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维生素D——复发性上呼吸道感染的灵丹妙药。

Vitamin D - An Elixir for Recurrent Upper Respiratory Tract Infection.

作者信息

Maqbool M A, Gangadhara Somayaji K S, Nayana V G

机构信息

Department of Otorhinolaryngology, Yenepoya medical college Deralakatte, Mangalore Dakshina Kannada, Mangalore Mangalore, Karnataka India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2023 Feb 14;75(3):1-6. doi: 10.1007/s12070-022-03220-z.

DOI:10.1007/s12070-022-03220-z
PMID:36817014
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9926413/
Abstract

AIM

The aim of this study was to assess and compare the level of serum vitamin-D in participants affected with recurrent upper respiratory tract infections and in healthy population and to know whether vitamin-D deficiency is factor contributing to recurrent upper respiratory tract infections (URTI).

MATERIALS AND METHODS

A case control study was conducted on 52 subjects with recurrent URTI and 52 controls. Frequency and severity of infections in the previous 6 months were assessed and documented among the case group. Vitamin D level was assessed in all the participants among case and control group and statistical analysis was done.

RESULTS

Mean serum vitamin D was 10.67 ± 3.58 ng/mL in the study group and 20.10 ± 7.73 ng/mL in the control group, the difference in value was statistically significant. None of the study group participants belonged to vitamin D sufficient group, and majority (98%) were in vitamin D deficient, except for 2% who were in insufficient group. In the control group, 10%,29%,61% were in sufficient, insufficient and deficient group respectively. Mean serum vitamin D was not significantly associated with severity and type of infection.

CONCLUSION

Significant number of participants in both study and control had serum vitamin D deficiency. This study also observed that a significant number of participants with recurrent URTI had serum vitamin D deficiency than the control group which suggest that hypovitaminosis D is a factor contributing to recurrent URTI.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s12070-022-03220-z.

摘要

目的

本研究旨在评估和比较复发性上呼吸道感染患者与健康人群的血清维生素D水平,并了解维生素D缺乏是否是导致复发性上呼吸道感染(URTI)的因素。

材料与方法

对52例复发性URTI患者和52例对照进行病例对照研究。评估并记录病例组前6个月感染的频率和严重程度。对病例组和对照组的所有参与者进行维生素D水平评估并进行统计分析。

结果

研究组的平均血清维生素D为10.67±3.58 ng/mL,对照组为20.10±7.73 ng/mL,差异具有统计学意义。研究组中没有参与者属于维生素D充足组,大多数(98%)为维生素D缺乏,只有2%为不足组。对照组中,分别有10%、29%、61%为充足、不足和缺乏组。平均血清维生素D与感染的严重程度和类型无显著相关性。

结论

研究组和对照组中均有相当数量的参与者存在血清维生素D缺乏。本研究还观察到,复发性URTI患者中血清维生素D缺乏的人数显著多于对照组,这表明维生素D缺乏是导致复发性URTI的一个因素。

补充信息

在线版本包含可在10.1007/s12070-022-03220-z获取的补充材料。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/747d/10447851/a62962c08e99/12070_2022_3220_Str1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/747d/10447851/a62962c08e99/12070_2022_3220_Str1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/747d/10447851/a62962c08e99/12070_2022_3220_Str1_HTML.jpg

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本文引用的文献

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Int J Clin Pract. 2021 Nov;75(11):e14675. doi: 10.1111/ijcp.14675. Epub 2021 Aug 6.
2
SARS-CoV-2 positivity rates associated with circulating 25-hydroxyvitamin D levels.与循环 25-羟维生素 D 水平相关的 SARS-CoV-2 阳性率。
PLoS One. 2020 Sep 17;15(9):e0239252. doi: 10.1371/journal.pone.0239252. eCollection 2020.
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Vitamin D deficiency 2.0: an update on the current status worldwide.
维生素 D 缺乏 2.0:全球现状更新。
Eur J Clin Nutr. 2020 Nov;74(11):1498-1513. doi: 10.1038/s41430-020-0558-y. Epub 2020 Jan 20.
4
The association between vitamin D status and infectious diseases of the respiratory system in infancy and childhood.维生素 D 状况与婴幼儿呼吸系统传染病的关系。
Hormones (Athens). 2019 Dec;18(4):353-363. doi: 10.1007/s42000-019-00155-z. Epub 2019 Nov 25.
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Vitamin D status and sun exposure in southeast Asia.东南亚地区的维生素D状况与日照情况
Dermatoendocrinol. 2013 Jan 1;5(1):34-7. doi: 10.4161/derm.24054.
6
Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline.维生素 D 缺乏的评估、治疗和预防:内分泌学会临床实践指南。
J Clin Endocrinol Metab. 2011 Jul;96(7):1911-30. doi: 10.1210/jc.2011-0385. Epub 2011 Jun 6.
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High prevalence of hypovitaminosis D in young healthy adults from the western part of India.印度西部年轻健康成年人中普遍存在维生素 D 缺乏症。
Postgrad Med J. 2011 Aug;87(1030):514-8. doi: 10.1136/pgmj.2010.113092. Epub 2011 Apr 20.
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