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高剂量维生素D补充与青春期女孩认知能力、失眠及日间嗜睡情况的改善

High-dose Vitamin D Supplementation and Improvement in Cognitive Abilities, Insomnia, and Daytime Sleepiness in Adolescent Girls.

作者信息

Bahrami Afsane, Rezaeitalab Fariborz, Farahmand Seyed Kazem, Mazloum Khorasani Zahra, Arabi Seyed Mostafa, Bahrami-Taghanaki Hamidreza, Ferns Gordon A, Ghayour-Mobarhan Majid

机构信息

Cellular and Molecular Research Center, School of Medicine, Birjand University of Medical Sciences, Bijand, Iran.

Department of Neurology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

Basic Clin Neurosci. 2021 May-Jun;12(3):339-348. doi: 10.32598/bcn.2021.1910.1. Epub 2021 May 1.

Abstract

INTRODUCTION

Vitamin D may affect the modulation of signaling pathways in the central nervous system. We aimed to evaluate the effect of high-dose vitamin D supplementation on neuropsychological functions in female adolescents.

METHODS

We studied the effects of 9 weeks of vitamin D supplementation (50000 IU vitamin D3 [cholecalciferol]/week) on cognitive abilities and sleep disorders in 940 adolescent girls.

RESULTS

Oral vitamin D supplementation improved cognitive abilities, including memory, inhibitory control, selective attention, decision making, planning, sustained attention, and cognitive flexibility in healthy adolescent girls (P<0.001). The prevalence of subjects with insomnia after intervention fell from 15.0% to 11.3%. Similar results were also found for the prevalence of sleepiness (15.6% reduced to 14.7%), or cases with both insomnia and sleepiness (8.0% reduced to 6.1%; P<0.05).

CONCLUSION

High dose of vitamin D can improve cognitive abilities and alleviate insomnia and daytime sleepiness in adolescent girls. Further investigations are required on different population groups (age and gender) to determine the sustainability of these effects. The value of vitamin D therapy in other neurological disorders would also be of research interest.

摘要

引言

维生素D可能会影响中枢神经系统信号通路的调节。我们旨在评估高剂量补充维生素D对女性青少年神经心理功能的影响。

方法

我们研究了940名青春期女孩连续9周补充维生素D(每周50000国际单位维生素D3[胆钙化醇])对认知能力和睡眠障碍的影响。

结果

口服补充维生素D可改善健康青春期女孩的认知能力,包括记忆力、抑制控制、选择性注意力、决策、计划、持续注意力和认知灵活性(P<0.001)。干预后失眠受试者的患病率从15.0%降至11.3%。嗜睡患病率(从15.6%降至14.7%)或同时存在失眠和嗜睡的情况(从8.0%降至6.1%;P<0.05)也有类似结果。

结论

高剂量维生素D可改善青春期女孩的认知能力,减轻失眠和日间嗜睡。需要对不同人群(年龄和性别)进行进一步研究,以确定这些影响的持续性。维生素D疗法在其他神经系统疾病中的价值也将是研究的兴趣所在。

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