Vitamina D. Consenso colombiano de expertos
Palabras clave:
Vitamina D, osteoporosis, menopausia, osteomalacia, masa ósea, fracturas por fragilidad, Vitamin D, menopause, bone mass, fragility fracturesResumen
La Vitamina D ha adquirido importancia no solo por su conocido papel en el mantenimiento de la masa ósea, sino por la evidencia reciente que vincula su deficiencia con patologías cardiovasculares, metabólicas, gineco-obstétricas, oncológicas e infecciosas entre otras. Se han considerado normales niveles por encima de 30 ng/mL y hay una relación inversamente proporcional entre los niveles de Vitamina D y la presencia de patologías diversas, entre las cuales se destacan las osteomusculares que ofrecen más contundencia de la relación en la evidencia.
Por eso, la evaluación de los niveles de Vitamina D en población de alto riesgo y el tratamiento de la hipovitaminosis constituyen medidas que el personal de salud debe realizar. La identificación de esta población y la revisión de los esquemas de suplementación representan los objetivos primordiales de este consenso. En forma de sugerencias y recomendaciones, pensando en el impacto que el documento pueda tener en la salud pública, se presenta el Consenso colombiano de Vitamina D que contó con la participación de especialistas de siete ramas de la medicina y la implementación de la técnica Delphi, técnica mundialmente aceptada para este tipo de ejercicios académicos.
Vitamin D Colombian expert consensus
Abstract
Vitamin D has been gaining importance not only because of its role in bone mass preservation but for recent evidence that links its deficiency with cardiovascular, metabolic, oncologic, infectious, gynecological, and obstetric pathologies, among others. Levels above 30 ng/mL are considered normal, and there are inverse relationship levels of vitamin D and the presence of diverse pathologies, being the musculoskeletal the ones concentrating much of the attention and presenting the most convincing evidence.
The health staff must carry out measurements such as evaluating vitamin D levels in high-risk population and treat hypovitaminosis. The paramount objectives of this consensus are to identify this population and revise the supplementation schemes. The Colombian Consensus on Vitamin D is presented as suggestions and recommendations, keeping in mind the possible impact of this paper on public health, with the participation of specialists from seven different branches of medicine, and using the Delphi technique, worldly accepted for these kinds of academic exercises.
Biografía del autor/a
David Vásquez-Awad, Academia Nacional de Medicina
Carlos Alberto Cano-Gutiérrez, Pontificia Universidad Javeriana
Armando Gómez-Ortiz, Centro Médico Almirante Colón
Miguel Ángel González, Asociación Colombiana de Osteoporosis y Metabolismo Mineral (ACOMM)
Renato Guzmán-Moreno, Fundación Universitaria Juan N. Corpas.
José Ignacio Martínez-Reyes, Clínica Los Nogales
Oscar Rosero-Olarte, Osteollanos Centro de investigación en Osteoporosis
Camilo Rueda-Beltz, Universidad de la Sabana
Jorge Luis Acosta-Reyes, Universidad del Norte. Barranquilla, Colombia
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