Tuesday, June 26, 2012

New Tests that Measure Vitamin D Deficiency are Inaccurate, Loyola Study Finds

MAYWOOD, Ill. - Blood tests to measure vitamin D deficiency are among the most frequently ordered tests in medicine. But a Loyola University Chicago Stritch School of Medicine study of two new vitamin D tests found the kits are inaccurate in many cases.

Earle W. Holmes, PhD, presented the findings at ENDO 2012, the 94th Annual Meeting and Expo in Houston.

Holmes and colleagues examined how well the two new tests, Abbott Architect and Siemens Centaur2, performed on 163 randomly selected blood samples. The maximum recommended total allowable error in such tests is plus or minus 25 percent. But the Loyola study found that results were off by more than the allowable error in 40 percent of the Abbott Architect specimens and 48 percent of the Siemens Centaur2 specimens.

"There has been an exponential increase in the number of vitamin D tests ordered for patients," Holmes said. “But our study of two newly approved tests showed they had pretty poor performance."

The study by Holmes and colleagues included 163 specimens - 123 from women (median age 54) and 40 from men (median age 59).  Researchers used the two new test kits on the specimens and compared results with findings from a gold standard method called LCMS, which has been shown to provide accurate vitamin D measurements. (LCMS stands for liquid chromatography/tandem mass spectrometry.)

The new tests tended to overestimate vitamin D deficiency. According to the LCMS measurements, 33 of the 163 specimens showed vitamin D deficiency. But the Abbott test showed that 45 specimens had vitamin D deficiency and the Siemens test showed that 71 subjects had vitamin D deficiency.

Holmes said inaccurate test results could lead to misdiagnoses of patients and confound efforts of physicians, nutritionists and researchers to identify the optimal levels of vitamin D for good health.

People get vitamin D from their diet, exposure to the sun and supplements. Vitamin D aids in the absorption of calcium, which is needed for strong bones. Vitamin D helps increase bone density and decrease fractures. Recent studies have found vitamin D also may decrease the risk of osteoporosis, high blood pressure, cancer, heart disease and diabetes.

Populations that may be at high risk for vitamin D deficiency include the elderly, people who are obese, babies who are exclusively breastfed and people who don't get enough sun.

Holmes is a professor in the departments of Pathology and Molecular Pharmacology & Therapeutics of Loyola University Chicago Stritch School of Medicine. Other co-authors of the study, both at Loyola, are Jean Garbincius, BA, and Kathleen McKenna, MBA.

About Loyola University Health System

Loyola University Health System (LUHS) is a member of Trinity Health. Based in the western suburbs of Chicago, LUHS is a quaternary care system with a 61-acre main medical center campus, the 36-acre Gottlieb Memorial Hospital campus and more than 30 primary and specialty care facilities in Cook, Will and DuPage counties. Loyola University Medical Center’s campus is conveniently located in Maywood, 13 miles west of Chicago’s Loop and 8 miles east of Oak Brook, Ill. At the heart of the medical center campus is a 559-licensed-bed hospital that houses a Level 1 Trauma Center, a Burn Center and the Ronald McDonald® Children's Hospital of Loyola University Medical Center. Also on campus are the Cardinal Bernardin Cancer Center, Loyola Outpatient Center, Center for Heart & Vascular Medicine and Loyola Oral Health Center as well as Loyola University Chicago Stritch School of Medicine, Loyola University Chicago Marcella Niehoff School of Nursing and the Loyola Center for Fitness. Loyola's Gottlieb campus in Melrose Park includes the 255-licensed-bed community hospital, the Professional Office Building housing 150 private practice clinics, the Adult Day Care, the Gottlieb Center for Fitness, Loyola Center for Metabolic Surgery and Bariatric Care and the Loyola Cancer Care & Research at the Marjorie G. Weinberg Cancer Center at Melrose Park.

Trinity Health is one of the largest multi-institutional Catholic health care delivery systems in the nation. It serves people and communities in 22 states from coast to coast with 92 hospitals, and 120 continuing care locations — including home care, hospice, PACE and senior living facilities - that provide nearly 2.5 million visits annually.