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维生素D、过敏与哮喘:关注儿科患者

Vitamin D, allergies and asthma: focus on pediatric patients.

作者信息

Della Giustina Auro, Landi Massimo, Bellini Federica, Bosoni Mariangela, Ferrante Giuliana, Onorari Marzia, Travaglini Alessandro, Pingitore Giuseppe, Passalacqua Giovanni, Tripodi Salvatore

机构信息

Department of Pediatrics, National Healthcare System Fornovo, Parma, Italy.

Department of Pediatrics, National Healthcare System ASL TO1, Turin, Italy.

出版信息

World Allergy Organ J. 2014 Dec 10;7(1):27. doi: 10.1186/1939-4551-7-27. eCollection 2014.

DOI:10.1186/1939-4551-7-27
PMID:25829979
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4363348/
Abstract

In recent years, the interest of the scientific world towards vitamin D gradually increased, and several studies have been conducted to dissect its possible role in modulating the development/course of allergic diseases. Also, Vitamin D supplementation has been assessed as a beneficial approach for treating allergies in some, but not all studies. We reviewed herein the available and relevant literature concerning the possible links between Vitamin D, its supplementation and allergic diseases. A literature search was made independently by the Authors, identifying articles for a narrative review. As per literature, Vitamin D plays a key role in calcium and phosphate metabolism, and it is essential for bone health in infants, children and adolescents. However, there is presently insufficient evidence to support vitamin D supplementation for prevention or treatment of allergic diseases in infants, children and adolescents, concerning allergic rhinitis, asthma, food allergy and atopic dermatitis.

摘要

近年来,科学界对维生素D的兴趣逐渐增加,已经开展了多项研究来剖析其在调节过敏性疾病发展/进程中可能发挥的作用。此外,在一些(但并非所有)研究中,补充维生素D已被评估为治疗过敏的一种有益方法。我们在此回顾了有关维生素D、其补充剂与过敏性疾病之间可能联系的现有相关文献。作者们独立进行了文献检索,以确定用于叙述性综述的文章。根据文献,维生素D在钙和磷代谢中起关键作用,对婴儿、儿童和青少年的骨骼健康至关重要。然而,目前尚无足够证据支持在婴儿、儿童和青少年中补充维生素D以预防或治疗过敏性鼻炎、哮喘、食物过敏和特应性皮炎等过敏性疾病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/437d/4363348/5c5a861aee0a/40413_2014_75_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/437d/4363348/5c5a861aee0a/40413_2014_75_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/437d/4363348/5c5a861aee0a/40413_2014_75_Fig1_HTML.jpg

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本文引用的文献

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Effect of vitamin D-binding protein genotype on the development of asthma in children.维生素 D 结合蛋白基因型对儿童哮喘发展的影响。
Ann Allergy Asthma Immunol. 2014 Jun;112(6):519-24. doi: 10.1016/j.anai.2014.03.017. Epub 2014 Apr 16.
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A review on vitamin d deficiency treatment in pediatric patients.儿科患者维生素D缺乏症治疗综述。
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The association between vitamin D status and the rate of exacerbations requiring oral corticosteroids in preschool children with recurrent wheezing.
维生素D与儿童医疗服务利用:机器学习方法的见解
J Clin Med. 2022 Dec 1;11(23):7157. doi: 10.3390/jcm11237157.
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Effect of long term inhaled corticosteroid therapy on adrenal suppression, growth and bone health in children with asthma.长期吸入糖皮质激素治疗对哮喘儿童肾上腺抑制、生长及骨骼健康的影响。
BMC Pediatr. 2019 Nov 5;19(1):411. doi: 10.1186/s12887-019-1760-8.
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VITAMIN D RECEPTOR GENE MUTATIONS AND VITAMIN D SERUM LEVELS IN ASTHMATIC CHILDREN.哮喘儿童的维生素D受体基因突变与血清维生素D水平
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Establishing the prevalence of low vitamin D in non-immunoglobulin-E mediated gastrointestinal food allergic children in a tertiary centre.在一家三级医疗中心确定非免疫球蛋白E介导的胃肠道食物过敏儿童中维生素D缺乏的患病率。
World Allergy Organ J. 2017 Jan 11;10(1):4. doi: 10.1186/s40413-016-0135-y. eCollection 2017.
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World Allergy Organization-McMaster University Guidelines for Allergic Disease Prevention (GLAD-P): Vitamin D.世界过敏组织-麦克马斯特大学变应性疾病预防指南(GLAD-P):维生素D
World Allergy Organ J. 2016 May 17;9:17. doi: 10.1186/s40413-016-0108-1. eCollection 2016.
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J Allergy Clin Immunol. 2014 May;133(5):1489-92, 1492.e1-3. doi: 10.1016/j.jaci.2014.02.024. Epub 2014 Apr 1.
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The association of serum 25-OH vitamin D with atopy, asthma, and lung function in a prospective study of Danish adults.在一项针对丹麦成年人的前瞻性研究中血清25-羟维生素D与特应性、哮喘及肺功能的关联
Clin Exp Allergy. 2015 Jan;45(1):265-72. doi: 10.1111/cea.12299.
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Serum 25-hydroxyvitamin D levels and self-reported allergic rhinitis in Norwegian adults - The HUNT Study.血清 25-羟维生素 D 水平与挪威成年人自述过敏性鼻炎的关系 - HUNT 研究。
Allergy. 2014 Apr;69(4):488-93. doi: 10.1111/all.12365. Epub 2014 Jan 28.
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Low vitamin D levels are associated with atopic dermatitis, but not allergic rhinitis, asthma, or IgE sensitization, in the adult Korean population.在成年韩国人群中,维生素 D 水平低与特应性皮炎相关,但与过敏性鼻炎、哮喘或 IgE 致敏无关。
J Allergy Clin Immunol. 2014 Apr;133(4):1048-55. doi: 10.1016/j.jaci.2013.10.055. Epub 2013 Dec 31.
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New approaches to the prevention of childhood atopic dermatitis.预防儿童特应性皮炎的新方法。
Allergy. 2014 Jan;69(1):56-61. doi: 10.1111/all.12343. Epub 2013 Dec 26.
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Increased food allergy and vitamin D: randomized, double-blind, placebo-controlled trial.食物过敏增加与维生素D:随机、双盲、安慰剂对照试验
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Effects of 25-hydroxyvitamin D3 on cathelicidin production and antibacterial function of human oral keratinocytes.25-羟维生素 D3 对人口腔角质形成细胞 cathelicidin 产生和抗菌功能的影响。
Cell Immunol. 2013 May-Jun;283(1-2):45-50. doi: 10.1016/j.cellimm.2013.06.007. Epub 2013 Jun 19.
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Cord serum 25-hydroxyvitamin D and risk of early childhood transient wheezing and atopic dermatitis.脐带血清 25-羟维生素 D 与婴幼儿早期一过性喘息和特应性皮炎风险的关系。
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