Indonesian Journal of Rheumatology
Vol. 13 No. 1 (2021): Indonesian Journal of Rheumatology

Effect of Vitamin D Supplementation in Disease Activity, Activity-Related Markers, Inflammatory Marker and Serum Calcium of Systemic Lupus Erythematosus Patiens: A Systematic Review and Meta-Analysis

G Kambayana (1Division of Rheumatology, Department of Internal Medicine, Faculty of Medicine, Udayana University / Sanglah General Hospital, Denpasar, Bali, Indonesia)
Dwijo Anargha Sindhughosa (Study Programme of Internal Medicine, Udayana University / Sanglah General Hospital, Denpasar, Bali, Indonesia)
Pande Ketut Kurniari (Division of Rheumatology, Department of Internal Medicine, Faculty of Medicine, Udayana University / Sanglah General Hospital, Denpasar, Bali, Indonesia)
Wira Gotera (Division of Endocrinology and Metabolic, Department of Internal Medicine, Faculty of Medicine, Udayana University / Sanglah General Hospital, Denpasar, Bali, Indonesia)
Yenny Kandarini (Division of Nephrology and Hypertension, Department of Internal Medicine, Faculty of Medicine, Udayana University / Sanglah General Hospital, Denpasar, Bali, Indonesia)



Article Info

Publish Date
10 Aug 2021

Abstract

Background: Effect of additional supplementation of vitamin D toward Systemic lupus erythematosus (SLE) disease activity still differ in results obtained between studies being conducted. The current meta-analysis systematically analyzed the effect of vitamin D supplementation on SLE disease activity with updated literature, also its effect toward other parameters. Material and Methods: Relevant literatures were obtained from PubMed database and Google Scholar. The obtained studies were analyzed using fixed effect model or random effect model. Results: Five eligible studies with a total of 318 participants were included. Vitamin D supplementation did not affect the total SLEDAI score in SLE patients with pooled mean difference of -0.96 (p =0.09; 95% CI: -2.06 to 0.14). Serum vitamin D level increased after administration of vitamin D with pooled mean difference of 12.67 (p =0.001; 95% CI: 5.04 to 20.29). vitamin D supplementation increase serum calcium levels, with pooled difference of 0.07 (p = 0.006; 95% CI: 0.02 to 0.12). Pooled results from two studies obtained vitamin D supplementation did not affect ESR, C3 and C4. Conclusions: Current meta-analysis obtained no significant changes in SLEDAI scores due to vitamin D supplementation. In contrast, serum vitamin D and serum calcium levels were increased.

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Journal Info

Abbrev

ijr

Publisher

Subject

Medicine & Pharmacology

Description

Indonesian Journal of Rheumatology is a peer-reviewed open access journal on rheumatic diseases and connective tissue disorders. This is an official journal of Indonesian Rheumatology Associantion (IRA) and published twice a year since 2009. Our mission is to encourage the development of scientific ...