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维生素D补充剂对多囊卵巢综合征患者血脂的影响:一项随机对照试验的荟萃分析

The Effect of Vitamin D Supplementation on Blood Lipids in Patients with Polycystic Ovary Syndrome: A Meta-Analysis of Randomized Controlled Trials.

作者信息

Gao Hong, Li YanTao, Yan WenNan, Gao Fei

机构信息

Department of Endocrinology, First Hospital of Shanxi Medical University, No. 85 Jiefang South Road, 030000 Taiyuan, Shanxi Province, China.

Department of Obstetrics and Gynecology, First Hospital of Shanxi Medical University, No. 85 Jiefang South Road, 030000 Taiyuan, Shanxi Province, China.

出版信息

Int J Endocrinol. 2021 Jan 30;2021:8849688. doi: 10.1155/2021/8849688. eCollection 2021.

Abstract

PURPOSE

Studies have found that vitamin D supplementation may improve blood lipids in patients with polycystic ovary syndrome, but the results are controversial, so this study will further analyze the effect of vitamin D supplementation on blood lipids in patients with polycystic ovary syndrome.

METHODS

PubMed, Embase, Cochrane Library, CNKI, and Wanfang databases were searched up to May 2020, to identify randomized controlled trials of the effect of vitamin D supplementation on blood lipids in patients with polycystic ovary syndrome. The Cochrane risk of bias tool was applied to assess the risk of bias, and RevMan5.3 software was used for statistical analysis.

RESULTS

Ten studies were included in this study, including 543 subjects. The results of the meta-analysis showed that, compared with placebo, vitamin D supplementation can significantly reduce total cholesterol level (WMD = -11.32, 95% CI = [-14.51, -8.41], < 0.00001), low-density lipoprotein cholesterol level (WMD = -4.83, 95% CI = [-7.52, -2.14], =0.0004), and triglyceride level (WMD = -8.23, 95% CI = [-13.08, -3.38], =0.0009, but the effect on high-density lipoprotein cholesterol level is not statistically significant (WMD = -0.32, 95%CI = [-1.24, 0.60], =0.50).

CONCLUSION

Vitamin supplementation can significantly reduce total cholesterol, low-density lipoprotein cholesterol, and triglycerides in patients with polycystic ovary syndrome. However, it has no significant effect on high-density lipoprotein cholesterol.

摘要

目的

研究发现补充维生素D可能改善多囊卵巢综合征患者的血脂,但结果存在争议,因此本研究将进一步分析补充维生素D对多囊卵巢综合征患者血脂的影响。

方法

检索截至2020年5月的PubMed、Embase、Cochrane图书馆、中国知网和万方数据库,以确定补充维生素D对多囊卵巢综合征患者血脂影响的随机对照试验。应用Cochrane偏倚风险工具评估偏倚风险,并使用RevMan5.3软件进行统计分析。

结果

本研究纳入10项研究,共543名受试者。荟萃分析结果显示,与安慰剂相比,补充维生素D可显著降低总胆固醇水平(加权均数差[WMD]=-11.32,95%置信区间[CI]=[-14.51,-8.41],P<0.00001)、低密度脂蛋白胆固醇水平(WMD=-4.83,95%CI=[-7.52,-2.14],P=0.0004)和甘油三酯水平(WMD=-8.23,95%CI=[-13.08,-3.38],P=0.0009),但对高密度脂蛋白胆固醇水平的影响无统计学意义(WMD=-0.32,95%CI=[-1.24,0.60],P=0.50)。

结论

补充维生素D可显著降低多囊卵巢综合征患者的总胆固醇、低密度脂蛋白胆固醇和甘油三酯水平。然而,对高密度脂蛋白胆固醇无显著影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6729/7868162/c823b8e51ba7/IJE2021-8849688.001.jpg

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