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高剂量补充维生素D与青春期女孩多种心血管代谢风险因素的改善有关:一项为期九周的随访研究。

High-dose vitamin D supplementation is associated with an improvement in several cardio-metabolic risk factors in adolescent girls: a nine-week follow-up study.

作者信息

Khayyatzadeh Sayyed Saeed, Mirmoosavi Seyed Jamal, Fazeli Mostafa, Abasalti Zahra, Avan Amir, Javandoost Ali, Rahmani Farzad, Tayefi Maryam, Hanachi Parichehr, Ferns Gordon A, Bahrami-Taghanaki Hamidreza, Ghayour-Mobarhan Majid

机构信息

1 Biochemistry of Nutrition Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

2 Community Medicine Department, Faculty of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran.

出版信息

Ann Clin Biochem. 2018 Mar;55(2):227-235. doi: 10.1177/0004563217707784. Epub 2017 Sep 6.

Abstract

Background Vitamin D deficiency is a prevalent and important global health problem. Because of its role in growth and development, vitamin D status is likely to be particularly important in adolescent girls. Here, we explored the effects of high-dose vitamin D supplementation on cardio-metabolic risk factors. Methods We have examined the effects of vitamin D supplementation on cardio-metabolic risk factors in 988 healthy adolescent girls in Iran. Fasting blood samples and anthropometric measurements were obtained at baseline and after supplementation with high-dose vitamin D. All individuals took a capsule of 50,000 IU vitamin D/week for nine weeks. The study was completed by 940 participants. Results The prevalence of vitamin D deficiency was 90% at baseline, reducing to 16.3% after vitamin D supplementation. Vitamin supplementation was associated with a significant increase in serum concentrations of 25 (OH) vitamin D and calcium. There were significant reductions in diastolic blood pressure, heart rate, waist circumference and serum fasting blood glucose, total- and low-density lipoprotein-cholesterol after the nine-week period on vitamin D treatment, but no significant effects were observed on body mass index, systolic blood pressure or serum high-density lipoprotein cholesterol and triglyceride. Conclusion Vitamin D supplementation had beneficial effects on cardio-metabolic profile in adolescent girls.

摘要

背景 维生素D缺乏是一个普遍且重要的全球健康问题。由于其在生长发育中的作用,维生素D状况在青春期女孩中可能尤为重要。在此,我们探讨了高剂量补充维生素D对心血管代谢危险因素的影响。

方法 我们研究了维生素D补充剂对伊朗988名健康青春期女孩心血管代谢危险因素的影响。在基线时以及高剂量补充维生素D后采集空腹血样并进行人体测量。所有个体每周服用一粒50,000 IU维生素D胶囊,持续九周。940名参与者完成了该研究。

结果 基线时维生素D缺乏的患病率为90%,补充维生素D后降至16.3%。补充维生素与血清25(OH)维生素D和钙浓度显著升高相关。在接受维生素D治疗九周后,舒张压、心率、腰围和血清空腹血糖、总胆固醇和低密度脂蛋白胆固醇均显著降低,但对体重指数、收缩压或血清高密度脂蛋白胆固醇和甘油三酯未观察到显著影响。

结论 补充维生素D对青春期女孩的心血管代谢状况有有益影响。

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