Pelvic Organ Prolapse
Conditions
Keywords
Alfacalcidol, MyoD expression, pelvic organ prolapse, vitamin D receptorr, levator ani muscle strength
Brief summary
This is a study performed to evaluate the role of vitamin D supplementation on the strength of levator ani muscle in menopausal women with pelvic organ prolapse
Detailed description
Forty eight POP women were divided into experimental and control groups in this quasi-experimental study. The experimental group was given 0.5 mcg alfacalcidol orally for three months. We measured levator ani muscle strength, serum 25-hydroxy-vitamin D3 levels, and serum Vitamin D Receptor (VDR) levels at zero months and three months preoperative. Enzyme-linked immunosorbent assay (ELISA) assessed VDR and myoblast determination protein 1 (MyoD) protein expressions in levator ani muscle surgical biopsies.
Interventions
Alfacalcidol 0.5 mcg is given orally for 3 months, then vitamin D3 and vitamin D receptor levels are measured
Placebo drug is given orally for 3 months, then vitamin D3 and vitamin D receptor levels are measured
Sponsors
Study design
Eligibility
Inclusion criteria
* patients with pelvic organ prolapse stages III and IV who underwent surgery at menopausal age * normal BMI * initial serum vitamin D levels \<30 ng/mL
Exclusion criteria
* comorbidities (chronic cough, conspitation) * vitamin D metabolism or immune system interfering diseases or drugs specific routine medications such as anticonvulsants, statin, fibrate or orlistat * history of vitamin D supplementation within the last month
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Vitamin D3 levels | 3 months | Vitamin D3 levels measured using lab tests |
| Vitamin D receptor levels | 3 months | Vitamin D receptor levels as assessed by ELISA |
| Levator ani muscle strength | 3 months | Levator ani muscle strength as measured using anometry |
Countries
Indonesia