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立场声明:成人维生素D摄入量与预防骨质疏松症和骨折

Position Statement: Vitamin D Intake to Prevent Osteoporosis and Fracture in Adults.

作者信息

Han Anna, Park Yongsoon, Lee Young-Kyun, Park So Young, Park Clara Yongjoo

机构信息

Department of Food Science and Human Nutrition, Jeonbuk National University, Jeonju, Korea.

K-Food Research Center, Jeonbuk National University, Jeonju, Korea.

出版信息

J Bone Metab. 2022 Nov;29(4):205-215. doi: 10.11005/jbm.2022.29.4.205. Epub 2022 Nov 30.

Abstract

Adequate vitamin D status is essential for bone health. New randomized controlled trials investigating the effect of vitamin D supplementation on bone health have recently been published. This position statement updates and expands on the previous 2015 position statement of the Korean Society for Bone and Mineral Research on the adequate vitamin D status for healthy older adults (age ≥ 70 years) and those at high risk of osteoporosis and fracture (adults on osteoporosis medications) to maintain serum 25-hydroxy-vitamin D (25[OH]D) levels ≥ 20 ng/mL but < 50 ng/mL. A serum 25(OH)D level of 30 ng/mL may be beneficial for those on anti-resorptives. Vitamin D can be obtained from ultraviolet light exposure and diet. To reach the target vitamin D status through intake, adults must consume at least 400 IU/day to reach 20 ng/mL and 800 to 1,000 IU/day to reach 30 ng/mL. Foods familiar to the Korean diet that are high in vitamin D content or consumed frequently enough to positively impact vitamin D status are introduced in addition to the amount required to help reach one's target vitamin D status.

摘要

充足的维生素D状态对骨骼健康至关重要。最近发表了一些新的随机对照试验,研究补充维生素D对骨骼健康的影响。本立场声明更新并扩展了韩国骨与矿物质研究学会2015年关于健康老年人(年龄≥70岁)以及骨质疏松和骨折高危人群(正在服用骨质疏松药物的成年人)充足维生素D状态的立场声明,以维持血清25-羟基维生素D(25[OH]D)水平≥20 ng/mL但<50 ng/mL。血清25(OH)D水平为30 ng/mL可能对服用抗吸收药物的人有益。维生素D可通过紫外线照射和饮食获取。为通过摄入达到目标维生素D状态,成年人必须每天至少摄入400 IU以达到20 ng/mL,每天摄入800至1000 IU以达到30 ng/mL。除了有助于达到个人目标维生素D状态所需的量外,还介绍了韩国饮食中常见的维生素D含量高或食用频率足以对维生素D状态产生积极影响的食物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d85/9760769/2208d1f39fb9/jbm-2022-29-4-205f1.jpg

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