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Condition and Nutrition Assessment Table
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Vitamin K Assay - Serum
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Overview
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Clinician Info
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CPT Codes
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Kit Instructions
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Sample Reports
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Interpretive Guide
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References
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The Many Functions of Vitamin K


Additional resources:
Vitamin K is a fat-soluble vitamin that functions as a cofactor in the production of blood coagulation factors (in the liver), osteocalcin (in bone), and matrix Gla-proteins (in cartilage and vessel walls), each resulting in the deposition of ionic calcium.
Monitoring vitamin K can help reduce risk of osteoporotic bone fractures, cardiovascular disease, and possibly some cancers by identifying individuals who may have a vitamin K deficiency. Since current dietary recommendations of vitamin K are based on saturation of the coagulation system, those recommendations may be insufficient to maintain vascular and bone health, since individual functions are independent of each other.
Vitamin K status is especially important in individuals:
- With cardiovascular disease or those with a family history of arteriosclerosis
- At high risk of bone loss, such as pre- and post- menopausal women or those with a family history of osteoporosis
- On certain drug therapies, particularly blood thinners, such as warfarin or aspirin
- On restricted diets
- On long-term antibiotic therapies
The Metametrix Vitamin K Assay
Direct vs. functional measurement of vitamin K
The Metametrix Vitamin K Assay measures a functional marker, undercarboxylated osteocalcin (ucOC). Very little vitamin K is stored in the body therefore direct measurement is not ideal.
Osteocalcin (OC) is almost exclusively a product of mature, active osteoblasts and is a vitamin K-dependent, Ca+2 binding protein. A vitamin K deficiency is indicated by an ucOC increase in circulating blood and urine. Therefore, high ucOC indicates low vitamin K status.
Symptoms & conditions related to vitamin K deficiency:
- Bruising
- Epistaxis
- Fractures
- Gastrointestinal bleeding
- Menorrhagia
- Hematuria
- Nosebleeds
- Anemia
- Osteopenia/Osteoporosis
- Calcification of soft tissue, especially heart valves
- Digestive problems, especially malabsorption
- Cardiovascular Disease
- Cancer
- Malabsorption syndromes
Increasing vitamin K
There are two natural forms of vitamin K, which differ based on their phytyl group—phylloquinone (vitamin K1) synthesized from plants, and menaquinone (vitamin K2) from bacteria in the large intestines.
- Vitamin K1 is highest in green leafy vegetables such as kale, broccoli, collard greens, and lettuce.
- Vitamin K2 is found in fermented foods such as cheese, meats, and dairy products.
- Use salicylates such as aspirin with care. Salicylates can block vitamin K.
- Vitamin K supplements
| Test name: |
0031 – Vitamin K Assay* *Not available in New York
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| Description: |
Vitamin K is a fat-soluble vitamin that functions as a co-factor in the production of blood
coagulation factors (in the liver), osteocalcin (in bone), and matrix Gla-proteins
(in cartilage and vessel walls) each resulting in the deposition of
ionic calcium. The Vitamin K Assay measures the functional marker, undercarboxylated
osteocalcin, to determine vitamin K status. Vitamin K deficiency can lead to an increased
risk of bone loss or fracture.
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| Method: |
EIA |
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| Turnaround time: |
10 days |
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Analytes:
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Undercarboxylated osteocalcin
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ReferencesVitamin K Assay
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Fracture healing and osteocalcin metabolism in vitamin K deficiency.
Einhorn TA, Gundberg CM, Devlin VJ, Warman J. Clin Orthop Relat Res. Dec 1988(237):219-225.
Vitamin K and thrombosis.
Merli GJ, Fink J. Vitam Horm. 2008;78:265-279.
Low vitamin K intake effects on glucose tolerance in rats.
Sakamoto N, Wakabayashi I, Sakamoto K. Int J Vitam Nutr Res. Jan 1999;69(1):27-31.
Possible effects of one week vitamin K (menaquinone-4) tablets intake on glucose tolerance in healthy young male volunteers with different
descarboxy prothrombin levels. Sakamoto N, Nishiike T, Iguchi H, Sakamoto K. Clin Nutr. Aug 2000;19(4):259-263.
Diagnosis of osteoporosis with vitamin k as a new biochemical marker.
Heiss C, Hoesel LM, Wehr U, et al. Vitam Horm. 2008;78:417-434.
Vitamin K nutrition and osteoporosis.
Binkley NC, Suttie JW. J Nutr. Jul 1995;125(7):1812-1821.
Vitamin K and bone health in adult humans.
Bugel S. Vitam Horm. 2008;78:393-416.
Circulating levels of vitamins K1 and K2 decreased in elderly women with hip fracture.
Hodges SJ, Akesson K, Vergnaud P, Obrant K, Delmas PD. J Bone Miner Res. Oct 1993;8(10):1241-1245.
Vitamin K and bone health.
Weber P. Nutrition 2001 Oct;17(10):880-7.
Serum undercarboxylated osteocalcin is a marker of the risk of hip fracture in elderly women.
Szulc P, Chapuy MC, Meunier PJ, Delmas PD. J Clin Invest. Apr 1993;91(4):1769-1774.
Pronounced elevation of undercarboxylated osteocalcin in healthy children.
van Summeren M, Braam L, Noirt F, Kuis W, Vermeer C. Pediatr Res. Mar 2007;61(3):366-370.
Vitamin K status is associated with childhood bone mineral content.
van Summeren MJ, van Coeverden SC, Schurgers LJ, et al. Br J Nutr. Feb 18 2008:1-7.
High dietary menaquinone intake is associated with reduced coronary calcification. Beulens JW. Atherosclerosis. 2008 Jul 19.
Effect of vitamin E supplementation on vitamin K status in adults with normal coagulation status.
Booth SL. Am J Clin Nutr. 2004 Jul;80(1):143-8.
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