Is Vitamin C Intake too Low in Dialysis Patients?

Jochen G. Raimann, Nathan W. Levin, Ronald G. Craig, William Sirover, Peter Kotanko, Garry Handelman

    Research output: Contribution to journalEditorialpeer-review


    Vitamin C has several well-established roles in physiology including synthesis of collagen, carnitine and epinephrine, absorption of dietary iron, and mobilization of storage iron for erythropoeisis. Loss of several of these functions explains the pathology of scurvy, where defective collagen synthesis and anemia are major symptoms. Vitamin C deficiency is very common in dialysis patients and may arise from dialytic vitamin C clearance, restricted intake of vitamin C-rich foods, and increased vitamin C catabolism in vivo from inflammation. In the dialysis population, greater vitamin C intake may be needed for optimal health. Relationships between intake, body distribution, inflammation, and dialytic losses are complex and need further study. Concern about vitamin C metabolism leading to accumulation of tissue oxalate has led to the recommendation that vitamin C intake equals, but not exceeds, the intake recommended for the general population. Vitamin C deficiency in dialysis patients may have clinical consequences; a study in Renal Research Institute clinics found an association with periodontal disease. Data also support a role for vitamin C in prevention of dialysis-related anemia. New research questions are proposed in this editorial, with a discussion of strategies to determine the optimal provision of vitamin C for CKD patients.

    Original languageEnglish (US)
    Pages (from-to)1-5
    Number of pages5
    JournalSeminars in Dialysis
    Issue number1
    StatePublished - Jan 2013

    ASJC Scopus subject areas

    • Nephrology


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