Dominguez Ligia J, Farruggia Mario, Veronese Nicola, Barbagallo Mario
Geriatric Unit, Department of Medicine, University of Palermo, Via del Vespro 141, 90127 Palermo, Italy.
Metabolites. 2021 Apr 20;11(4):255. doi: 10.3390/metabo11040255.
Studies on vitamin/hormone D deficiency have received a vast amount of attention in recent years, particularly concerning recommendations, guidelines, and treatments. Moreover, vitamin D's role as a hormone has been confirmed in various enzymatic, metabolic, physiological, and pathophysiological processes related to many organs and systems in the human body. This growing interest is mostly due to the evidence that modest-to-severe vitamin D deficiency is widely prevalent around the world. There is broad agreement that optimal vitamin D status is necessary for bones, muscles, and one's general health, as well as for the efficacy of antiresorptive and anabolic bone-forming treatments. Food supplementation with vitamin D, or the use of vitamin D supplements, are current strategies to improve vitamin D levels and treat deficiency. This article reviews consolidated and emerging concepts about vitamin D/hormone D metabolism, food sources, deficiency, as well as the different vitamin D supplements available, and current recommendations on the proper use of these compounds.
近年来,关于维生素/激素D缺乏的研究受到了广泛关注,尤其是在相关建议、指南和治疗方面。此外,维生素D作为一种激素,在人体许多器官和系统的各种酶促、代谢、生理和病理生理过程中的作用已得到证实。这种日益增长的兴趣主要是由于有证据表明,世界范围内普遍存在中度至重度维生素D缺乏的情况。人们普遍认为,最佳的维生素D状态对于骨骼、肌肉和整体健康以及抗吸收和促合成骨形成治疗的疗效都是必要的。通过食物补充维生素D或使用维生素D补充剂是目前提高维生素D水平和治疗缺乏症的策略。本文综述了关于维生素D/激素D代谢、食物来源、缺乏情况以及现有不同维生素D补充剂的综合及新出现的概念,以及关于正确使用这些化合物的当前建议。