Boucher B J, Witham M D
Centre for Diabetes, Barts & The London School of Medicine & Dentistry, Blizard Institute, 2 Newark Street, London E1 2AT, UK.
J R Coll Physicians Edinb. 2011 Dec;41(4):324-9. doi: 10.4997/JRCPE.2011.409.
It is widely established that vitamin D is critical for bone health. There is also an increasing body of evidence from observational studies that low levels of vitamin D are associated with a range of other disorders, including cancer and cardiovascular disease. People in temperate climates are often deficient in vitamin D, particularly in wintertime. The key question is whether there is sufficient evidence to justify supplementing vitamin D intakes for all. In this 'Controversy in Medicine', two international experts argue the case 'for' and 'against' universal vitamin D supplementation.
维生素D对骨骼健康至关重要,这一点已得到广泛认可。越来越多的观察性研究证据表明,维生素D水平低下与一系列其他疾病有关,包括癌症和心血管疾病。温带气候地区的人们常常缺乏维生素D,尤其是在冬季。关键问题在于,是否有足够的证据证明所有人都需要补充维生素D。在本期“医学争议”中,两位国际专家就普遍补充维生素D的问题展开了“支持”与“反对”的辩论。