Vitamin D deficiency is associated with acute ischemic stroke, C-reactive protein, and short-term outcome.
The aim of this study was to investigate whether vitamin D deficiency (VDD) is associated with acute ischemic stroke, inflammatory markers, and short-term outcome. 168 acute ischemic stroke patients and 118 controls were included. The modified Rankin Scale (mRS) was applied up to 8 h of admission (baseline) and after three-months follow-up, and blood samples were obtained up to 24 h of admission to evaluate serum levels of 25-hydroxivitamin D [25(OH)D] and inflammatory markers. Vitamin D levels classified the individuals in sufficient (VDS ≥ 30.0 ng/mL), insufficient (VDI 20.0-29.9 ng/mL), and deficient (VDD < 20.0 ng/mL) status. Patients had lower levels of 25(OH)D, higher frequency of VDD (43.45% vs. 5.08%, OR: 16.64, 95% CI: 5.66-42.92, p < 0.001), and higher inflammatory markers than controls (p < 0.05). Patients with VDD showed increased high sensitivity C-reactive protein (hsCRP) levels than those with VDS status (p = 0.043); those with poor outcome presented with lower 25(OH)D levels than those with good outcome (p = 0.008); moreover, 25(OH)D levels were negatively correlated with mRS after three-months follow-up (r = -0.239, p = 0.005). The associations between VDD and higher hsCRP levels and between 25(OH)D levels and poor outcome at short-term in acute ischemic stroke patients suggest the important role of vitamin D in the inflammatory response and pathophysiology of this ischemic event.
['Alfieri|Daniela Frizon|DF|', 'Lehmann|Márcio Francisco|MF|', 'Oliveira|Sayonara Rangel|SR|', 'Flauzino|Tamires|T|', 'Delongui|Francieli|F|', 'de Araújo|Maria Caroline Martins|MC|', 'Dichi|Isaias|I|', 'Delfino|Vinícius Daher|VD|', 'Mezzaroba|Leda|L|', 'Simão|Andréa Name Colado|AN|', 'Reiche|Edna Maria Vissoci|EM|']
D000368:Aged D015415:Biomarkers D002545:Brain Ischemia D002097:C-Reactive Protein D005260:Female D005500:Follow-Up Studies D006801:Humans D006887:Hydroxycholecalciferols D007249:Inflammation D008297:Male D008875:Middle Aged D009752:Nutritional Status D020521:Stroke D014057:Tomography, X-Ray Computed D016896:Treatment Outcome D014807:Vitamin D D014808:Vitamin D Deficiency
Vitamin D Vitamin D deficiency Stroke C-reactive protein Inflammation