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美国自闭症患病率与太阳紫外线B剂量的关系:一项生态学研究。

Autism prevalence in the United States with respect to solar UV-B doses: An ecological study.

作者信息

Grant William B, Cannell John J

机构信息

Sunlight, Nutrition, and Health Research Center; San Francisco, CA USA.

Vitamin D Council; San Luis Obispo, CA USA.

出版信息

Dermatoendocrinol. 2013 Jan 1;5(1):159-64. doi: 10.4161/derm.22942.

Abstract

Evidence is mounting that vitamin D deficiency is intimately involved in autism. We report on autism prevalence by US state for those aged 6-17 y in 2010 with respect to indices of solar UV-B (UVB) doses. We calculated autism prevalence rates for white, black and Asian Americans by using total prevalence and relative populations of minors for each ethnic group by state. Analyses omit AK and HI (considered extreme cases), WY (no data), along with AZ and ND for black Americans (low numbers) and DC, ME, MT, ND and SD for Asian Americans (low numbers). For white Americans, the regression coefficient for solar UVB doses and autism prevalence ranged from -0.52 in January to -0.57 in October. For black Americans, the regression coefficient for latitude was 0.61, whereas those for solar UVB ranged from -0.55 to -0.61. For Asian Americans, the values for solar UVB ranged from -0.28 to -0.38. The inverse correlation between solar UVB and autism prevalence is similar to that for many types of cancer in the US. The journal literature indicates that adverse effects on fetal brain development during pregnancy due to vitamin D deficiency can explain these findings. However, we cannot rule out a role of vitamin D deficiency in early life. These results add to the evidence that vitamin D deficiency may be an important risk factor for autism and suggest that pregnant women and autistic individuals raise their serum 25-hydroxyvitamin D concentrations above 30 ng/ml.

摘要

越来越多的证据表明维生素D缺乏与自闭症密切相关。我们报告了2010年美国6至17岁人群中自闭症患病率与太阳紫外线B(UVB)剂量指数的关系。我们通过使用各州每个种族群体未成年人的总患病率和相对人口数,计算了白人、黑人和亚裔美国人的自闭症患病率。分析排除了阿拉斯加和夏威夷(被视为极端情况)、怀俄明州(无数据),以及针对非裔美国人的亚利桑那州和北达科他州(数量少),还有针对亚裔美国人的华盛顿特区、缅因州、蒙大拿州、北达科他州和南达科他州(数量少)。对于美国白人,太阳UVB剂量与自闭症患病率的回归系数在1月为 -0.52,10月为 -0.57。对于非裔美国人,纬度的回归系数为0.61,而太阳UVB的回归系数在 -0.55至 -0.61之间。对于亚裔美国人,太阳UVB的值在 -0.28至 -0.38之间。太阳UVB与自闭症患病率之间的负相关与美国许多类型癌症的情况相似。期刊文献表明,孕期维生素D缺乏对胎儿大脑发育的不良影响可以解释这些发现。然而,我们不能排除维生素D缺乏在生命早期的作用。这些结果进一步证明维生素D缺乏可能是自闭症的一个重要风险因素,并建议孕妇和自闭症患者将血清25 - 羟基维生素D浓度提高到30 ng/ml以上。

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