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维生素 D 补充剂对减肥计划有用吗?一项随机对照试验的系统评价和荟萃分析。

Is Vitamin D Supplementation Useful for Weight Loss Programs? A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

机构信息

Department of Biology, College of Science, University of Bahrain, Sakhir Campus P.O. Box 32038, Bahrain.

出版信息

Medicina (Kaunas). 2019 Jul 12;55(7):368. doi: 10.3390/medicina55070368.

Abstract

The controversy about the impact of vitamin D supplementation on weight loss treatment was observed in several randomized controlled trials (RCTs). This meta-analysis investigates the effects of vitamin D supplementation (cholecalciferol or ergocalciferol) on weight loss through holistic measurements of Body Mass Index (BMI), weight and waist circumference. Google Scholar, WOS, PubMed and Scopus were explored to collect relevant studies. The selected articles focused on vitamin D supplementation in overweight and obese individuals with different conditions. Eleven RCTs were included into this meta-analysis with a total of 947 subjects, with a mean of the follow-up from 1 to 12 months and different vitamin D interventions (from 25,000 to 600,000 IU/monthly of cholecalciferol). The meta-analyzed mean differences for random effects showed that cholecalciferol supplementation deceases the BMI by -0.32 kg/m (CI95% -0.52, -0.12 kg/m, = 0.002) and the waist circumference by -1.42 cm (CI95% -2.41, -0.42 cm, = 0.005), but does not statistically affect weight loss -0.43 kg (CI95% -1.05, +0.19 kg, = 0.17). This meta-analysis lays the foundation for defining the potential clinical efficacy of vitamin D supplementation as a potential therapeutic option for weight loss programs, but further studies are needed to confirm the validity of these findings and delineate potential underlying mechanisms.

摘要

关于维生素 D 补充剂对减肥治疗影响的争议在几项随机对照试验 (RCT) 中得到了观察。本荟萃分析通过综合测量身体质量指数 (BMI)、体重和腰围,研究了维生素 D 补充剂 (胆钙化醇或麦角钙化醇) 对减肥的影响。使用 Google Scholar、WOS、PubMed 和 Scopus 检索相关研究。选择的文章重点关注超重和肥胖人群中不同情况下的维生素 D 补充。本荟萃分析纳入了 11 项 RCT,共 947 名受试者,平均随访时间为 1 至 12 个月,采用不同的维生素 D 干预措施(胆钙化醇每月 25,000 至 600,000 IU)。 随机效应的荟萃分析平均差异显示,胆钙化醇补充可使 BMI 降低 -0.32 kg/m(95%CI95%-0.52,-0.12 kg/m, = 0.002)和腰围减少 -1.42 cm(95%CI95%-2.41,-0.42 cm, = 0.005),但对体重减轻没有统计学影响 -0.43 kg(95%CI95%-1.05,+0.19 kg, = 0.17)。 本荟萃分析为定义维生素 D 补充作为减肥计划潜在治疗选择的潜在临床疗效奠定了基础,但需要进一步研究来确认这些发现的有效性并阐明潜在的潜在机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b3f/6681300/e0fd24fdbae2/medicina-55-00368-g001.jpg

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