University Center for Medicine of Aging Basel, University of Basel, Basel, Switzerland.
Department of Medicine, Section of Endocrinology, Nutrition, and Diabetes, Vitamin D, Skin, and Bone Research Laboratory, Boston University Medical Center, Boston, MA, USA.
Clin Interv Aging. 2014 Apr 2;9:559-68. doi: 10.2147/CIA.S51785. eCollection 2014.
In recent years, emerging evidence has linked vitamin D not only to its known effects on calcium and bone metabolism, but also to many chronic illnesses involving neurocognitive decline. The importance of vitamin D3 in reducing the risk of these diseases continues to increase due to the fact that an increasing portion of the population in developed countries has a significant vitamin D deficiency. The older population is at an especially high risk for vitamin D deficiency due to the decreased cutaneous synthesis and dietary intake of vitamin D. Recent studies have confirmed an association between cognitive impairment, dementia, and vitamin D deficiency. There is a need for well-designed randomized trials to assess the benefits of vitamin D and lifestyle interventions in persons with mild cognitive impairment and dementia.
近年来,新出现的证据表明,维生素 D 不仅与人们已知的其对钙和骨骼代谢的作用有关,而且还与许多涉及神经认知能力下降的慢性疾病有关。由于越来越多的发达国家人口存在严重的维生素 D 缺乏,维生素 D3 降低这些疾病风险的重要性不断增加。由于皮肤合成和饮食摄入维生素 D 的减少,老年人群尤其面临维生素 D 缺乏的高风险。最近的研究证实了认知障碍、痴呆与维生素 D 缺乏之间存在关联。需要进行精心设计的随机试验,以评估维生素 D 和生活方式干预对轻度认知障碍和痴呆患者的益处。