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母亲维生素D状态对后代脑发育和功能的影响:一项系统综述

The Impact of Maternal Vitamin D Status on Offspring Brain Development and Function: a Systematic Review.

作者信息

Pet Milou A, Brouwer-Brolsma Elske M

机构信息

Division of Human Nutrition, Wageningen University, Wageningen, Netherlands; and Department of Translational Neuroscience, Brain Center Rudolf Magnus, University Medical Center Utrecht, Netherlands.

Division of Human Nutrition, Wageningen University, Wageningen, Netherlands; and

出版信息

Adv Nutr. 2016 Jul 15;7(4):665-78. doi: 10.3945/an.115.010330. Print 2016 Jul.

Abstract

Various studies have examined associations between maternal vitamin D (VD) deficiency and offspring health, including offspring brain health. The purpose of this review was to summarize current evidence concerning the impact of maternal VD deficiency on brain development and function in offspring. A systematic search was conducted within Medline (on Ovid) for studies published through 7 May 2015. Animal and human studies that examined associations between maternal VD status or developmental VD deficiency and offspring brain development and function were included. A total of 26 animal studies and 10 human studies met the inclusion criteria. Several animal studies confirmed the hypothesis that low prenatal VD status may affect brain morphology and physiology as well as behavioral outcomes. In humans, subtle cognitive and psychological impairments in offspring of VD-deficient mothers were observed. However, data obtained from animal and human studies provide inconclusive evidence, and results seem to depend on strain or race and age of offspring. To conclude, prenatal VD status is thought to play an important role in brain development, cognitive function, and psychological function. However, results are inconclusive; validation of these findings and investigation of underlying mechanisms are required. Thus, more investigation is needed before recommending supplementation of VD during pregnancy to promote brain health of offspring.

摘要

多项研究探讨了母亲维生素D(VD)缺乏与后代健康之间的关联,包括后代的脑健康。本综述的目的是总结当前有关母亲VD缺乏对后代脑发育和功能影响的证据。在Medline(Ovid平台)上进行了系统检索,以查找截至2015年5月7日发表的研究。纳入了研究母亲VD状态或发育性VD缺乏与后代脑发育和功能之间关联的动物和人体研究。共有26项动物研究和10项人体研究符合纳入标准。多项动物研究证实了以下假设:产前VD水平低可能会影响脑形态、生理以及行为结果。在人类中,观察到VD缺乏母亲的后代存在细微的认知和心理障碍。然而,从动物和人体研究中获得的数据提供的证据并不确凿,结果似乎取决于后代的品系或种族以及年龄。总之,产前VD状态被认为在脑发育、认知功能和心理功能中起重要作用。然而,结果尚无定论;需要对这些发现进行验证并研究其潜在机制。因此,在推荐孕期补充VD以促进后代脑健康之前,还需要进行更多研究。

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