Naderi Zahra, Kashanian Maryam, Chenari Leily, Sheikhansari Narges
a Department of Obstetrics and Gynecology , Iran University of Medical Sciences, Akbarabadi Teaching Hospital , Tehran , Iran.
b Department of Public Health, Faculty of Medicine , University of Southampton , Southampton , UK.
Gynecol Endocrinol. 2018 May;34(5):409-412. doi: 10.1080/09513590.2017.1410785. Epub 2017 Dec 6.
The aim of the study was to evaluate the effects of administration of 25-hydroxyvitamin D [25(OH) D] on serum antimullerian hormone (AMH) levels in infertile women. The study was performed as a non-randomized clinical trial on 30 infertile women who had low serum level of both 25(OH) D and anti-mullerian hormone. Vitamin D was prescribed 50,000 IU weekly for up to three months for all eligible participants. Serum levels of both 25(OH) D and AMH have increased significantly after treatment with 25(OH) D. There was a significant correlation between serum levels of 25(OH) D after treatment with AMH (p = .029, OR = 2.9, CI 95% = 2.7-5.5). Mean AMH level after treatment was higher in women with sufficient 25(OH) D, than women with insufficient 25(OH) D (1.048 ± 0.644 vs. 0.513 ± 0.284 ng/ml), which shows a significant difference (p = .043). Also, after treatment, in women with mean AMH level of >0.7 ng/ml (19 women), mean level of 25(OH) D was higher than in women with mean AMH level of <0.7 ng/ml (11 women) (59.332 ± 21.751 vs. 38.881 ± 17.281 ng/ml, p = .013). This means that higher levels of 25(OH) D are accompanied with higher levels of AMH. In conclusions with administration and increasing the amount of vitamin D serum levels, the serum levels of AMH have increased.
本研究的目的是评估给予25-羟维生素D[25(OH)D]对不孕女性血清抗苗勒管激素(AMH)水平的影响。本研究作为一项非随机临床试验,对30名血清25(OH)D和抗苗勒管激素水平均较低的不孕女性进行。为所有符合条件的参与者每周开具50,000 IU的维生素D,为期三个月。用25(OH)D治疗后,25(OH)D和AMH的血清水平均显著升高。治疗后25(OH)D血清水平与AMH之间存在显著相关性(p = 0.029,OR = 2.9,95%CI = 2.7 - 5.5)。25(OH)D充足的女性治疗后的平均AMH水平高于25(OH)D不足的女性(1.048±0.644 vs. 0.513±0.284 ng/ml),差异有统计学意义(p = 0.043)。此外,治疗后,平均AMH水平>0.7 ng/ml的女性(19名)的25(OH)D平均水平高于平均AMH水平<0.7 ng/ml的女性(11名)(59.332±21.751 vs. 38.881±17.281 ng/ml,p = 0.013)。这意味着较高水平的25(OH)D伴随着较高水平的AMH。总之,随着维生素D血清水平的给予和增加,AMH的血清水平升高。