Faculty of Medicine, Tanta University, Tanta 31527, Egypt.
Department of Internal Medicine, Gulab Devi Hospital, Lahore 54000, Pakistan.
Nutrients. 2022 Jun 24;14(13):2618. doi: 10.3390/nu14132618.
Irritable bowel syndrome (IBS), a gastrointestinal disorder affecting 7-12% of the population, is characterized by abdominal pain, bloating, and alternating bowel patterns. Data on risk and protective influences have yielded conflicting evidence on the effects of alternative interventions, such as vitamin D. This review focuses on the effects of vitamin D on IBS. A systematic review and meta-analysis considered all articles published until 4 April 2022. The search for randomized controlled trials assessing vitamin D efficacy in IBS with outcomes, primary (Irritable Bowel Severity Scoring System (IBS-SSS)) and secondary (IBS quality of life (IBS-QoL) and serum level of calcifediol (25(OH)D)), was performed on six databases, Google Scholar, Web of Science, SCOPUS, EMBASE, PubMed (MEDLINE), and Cochrane Central Register of Controlled Trials. We included six trials with 616 patients. The pooled analysis found no difference between vitamin D and placebo in improving IBS-SSS (MD: -45.82 with 95% CI [-93.62, 1.98], = 0.06). However, the pooled analysis favored vitamin D over placebo in improving the IBS-Qol (MD: 6.19 with 95% CI [0.35, 12.03], = 0.04) and serum 25(OH)D (MD: 25.2 with 95% CI [18.41, 31.98], = 0.00001). Therefore, further clinical trials are required to reach clinically applicable and generalizable findings.
肠易激综合征(IBS)是一种影响 7-12%人群的胃肠道疾病,其特征为腹痛、腹胀和交替的排便模式。关于风险和保护因素的数据对替代干预措施(如维生素 D)的效果产生了相互矛盾的证据。本综述重点关注维生素 D 对 IBS 的影响。系统评价和荟萃分析考虑了截至 2022 年 4 月 4 日发表的所有文章。在六个数据库(Google Scholar、Web of Science、SCOPUS、EMBASE、PubMed(MEDLINE)和 Cochrane 对照试验中心注册)上,针对评估维生素 D 对 IBS 疗效的随机对照试验进行了检索,结局指标为主要指标(肠易激严重程度评分系统(IBS-SSS))和次要指标(IBS 生活质量(IBS-QoL)和血清 25-羟维生素 D(25(OH)D)水平)。我们纳入了六项共 616 名患者的试验。汇总分析发现,维生素 D 与安慰剂在改善 IBS-SSS 方面无差异(MD:-45.82,95%CI[-93.62,1.98], = 0.06)。然而,汇总分析显示,维生素 D 改善 IBS-QoL(MD:6.19,95%CI[0.35,12.03], = 0.04)和血清 25(OH)D(MD:25.2,95%CI[18.41,31.98], = 0.00001)方面优于安慰剂。因此,需要进一步的临床试验来得出具有临床应用价值和可推广的发现。
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