Characterization of vitamin D supplementation and clinical outcomes in a large cohort of early Parkinson’s disease

摘要

Background Vitamin D (VitD) deficiency is common in Parkinson’s disease (PD) and has been raised as a possible PD risk factor. In the past decade, VitD supplementation for potential prevention of age related conditions has become more common. In this study, we sought to characterize VitD supplementation in early PD and determine as an exploratory analysis whether baseline characteristics or disease progression differed according to reported VitD use. Methods We analyzed data from the National Institutes of Health Exploratory Trials in Parkinson’s Disease (NET-PD) Long-term study (LS-1), a longitudinal study of 1741 participants. Subjects were divided into following supplement groups according to subject exposure (6?months prior to baseline and during the study): no VitD supplement, multivitamin (MVI), VitD ≥400?IU/day, and VitD + multivitamin (VitD+MVI). Clinical status was followed using the Unified Parkinson’s Disease Rating Scale, Symbol Digit Modalities Test, total daily levodopa equivalent dose, and Parkinson’s Disease Questionnaire. Results About 5% of subjects took VitD alone, 7% took VitD+MVI, 34% took MVI alone, while 54% took no supplement. Clinical outcomes at 3?years were similar across all groups. Conclusion This study shows VitD supplementation ≥400?IU/day was not common in early PD and that its use was similar to that seen in the US population. At 3?years, there was no difference in disease progression according to vitamin D supplement use.