Kalzium und Vitamin D in der Osteologie
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Kalzium und Vitamin D in der Osteologie. / Amling, M; Barvencik, F.
in: Z RHEUMATOL, Jahrgang 74, Nr. 5, 06.2015, S. 421-32; quiz 433-4.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › Andere (Vorworte u.ä.) › Transfer
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TY - JOUR
T1 - Kalzium und Vitamin D in der Osteologie
AU - Amling, M
AU - Barvencik, F
N1 - CME Zahnärztliche Fortbildung
PY - 2015/6
Y1 - 2015/6
N2 - Calcium homeostasis is of paramount physiological and pathophysiological importance in health and disease. This article focuses on the skeletal relevance of calcium and vitamin D in daily clinical practice. Against the background of an endemic vitamin D deficiency in Germany and the increasing number of patients with drug-induced (proton pump inhibitor) enteral calcium uptake problems, it is of critical importance to understand that a vitamin D level of > 30 µg/l (> 75 nmol/l) is required for intact skeletal mineralization and that furthermore, a physiological gastric acid production is essential for a normal enteral uptake of calcium from foodstuffs. Therefore, a guideline-conform handling of vitamin D and calcium substitution is required not only for patients with rheumatoid diseases but also for any osteological therapy.
AB - Calcium homeostasis is of paramount physiological and pathophysiological importance in health and disease. This article focuses on the skeletal relevance of calcium and vitamin D in daily clinical practice. Against the background of an endemic vitamin D deficiency in Germany and the increasing number of patients with drug-induced (proton pump inhibitor) enteral calcium uptake problems, it is of critical importance to understand that a vitamin D level of > 30 µg/l (> 75 nmol/l) is required for intact skeletal mineralization and that furthermore, a physiological gastric acid production is essential for a normal enteral uptake of calcium from foodstuffs. Therefore, a guideline-conform handling of vitamin D and calcium substitution is required not only for patients with rheumatoid diseases but also for any osteological therapy.
U2 - 10.1007/s00393-014-1510-0
DO - 10.1007/s00393-014-1510-0
M3 - Andere (Vorworte u.ä.)
C2 - 26085074
VL - 74
SP - 421-32; quiz 433-4
JO - Z RHEUMATOL
JF - Z RHEUMATOL
SN - 0340-1855
IS - 5
ER -