Sperl A, Klimek L
Zentrum für Rhinologie und Allergologie Wiesbaden, An den Quellen 10, 65183, Wiesbaden, Deutschland.
HNO. 2015 May;63(5):352-6. doi: 10.1007/s00106-015-0001-1.
Recent research has focused on the relationship between vitamin D and allergy development. Results show that on the one hand a vitamin D deficiency can be responsible for the emergence of allergies, however, on the other hand a vitamin-D (over-) substitution was also seen in context with an increased allergy development.
This article provides an overview on the current state of research and points at the problematic aspects that accompany the assessment of these studies.
The paradoxic effect of vitamin D is currently being explained by epigenetic programming in pregnancy, by too low vitamin-D levels or excessive supplementation in newborns. Very recently, a gender-specific impact of vitamin D is also being discussed.
For a final assessment of vitamin-D effects on the emergence of allergies, further research is necessary. Due to a high level of heterogeneity among current observational studies regarding central aspects of the discussion, randomised clinical trials are recommended.
近期研究聚焦于维生素D与过敏症发展之间的关系。结果显示,一方面维生素D缺乏可能导致过敏症的出现,然而另一方面,维生素D(过量)补充也与过敏症发展增加有关。
本文概述了当前的研究现状,并指出了评估这些研究时存在的问题。
目前,维生素D的矛盾效应可通过孕期的表观遗传编程、新生儿维生素D水平过低或补充过量来解释。最近,也有人讨论维生素D对性别的特定影响。
为了最终评估维生素D对过敏症出现的影响,有必要进行进一步研究。由于当前观察性研究在讨论的核心方面存在高度异质性,建议开展随机临床试验。