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维生素 D 补充对子宫内膜异位症患者临床症状和代谢特征的影响。

The effect of vitamin D supplementation on clinical symptoms and metabolic profiles in patients with endometriosis.

机构信息

Endometriosis Research Center, Iran University of Medical Sciences, Tehran, Iran.

Antimicrobial Resistance Research Center, Institute of Immunology and Infectious Disease, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Gynecol Endocrinol. 2021 Jul;37(7):640-645. doi: 10.1080/09513590.2021.1878138. Epub 2021 Jan 29.

Abstract

BACKGROUND

To our knowledge, data on the effects of vitamin D supplementation on clinical symptoms and metabolic profiles in patients with endometriosis are limited. This study was conducted to determine the effects of vitamin D supplementation on clinical symptoms and metabolic profiles in patients with endometriosis.

METHODS

The current randomized, double-blind, placebo-controlled trial was conducted among 60 patients (aged 18-40 years old) with endometriosis. Participants were randomly allocated into two groups (30 participants each group) to receive either 50,000 IU vitamin D or placebo each 2 weeks for 12 weeks.

RESULTS

Vitamin D supplementation significantly decreased pelvic pain ( - 1.12; 95% CI, -2.1, -0.09; =.03) and total-/HDL-cholesterol ratio ( - 0.29; 95% CI, -0.57, -0.008; =.04) compared with the placebo. Moreover, vitamin D intake led to a significant reduction in high-sensitivity C-reactive protein (hs-CRP) ( - 0.64 mg/L; 95% CI, -0.97, -0.30; <.001) and a significant increase in total antioxidant capacity (TAC) ( 47.54 mmol/L; 95% CI, 19.98, 75.11; =.001) compared with the placebo.

CONCLUSIONS

Overall, our study demonstrated that vitamin D intake in patients with endometriosis resulted in a significant improvement of pelvic pain, total-/HDL-cholesterol ratio, hs-CRP and TAC levels, but did not affect other clinical symptoms and metabolic profiles.

摘要

背景

据我们所知,关于维生素 D 补充对子宫内膜异位症患者临床症状和代谢谱影响的数据有限。本研究旨在确定维生素 D 补充对子宫内膜异位症患者临床症状和代谢谱的影响。

方法

本随机、双盲、安慰剂对照试验纳入了 60 名(18-40 岁)子宫内膜异位症患者。参与者被随机分为两组(每组 30 名),分别接受 50,000IU 维生素 D 或安慰剂,每 2 周 1 次,共 12 周。

结果

与安慰剂相比,维生素 D 补充显著降低了盆腔疼痛(-1.12;95%CI,-2.1,-0.09;=.03)和总胆固醇/高密度脂蛋白胆固醇比值(-0.29;95%CI,-0.57,-0.008;=.04)。此外,维生素 D 摄入导致超敏 C 反应蛋白(hs-CRP)(-0.64mg/L;95%CI,-0.97,-0.30;<.001)显著降低,总抗氧化能力(TAC)(47.54mmol/L;95%CI,19.98,75.11;=.001)显著增加。

结论

总的来说,我们的研究表明,子宫内膜异位症患者摄入维生素 D 可显著改善盆腔疼痛、总胆固醇/高密度脂蛋白胆固醇比值、hs-CRP 和 TAC 水平,但对其他临床症状和代谢谱没有影响。

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