 00128 Rome, Italy. a.naciu@unicampus.it.
Andrea PalermoUnit of Endocrinology and Diabetes, University Campus Bio-Medico, 00128 Rome, Italy. a.palermo@unicampus.it.ORCID 0000-0002-1143-4926
Università Campus Bio-Medico · ITIstituto Ortopedico Galeazzi · ITOspedale Santa Maria Goretti · ITUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hypovitaminosis D is becoming a notable health problem worldwide. A consensus exists among several different medical societies as to the need for adequate levels of vitamin D for bone and general health. The correct method by which to restore normal vitamin D levels is still a matter of debate. Although cholecalciferol remains the most commonly distributed form of vitamin D supplementation worldwide, several drugs with vitamin D activity are available for clinical use, and making the correct selection for the individual patient may be challenging. In this narrative review, we aim to contribute to the current knowledge base on the possible and appropriate use of calcifediol-the 25-alpha-hydroxylated metabolite-in relation to its chemical characteristics, its biological properties, and its pathophysiological aspects. Furthermore, we examine the trials that have aimed to evaluate the effect of calcifediol on the restoration of normal vitamin D levels. Calcifediol is more soluble than cholecalciferol in organic solvents, due to its high polarity. Good intestinal absorption and high affinity for the vitamin-D-binding protein positively affect the bioavailability of calcifediol compared with cholecalciferol. In particular, orally administered calcifediol shows a much shorter half-life than oral cholecalciferol. Most findings suggest that oral calcifediol is about three- to five-fold more powerful than oral cholecalciferol, and that it has a higher rate of intestinal absorption. Accordingly, calcifediol can be particularly useful in treating diseases associated with decreased intestinal absorption, as well as obesity (given its lower trapping in the adipose tissue) and potentially neurological diseases treated with drugs that interfere with the hepatic cytochrome P-450 enzyme system, resulting in decreased synthesis of calcifediol. Up to now, there has not been enough clinical evidence for its use in the context of osteoporosis treatment.

Indexed as

Bone and BonesCalcifediolCalciumCytochrome P-450 Enzyme SystemHumansVitamin D DeficiencyCalcifediolCalciumCytochrome P-450 Enzyme Systemcalcifediolcholecalciferolhypovitaminosis Dvitamin D

Identifiers

PMID31064117
PMCPMC6566727
OpenAlexW2942508685

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.