VITAMIN D DEFICIENCY IN PATIENTS WITH CHRONIC LIVER DISEASE: A SINGLE CENTRE CROSS SECTIONAL STUDY

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Zafar Abdul Nabi
Faroz Khan
Sassi Manzoor Hassan
Abdul Wahid
Waqar Azeem Taj
Abdul Bari Baloch

Keywords

vitamin D, Deficiency, Chronic Liver Disease.

Abstract

Background: Chronic liver disease is a medical disorder characterized by a lack of certain nutrients. Those with more severe forms of this disease are more likely to have vitamin D deficiency.


Objective: The aim of the study was to determine the vitamin D Deficiency in Patients with Chronic Liver Disease.


Methodology: This cross-sectional study was carried out at Department of Medicine Mekran Medical College Turbat from January 2023 to June 2023 after taking permission from the ethical committee of the institute. A total of 143 chronic liver diseases individuals of both genders and different age groups (20 to 80 years) were included. Three groups of CLD patients were created using Child-Pugh scores. Using medical records, demographic information such as age, gender, Child-Pugh Class, frequency of CLD, and primary cause of CLD were recorded.  The data was analyzed using the statistical application IBM SPSS 22.


Results: There were 143 individuals participating in this research. Thirty individuals (20.9%) had both Class A and Class B of Child-Pugh chronic liver disease, whereas 84 of them (58.7%) had Class C. CLD was most often caused by HCV in 81 cases (56.64%), followed by HBV in 32 cases (22.37%), HBV+HCV in 11 cases (7.69%), Primary Biliary Cirrhosis in 5 cases (3.49%), hemochromatosis, NAFLD, Wilson, or no underlying etiology in 14 cases (9.79%). A total of 96 individuals (67.13%) were vitamin D deficient. There was no relationship between age and vitamin deficiency in this research (p = 0.818). Vitamin D deficiency was associated with gender (p = 0.025).


Conclusion: From the current study we concluded that Vitamin D was deficient in the majority (67.13%) of Chronic liver diseases participants and mostly female and participants with severe fibrosis had   vitamin D deficiency.


 

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