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ZENODO
Article . 2025
License: CC BY
Data sources: ZENODO
ZENODO
Article . 2025
License: CC BY
Data sources: Datacite
ZENODO
Article . 2025
License: CC BY
Data sources: Datacite
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Comparison of Vitamin D level in normal population and in patients with Chronic Liver Disease (CLD) conferring to child-Pugh classification in Northern Sindh, Pakistan

Authors: Dr Salma Lakho1, Dr Saleh Muhammad Channa2, Dr Abrar Shaikh3, Rashid Ali4, Dr Bashir Ahmed Chandio5;

Comparison of Vitamin D level in normal population and in patients with Chronic Liver Disease (CLD) conferring to child-Pugh classification in Northern Sindh, Pakistan

Abstract

Background and Aim: Individuals with chronic liver disease (CLD) are highly vulnerable to vitamin D deficiency, which is associated with mortality and complications such as hepatic encephalopathy and hepatic osteodystrophy in liver cirrhosis. This research aimed to evaluate the association between vitamin D levels and illness progression in CLD individuals by comparing vitamin D concentrations in the normal population and CLD cases based on the Child-Pugh Classification (Classes A, B, and C). Methodology: A comparative cross-sectional study was conducted over a six-month period involving 148 participants: 73 healthy individuals and 75 CLD patients. The CLD patients were systematically divided into three groups of 25 patients each based on their Child-Pugh scores (A, B, and C). Statistical comparison of vitamin D levels employed the independent t-test (for normal vs. CLD groups and Hepatitis B vs. C groups), ANOVA (for Child-Pugh classes), and chi-square analysis (for gender correlation). Results: The study revealed that 33% of those with CLD were vitamin D deficient, contrasting with 19% of the general population. The Child-Pugh classification was significantly correlated with vitamin D levels ($p<0.05$). The results demonstrated that the majority of CLD patients, particularly those in Child-Pugh Class B and C, were vitamin D deficient. Low vitamin D concentrations were predicted by the female sex (60%). Although individuals with HBV and HCV infections exhibited low vitamin D levels, there was no strong evidence of a statistically significant difference in vitamin D concentrations between these two viral groups. Conclusion: CLD patients exhibit a greater prevalence of vitamin D deficiency, which is clearly associated with the female sex and increased CLD severity. It is recommended that chronic CLD patients, particularly those in Child-Pugh Classes B and C, undergo routine vitamin D testing and receive prompt supplementation to improve prognosis and management.

Keywords

Vitamin D Deficiency, Child Class PUGH, Liver Disease, Cirrhosis, Chronic Disease

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
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