Third Hospital of Shanxi Medical University, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences,Tongji Shanxi Hospital.
Nutr Hosp. 2022 Oct 17;39(5):1144-1152. doi: 10.20960/nh.04044.
Background: latest studies have shown that vitamin D deficiency is related to the occurrence of irritable bowel disease (IBS), and taking vitamin D as a supplement can alleviate the symptoms of irritable bowel disease. However, clinical treatment of irritable bowel disease with vitamin D is controversial. Objective: we conducted a meta-analysis of all clinical trials to evaluate the associations between vitamin D and irritable bowel disease. Methods: we screened all randomized controlled trials that were published before December 20, 2021 from the following databases: Medline, Web of Science, China National Knowledge Infrastructure (CNKI), Cochrane Central, and Clinical Trial. We used RevMan 5.4.1 and Stata 16.1 to analyze the relevant data. The standardized mean difference (SMD) with 95 % confidence interval (95 % CI) was used to report effect sizes. Serum vitamin D concentration, risk of vitamin D deficiency among patients with IBS, Symptom Severity Score (SSS), and Quality of Life (QoL) score are the main endpoint outcomes in this study. Results: data from twelve clinical trials with 1331 IBS patients were included. Patients with IBS have relatively low vitamin D levels in their serum. Vitamin D supplementation improves the Quality of Life (QoL) score but has no significant effect on the Symptom Severity Score (SSS). Conclusions: vitamin D deficiency is associated with the pathogenesis of irritable bowel syndrome. Serum vitamin D levels decreased in patients with irritable bowel syndrome, and vitamin D supplementation could improve patient quality of life.
最新研究表明,维生素 D 缺乏与肠易激综合征(IBS)的发生有关,补充维生素 D 可缓解肠易激综合征的症状。然而,临床上用维生素 D 治疗肠易激综合征存在争议。目的:我们对所有临床试验进行了荟萃分析,以评估维生素 D 与肠易激综合征之间的关系。方法:我们从以下数据库筛选了截至 2021 年 12 月 20 日发表的所有随机对照试验:Medline、Web of Science、中国知网(CNKI)、Cochrane 中心和临床试验。我们使用 RevMan 5.4.1 和 Stata 16.1 分析相关数据。使用标准化均数差(SMD)和 95 %置信区间(95 % CI)报告效应量。血清维生素 D 浓度、IBS 患者维生素 D 缺乏风险、症状严重程度评分(SSS)和生活质量(QoL)评分是本研究的主要终点结局。结果:纳入了 12 项临床试验,共 1331 例 IBS 患者的数据。IBS 患者的血清维生素 D 水平相对较低。维生素 D 补充剂可改善生活质量(QoL)评分,但对症状严重程度评分(SSS)无显著影响。结论:维生素 D 缺乏与肠易激综合征的发病机制有关。肠易激综合征患者血清维生素 D 水平降低,维生素 D 补充可改善患者的生活质量。