Chronic Liver Disease, Depression
Conditions
Keywords
Mood, Vitamin D deficiency, Adjuvant treatment
Brief summary
This study evaluates the efficacy of vitamin D replacement therapy in reducing depressive symptoms in patients with chronic liver disease and vitamin D deficiency. Patients with normal vitamin D levels will be monitored as controls, and they will not receive any intervention.
Detailed description
Patients with chronic liver diseases regularly suffer from vitamin D deficiency and depression. A recent meta-analysis reported an inverse correlation between depression and vitamin D levels. Indeed, vitamin D receptor is present and genomic and nongenomic vitamin D receptor-mediated signalling has been described in brain. This intervention study investigates whether vitamin D therapy ameliorates depressive symptoms in chronic liver disease patients. The investigators hypothesise that depressive symptoms will improve upon vitamin D replacement therapy.
Interventions
Given to patients with existing vitamin D deficiency
Sponsors
Study design
Eligibility
Inclusion criteria
* men and women * over 18 years of age * chronic liver disease
Exclusion criteria
* severe hepatic encephalopathy (CFF \<35 Hz) * Interferon treatment * hypercalcaemia (\>2.7 mmol/l) or hypercalciuria (\>8.0 mmol/d) with or without hyperparathyroidism (\>65.0 pg/ml) * history of calcium-containing kidney stones * allergy or hypersensitivity to any of the supplement ingredients: peanuts, soy, gelatin * sarcoidosis * stage IV or V Chronic Kidney Disease * Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Changes to depressive symptoms as assessed using the BDI-II score | 3 and 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Changes to serum liver function tests, as assessed using standard clinical-chemical assays | 3 and 6 months |
| Changes to bone density, as assessed using Dexa scans | at 12 months |
Countries
Germany