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维生素D缺乏症与肥胖——巧合还是因果关系?

Hypovitaminosis D and Obesity - Coincidence or Consequence?

作者信息

de Azevedo Fernanda Reis, Caramelli Bruno

机构信息

PhD Student.

Associate Professor of Medicine, Heart Institute (InCor), University of São Paulo Medical School, São Paulo, Brazil.

出版信息

Eur Endocrinol. 2013 Aug;9(2):128-131. doi: 10.17925/EE.2013.09.02.128. Epub 2013 Aug 23.

Abstract

Vitamin D has attracted much scientific interest in recent years, mostly due to its newly described roles in metabolism regulation and cell proliferation. Along with hypovitaminosis D, the incidence of obesity has risen and has become a public health concern. The association between these two conditions is not merely coincidence and is being deeply investigated regarding its prevalence, mechanism, and even a possible causal relation. The data are still inconclusive but there is important evidence indicating that vitamin D is involved with fat accumulation, the responsible mechanism however still the principal question. The three main hypotheses are: adipose tissue sequestration, genetic modulation, such as polymorphism of the vitamin D receptor (VDR), or an organism evolutionary adaptation to cold weather. In conclusion, more evidence is needed to determine what the correct direction of this connection is and the possible therapeutic strategies of vitamin D replenishment and obesity control.

摘要

近年来,维生素D引起了科学界的广泛关注,主要是由于其在新陈代谢调节和细胞增殖方面新发现的作用。随着维生素D缺乏症的出现,肥胖症的发病率也在上升,并已成为一个公共卫生问题。这两种情况之间的关联并非巧合,目前正在对其患病率、机制甚至可能的因果关系进行深入研究。数据仍无定论,但有重要证据表明维生素D与脂肪堆积有关,然而其相关机制仍是主要问题。主要有三种假说:脂肪组织隔离、基因调节,如维生素D受体(VDR)的多态性,或机体对寒冷天气的进化适应。总之,需要更多证据来确定这种联系的正确方向以及维生素D补充和肥胖控制的可能治疗策略。

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