Vitamin C and D Insufficiency in Burn Patients Undergoing Rehabilitative Therapy-Preliminary Result.
- Author:
Yoon Soo CHO
1
;
Young A CHOI
;
Cheong Hoon SEO
Author Information
1. Department of Rehabilitation Medicine, Hangang Sacred Heart Hospital, Hallym University, Seoul, Korea. chseomd@gmail.com
- Publication Type:Original Article
- Keywords:
Vitamin C;
Vitamin D;
Burn
- MeSH:
Adult;
Ascorbic Acid*;
Body Surface Area;
Burns*;
Humans;
Plasma;
Prevalence;
Rehabilitation;
Skin;
Vitamin D;
Vitamin D Deficiency;
Vitamins
- From:Journal of Korean Burn Society
2014;17(2):91-94
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The burn increase the requirement for the antioxidative vitamin C and decrease the plasma concentration of vitamin D due to the loss of skin body surface area. We investigated the vitamin C and D status and the prevalence of vitamin C and D insufficiency in adult burn patients undergoing rehabilitative therapy. METHODS: 256 burn patients admitted to the department of rehabilitation medicine from April 2013 to September 2014 were tested for the plasma level of vitamin C and D[25(OH)D]. Vitamin C insufficiency was considered as <26.1micromol/L and vitamin D insufficiency as <20 ng/ml. We compared the mean plasma level of vitamin C and D[25(OH)D] according to burned percent of total body surface area (TBSA). RESULTS: Vitamin C insufficiency in 63.3% and vitamin D deficiency in 87.1%. In burn patients of TBSA> or =20%, mean plasma concentration of vitamin C and vitamin D[25(OH)D] were significantly lower (P=0.023, P<0.001). With adjusting for potential confounder such as age, sex, burn type, mean serum 25 (OH)D levels was significantly decreased 0.07 ng/ml per one percent of burned surface area (beta=-0.07, P<0.001), but with adjusting for age, sex, burn type, length of ICU stay and duration from burn injury to sampling, vitamin C and vitamin D[25(OH)D] were not significantly decreased (P=0.221, P=0.142). CONCLUSION: Vitamin C and D insufficiency were common nutrient problems in burn patients undergoing rehabilitative therapy. Further studies will be needed to establish the effective way to improve vitamin C and D status and prevent nutritional complications.
