Lack of vitamin D3 in the 70s, kidney friends can not get around

▲ If kidney patients have symptoms such as fatigue, loss of appetite and muscle soreness, they should pay attention to the lack of vitamin D3; the image is a situational photo and the people in the photo have nothing to do with this article. (Photo provided / Lin Xuanren)

—

Phrase: Kento Hayashi

Uncle Xie, 76, from Taichung has high blood pressure and chronic kidney disease. He is full of energy when he usually sees a doctor. However, he often complains that “the whole body is soft and weak” when he visits the doctor recently. He can’t even go out to buy breakfast. Upon inspection, it was found that the calcium and phosphorus deficiency was caused by the vitamin D3 deficiency. After supplementing with the inactive vitamin D3 and moderately outdoors in the sun, she improved a lot. He said with a smile: “He is alive again!”

Chronic kidney disease prone to vitamin D deficiency

Uncle Xie was weak when he entered the clinic, complaining that “I feel weak in my muscles recently” and “I feel tired after taking a few steps”. Compared to the energetic appearance in the past, he was very concerned if the kidney function was getting worse.A blood test showed that the calcium and phosphorus in the blood were low, the parathyroid gland was slightly elevated and the 25- (OH) -D3 ultra-low was only 5 ng / mL (normally greater than 30) When asked, the uncle said the epidemic factor did not dare to go out and limit his diet due to his kidney disease, resulting in a lack of vitamin D in the ‘body.

Please read on …

Cholecalciferol, produced by dietary intake or exposure to sunlight, is produced in the liver to produce 25- (OH) -D3, followed by the kidneys to produce 1,25- (OH) 2-D3 and 1, 25- (OH)) 2- D3 is commonly known as active vitamin D, which can act on the small intestine, kidneys and bones to increase the concentration of calcium and phosphorus in the body.

Supplement with inactive vitamin D3 and sun for 15 minutes a day

Vitamin D3 deficiency is difficult to find directly and is often diagnosed by finding low levels of 25- (OH) -D3 when calcium and phosphorus are low and parathyroidism is not hyperactive. Most people on a normal diet are unlikely to have a vitamin D deficiency, but people like the elderly, obese, or people with insufficient sunlight are more likely to have it.

The other is kidney disease patients. Due to kidney disease, the diet must limit the intake of protein and phosphorus. If you are like Uncle Xie and stay at home and have almost no sun, you will often cause an endogenous vitamin D3 deficiency, resulting in fatigue and appetite Weakness, muscle soreness and other symptoms, in severe cases also weakness, muscle cramps will appear, depression, nausea and other symptoms.

Patients are usually recommended to take more vitamin D3, such as fish, milk, eggs, or 10-15 minutes of sun exposure each day.For patients with symptoms such as Schieber, it is recommended to eat nutritionally inactive vitamin D3. adults are advised to supplement 400-2000 IU (international unit) per day, but continue to request a medical examination after supplementation.

(The author is the director of the peritoneal dialysis room at the Affiliated Hospital of Asia University)