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肠易激综合征患者的维生素D缺乏:是否存在?

Vitamin D Deficiency in Patients with Irritable Bowel Syndrome: Does it Exist?

作者信息

Khayyat Yasir, Attar Suzan

机构信息

Department of Medicine, Umm Al Qura University, Makkah, Saudi Arabia.

Department of Internal Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.

出版信息

Oman Med J. 2015 Mar;30(2):115-8. doi: 10.5001/omj.2015.25.

DOI:10.5001/omj.2015.25
PMID:25960837
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4412886/
Abstract

OBJECTIVES

Vitamin D has been found to be strongly associated with many systemic disorders. There has been an augmented interest within the medical community in vitamin D, especially its deficiency, in various systemic disorders. Although the role of vitamin D deficiency in irritable bowel syndrome (IBS) has not yet been established, studies are underway to clearly establish its role in the disease. The objective of our study was to elucidate and establish the role of vitamin D deficiency in IBS patients compared to a healthy control group.

METHODS

This study is a comparative case control study of vitamin D deficiency in patients with IBS diagnosed with ROME 3 criteria of classification (the third ROME foundation classification) to an age and gender matched healthy control group. The vitamin D level was measured in both cohorts for comparison and the results interpreted statistically. Sixty patients with IBS and 100 healthy individuals were included as test and control groups, respectively, in the study. The mean serum vitamin D level (nmol/L) of IBS patients was compared to the control group.

RESULTS

Vitamin D deficiency was detected in 49 patients (82%) in the IBS group and 31 patients (31%) in the control group. There was a statistically significant difference in the mean vitamin D level (p=0.025) between the IBS group and control group.

CONCLUSIONS

Our study shows that vitamin D deficiency is highly prevalent in patients with IBS and these results seem to have therapeutic implications. Vitamin D supplementation could play a therapeutic role in the control of IBS.

摘要

目的

维生素D已被发现与许多全身性疾病密切相关。医学界对维生素D,尤其是其缺乏状态在各种全身性疾病中的关注度日益增加。尽管维生素D缺乏在肠易激综合征(IBS)中的作用尚未明确,但相关研究正在进行,以明确其在该疾病中的作用。我们研究的目的是阐明并确定与健康对照组相比,维生素D缺乏在IBS患者中的作用。

方法

本研究是一项对比性病例对照研究,将符合罗马Ⅲ标准(第三次罗马基金会分类标准)诊断的IBS患者中的维生素D缺乏情况,与年龄和性别匹配的健康对照组进行比较。对两组人群的维生素D水平进行测量以作比较,并对结果进行统计学分析。本研究分别纳入60例IBS患者作为试验组和100例健康个体作为对照组。将IBS患者的平均血清维生素D水平(nmol/L)与对照组进行比较。

结果

IBS组49例患者(82%)检测出维生素D缺乏,对照组31例患者(31%)检测出维生素D缺乏。IBS组与对照组的平均维生素D水平存在统计学显著差异(p = 0.025)。

结论

我们的研究表明,维生素D缺乏在IBS患者中非常普遍,这些结果似乎具有治疗意义。补充维生素D可能在IBS的控制中发挥治疗作用。

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本文引用的文献

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Vitamin d deficiency and systemic lupus erythematosus: cause or consequence?维生素D缺乏与系统性红斑狼疮:原因还是后果?
Oman Med J. 2013 Jul;28(4):295. doi: 10.5001/omj.2013.83.
2
The role of vitamin D in pathophysiology and treatment of fibromyalgia.维生素 D 在纤维肌痛的病理生理学和治疗中的作用。
Curr Pain Headache Rep. 2013 Aug;17(8):355. doi: 10.1007/s11916-013-0355-6.
3
Vitamin d deficiency in patients with systemic lupus erythematosus.系统性红斑狼疮患者的维生素D缺乏症
Oman Med J. 2013 Jan;28(1):42-7. doi: 10.5001/omj.2013.10.
4
Letter: vitamin D supplementation and the irritable bowel syndrome.信件:维生素D补充与肠易激综合征
Aliment Pharmacol Ther. 2013 Feb;37(4):499. doi: 10.1111/apt.12188.
5
Vitamin D3 as a novel treatment for irritable bowel syndrome: single case leads to critical analysis of patient-centred data.维生素D3作为肠易激综合征的一种新疗法:单个病例引发对以患者为中心的数据的批判性分析。
BMJ Case Rep. 2012 Dec 13;2012:bcr-2012-007223. doi: 10.1136/bcr-2012-007223.
6
Nutrient intake in patients with irritable bowel syndrome compared with the general population.肠易激综合征患者与普通人群的营养摄入比较。
Neurogastroenterol Motil. 2013 Jan;25(1):23-30.e1. doi: 10.1111/nmo.12001. Epub 2012 Sep 2.
7
The gut microbiota and irritable bowel syndrome: friend or foe?肠道微生物群与肠易激综合征:朋友还是敌人?
Int J Inflam. 2012;2012:151085. doi: 10.1155/2012/151085. Epub 2012 Apr 22.
8
Vitamin D as a therapy for colitis: a systematic review.维生素 D 治疗结肠炎:系统评价。
J Crohns Colitis. 2012 May;6(4):405-11. doi: 10.1016/j.crohns.2012.01.007. Epub 2012 Jan 27.
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Recent advances in our understanding of 1,25-dihydroxyvitamin D(3) regulation of intestinal calcium absorption.我们对 1,25-二羟维生素 D(3) 调节肠道钙吸收的理解的最新进展。
Arch Biochem Biophys. 2012 Jul 1;523(1):73-6. doi: 10.1016/j.abb.2011.12.020. Epub 2012 Jan 2.
10
Vitamin D and intestinal calcium absorption.维生素 D 与肠道钙吸收。
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