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解决高危生殖期女性孕前维生素D缺乏问题:一项随机对照试验

Resolving Vitamin D Deficiency in the Preconception Period among High-Risk Reproductive Women: A Randomized Controlled Trial.

作者信息

Taheri Mahshid, Baheiraei Azam, Rahimi Foroushani Abbas, Modarres Maryam

机构信息

Nursing and Midwifery Care Research Center, Tehran University of Medical Sciences, Tehran, IR Iran.

Department of Reproductive Health, Tehran University of Medical Sciences, Tehran, IR Iran.

出版信息

Iran Red Crescent Med J. 2014 Jan;16(1):e11175. doi: 10.5812/ircmj.11175. Epub 2014 Jan 5.

Abstract

BACKGROUND

Although vitamin D deficiency has been linked to potential complications in reproductive women, the recommended intake dosage of this vitamin in populations with high incidence of deficiency in preconception period has not been defined.

OBJECTIVES

The study investigated the effect of consuming a dosage of 2000 IU/day oral vitamin D for 105 days, on serum levels of this vitamin in reproductive women.

MATERIALS AND METHODS

229 women with 18-35 years old, who were confirmed to be vitamin D deficient (vitamin D < 75 nmol/L), were randomized into the intervention and control groups and after 15 weeks consumption of the supplement and placebo, their serum samples were obtained.

RESULTS

At baseline the mean serum levels of vitamin D in the control group was 23.34 ± 15.87 nmol/L and in intervention group was 25.13 ± 18.46 nmol/L, that these values didn't have any significant difference (P = 0.43), while after intervention, significant differences between the two groups was noticed (P < 0.001). The affecting factors to achieve normal range of vitamin D in the intervention group included basal amounts of vitamin D and two underlying factors based on questionnaire data: use of oral supplements (except vitamin D and calcium) in daily life and perfect sun exposure.

CONCLUSION

This study showed positive effect of the 2000 IU/day oral vitamin D on the serum level elevation of this vitamin in reproductive women.

摘要

背景

尽管维生素D缺乏与育龄妇女的潜在并发症有关,但对于孕前维生素D缺乏高发人群的推荐摄入量尚未明确。

目的

本研究调查了105天内每天口服2000国际单位维生素D对育龄妇女血清维生素D水平的影响。

材料与方法

229名年龄在18 - 35岁之间、确诊为维生素D缺乏(维生素D < 75 nmol/L)的女性被随机分为干预组和对照组。在服用补充剂和安慰剂15周后,采集她们的血清样本。

结果

基线时,对照组血清维生素D平均水平为23.34 ± 15.87 nmol/L,干预组为25.13 ± 18.46 nmol/L,这些值无显著差异(P = 0.43),而干预后,两组间出现显著差异(P < 0.001)。干预组中维生素D达到正常范围的影响因素包括维生素D基础量以及基于问卷调查数据的两个潜在因素:日常生活中使用口服补充剂(维生素D和钙除外)和充分的阳光照射。

结论

本研究表明,每天口服2000国际单位维生素D对育龄妇女血清维生素D水平升高有积极作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d383/3964418/559ddfb0a395/ircmj-16-11175-i001.jpg

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