维生素 D 在炎症性肠病治疗中的作用:不止于骨骼健康。

Management of inflammatory bowel disease with vitamin D: beyond bone health.

机构信息

Department of Medicine (Division of Gastroenterology) and Farncombe Family Digestive Health Research Institute, McMaster University, Hamilton, Ontario, Canada.

出版信息

J Crohns Colitis. 2012 May;6(4):397-404. doi: 10.1016/j.crohns.2011.10.015. Epub 2011 Nov 25.

Abstract

A relationship between vitamin D and several disorders, including Crohn's disease (CD), has recently been proposed. Vitamin D appears to have several important actions beyond the maintenance of bone health, including various effects on the immune system. Vitamin D deficiency has been implicated in the development of CD, and its analogues may have a role in the treatment of CD. Current research also suggests a role for vitamin D in counteracting some IBD-specific complications, including osteopenia, colorectal neoplasia, and depression. There remains a need for prospective studies to further delineate these relationships. Given current evidence and the apparent safety of vitamin D supplementation, it appears reasonable to screen for and treat vitamin D deficiency in patients with IBD.

摘要

最近有人提出,维生素 D 与包括克罗恩病(CD)在内的几种疾病之间存在关联。除了维持骨骼健康外,维生素 D 似乎还有多种对免疫系统的重要作用。维生素 D 缺乏与 CD 的发生有关,其类似物可能在 CD 的治疗中发挥作用。目前的研究还表明,维生素 D 在对抗一些 IBD 特定并发症方面也有作用,包括骨质疏松症、结直肠肿瘤和抑郁症。仍需要前瞻性研究来进一步阐明这些关系。鉴于目前的证据和维生素 D 补充的明显安全性,对 IBD 患者进行维生素 D 缺乏筛查和治疗似乎是合理的。

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