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绝经后女性的维生素D代谢与心血管危险因素

Vitamin D metabolism and cardiovascular risk factors in postmenopausal women.

作者信息

Pérez-López Faustino R

机构信息

Department of Obstetrics and Gynaecology, University of Zaragoza, Faculty of Medicine, Hospital Clínico Universitario de Zaragoza, Zaragoza, Spain.

出版信息

Maturitas. 2009 Mar 20;62(3):248-62. doi: 10.1016/j.maturitas.2008.12.020. Epub 2009 Feb 10.

Abstract

OBJECTIVES

The purpose of this review is to focus on the association of vitamin D and cardiovascular risk factors in postmenopausal women.

METHODS

Review of the relevant literature and results from recent clinical studies as well as critical analysis of published results concerning the association of vitamin D and cardiovascular risk factors in postmenopausal women obtained from both a PubMed and individual searches.

RESULTS AND DISCUSSION

Both basic science and clinical studies support the protective role of vitamin D on cardiovascular health, although there are controversial results in the literature. Hypovitaminosis D is associated with disturbed glucose metabolism and pancreatic beta-cell dysfunction, lipoprotein alterations, hypertension, overweight and obesity. The evidence highlights the importance of improving vitamin D status in the general population for the prevention of adverse long-term health risks, including cardiovascular health. The optimal vitamin D dose remains to be determined. However, correction of low vitamin D itself does not guarantee the prevention of these conditions.

摘要

目的

本综述旨在聚焦绝经后女性中维生素D与心血管危险因素之间的关联。

方法

回顾相关文献及近期临床研究结果,并对通过PubMed检索和单独检索获得的关于绝经后女性维生素D与心血管危险因素关联的已发表结果进行批判性分析。

结果与讨论

尽管文献中存在争议性结果,但基础科学和临床研究均支持维生素D对心血管健康的保护作用。维生素D缺乏与糖代谢紊乱、胰腺β细胞功能障碍、脂蛋白改变、高血压、超重及肥胖相关。证据凸显了改善普通人群维生素D水平对于预防包括心血管健康在内的不良长期健康风险的重要性。最佳维生素D剂量仍有待确定。然而,纠正低维生素D状态本身并不能保证预防这些疾病。

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