Stalpers-Konijnenburg S C, Marijnissen R M, Gaasbeek A B, Oude Voshaar R C
Arts in Opleiding tot kliniksch Geriater bij Pro Persona, Braamberg, Afdeling Ouderen, Arnhem.
Tijdschr Psychiatr. 2011;53(6):365-70.
Vitamin D deficiency is very common in the elderly, and the geriatric patient is probably at even greater risk. Vitamin D plays an important role in calcium homeostasis; recent studies point to a possible causal link between vitamin D deficiency and the development and severity of depression. In this article we focus on an 80-year-old patient with depression and severe vitamin D deficiency and give advice on the diagnosis and treatment of vitamin D deficiency. To supplement the current multidisciplinary guidelines on depression, we recommend routine testing of serum vitamin D level prior to confirming the diagnosis of depression in the elderly.
维生素D缺乏在老年人中非常普遍,老年患者可能面临更大的风险。维生素D在钙稳态中起重要作用;最近的研究指出维生素D缺乏与抑郁症的发生和严重程度之间可能存在因果关系。在本文中,我们重点关注一名患有抑郁症且严重缺乏维生素D的80岁患者,并就维生素D缺乏的诊断和治疗提供建议。为补充当前关于抑郁症的多学科指南,我们建议在确诊老年抑郁症之前常规检测血清维生素D水平。