Mascitelli Luca, Goldstein Mark R, Pezzetta Francesca
Servizio Sanitario, Comando Brigata Alpina "Julia", Udine.
Recenti Prog Med. 2010 May;101(5):202-11.
The increasing worldwide displacement from the natural outdoor environment of human beings to an indoor sedentary lifestyle, along with the recommendation to avoid any direct sun exposure because of the risk of skin cancer, has resulted in a global pandemic of vitamin D insufficiency. Traditionally, vitamin D has been associated primarily with bone health. However, it has become evident that adequate vitamin D status is important for optimal function of many organs and tissues throughout the body, including the cardiovascular system. Vitamin D insufficiency seems to predispose to hypertension, diabetes and the metabolic syndrome, left ventricular hypertrophy, heart failure, and chronic vascular inflammation. The relationship between baseline vitamin D status, dose of vitamin D supplements, and cardiovascular events remains to be investigated by ongoing randomized trials; however increasing evidence suggests that the provision of a simple, well-tolerated, and inexpensive correction of vitamin D insufficiency favourably affects the morbility and mortality of cardiovascular disease along with the prevention of the most common chronic degenerative diseases.
全球范围内,人们正日益从自然户外环境转向室内久坐不动的生活方式,再加上因患皮肤癌风险而被建议避免任何直接阳光照射,这已导致维生素D缺乏在全球流行。传统上,维生素D主要与骨骼健康相关。然而,现已明确,充足的维生素D水平对于全身许多器官和组织(包括心血管系统)的最佳功能至关重要。维生素D缺乏似乎易引发高血压、糖尿病和代谢综合征、左心室肥厚、心力衰竭以及慢性血管炎症。基线维生素D水平、维生素D补充剂剂量与心血管事件之间的关系仍有待正在进行的随机试验进行研究;然而,越来越多的证据表明,简单、耐受性良好且成本低廉地纠正维生素D缺乏,有利于改善心血管疾病的发病率和死亡率,并预防最常见的慢性退行性疾病。