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关于婴幼儿维生素D与食物过敏的叙述性综述。

A narrative review of vitamin D and food allergy in infants and children.

作者信息

Di Tianwei, Chen Lihua

机构信息

Neonatology Department, The Children's Hospital of Zhejiang University School of Medicine, Hangzhou, China.

出版信息

Transl Pediatr. 2021 Oct;10(10):2614-2620. doi: 10.21037/tp-21-396.

Abstract

OBJECTIVE

This article summarizes the research progress on the association of vitamin D and food allergy in infants and children.

BACKGROUND

In recent years, food allergy seriously has affected the quality of life of children and adults. Vitamin D is known to be involved in calcium and phosphorus metabolism, and recent research has demonstrated that vitamin D can also affect the immune regulation of food allergy.

METHODS

The present study summarizes the research progress on the association of vitamin D and food allergy in infants and children. We searched the PubMed database to identify studies on the association of vitamin D and food allergy published between January 2003 and August 2021.

CONCLUSIONS

Vitamin D in the body through a number of steps into the final formation of biological effects. The implications of postnatal vitamin D levels for food allergy may be even greater. Vitamin D can prevent the intestinal immune system from being exposed to allergens by maintaining the integrity of the mucosal barrier. Many clinical studies believe that vitamin D supplementation can improve infants' and children's food allergy, however, some show negative results or opposite results. A lot of laboratory studies have confirmed that vitamin D is involved in the immune regulation of food allergy. Evidence indicates there may be a nonlinear relationship between vitamin D and food allergy. Further researches need to be launched.

摘要

目的

本文总结了维生素D与婴幼儿食物过敏关联的研究进展。

背景

近年来,食物过敏严重影响了儿童和成人的生活质量。维生素D已知参与钙和磷的代谢,最近的研究表明维生素D也可影响食物过敏的免疫调节。

方法

本研究总结了维生素D与婴幼儿食物过敏关联的研究进展。我们检索了PubMed数据库,以确定2003年1月至2021年8月期间发表的关于维生素D与食物过敏关联的研究。

结论

维生素D在体内经过多个步骤最终形成生物学效应。出生后维生素D水平对食物过敏的影响可能更大。维生素D可通过维持黏膜屏障的完整性来防止肠道免疫系统接触过敏原。许多临床研究认为补充维生素D可改善婴幼儿的食物过敏,然而,一些研究显示出阴性结果或相反结果。大量实验室研究已证实维生素D参与食物过敏的免疫调节。有证据表明维生素D与食物过敏之间可能存在非线性关系。需要开展进一步研究。

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Aligning the Paradoxical Role of Vitamin D in Gastrointestinal Immunity.调整维生素 D 在胃肠道免疫中的矛盾作用。
Trends Endocrinol Metab. 2019 Jul;30(7):459-466. doi: 10.1016/j.tem.2019.04.005. Epub 2019 May 20.
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Nutritional disorders resulting from food allergy in children.儿童食物过敏导致的营养障碍。
Pediatr Allergy Immunol. 2018 Nov;29(7):689-704. doi: 10.1111/pai.12960.

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