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多囊卵巢综合征与维生素 D:临床评价。

PCOS and vitamin D: a clinical appraisal.

机构信息

Clinic for Gynecology and Obstetrics, University Clinical Centre of Serbia, 11000, Belgrade, Serbia.

Faculty of Medicine, University of Belgrade, 11000, Belgrade, Serbia.

出版信息

Arch Gynecol Obstet. 2024 Mar;309(3):907-915. doi: 10.1007/s00404-023-07227-x. Epub 2023 Sep 25.

DOI:10.1007/s00404-023-07227-x
PMID:37747553
Abstract

PURPOSE

Polycystic ovary syndrome (PCOS) is the most common endocrine-reproductive disease linked not just to infertility but also to serious comorbidities. There is a reported association between low vitamin D levels and multiple health conditions including PCOS. This narrative review aims to analyze the role of vitamin D in PCOS development, use of the vitamin D in the treatment of PCOS, and the molecular basis of these observations.

METHODS

A Medline and PubMed research was performed, during the years 1990-2023, using a combination of keywords on such topic. According to the author's evaluation and target, papers were identified and included for a narrative review.

RESULTS

There are associations between lower levels of vitamin D and PCOS, as well as with insulin resistance, metabolic syndrome, hyperandrogenemia, metabolic and endocrine disorders as well as the onset of oxidative stress and pro-inflammatory milieu, in PCOS women.

CONCLUSION

Vitamin D has a role in pathologic changes linked to PCOS. Molecular and clinical investigations which give new information about the role of vitamin D in the development of PCOS and related endocrine and metabolic disturbance are further needed.

摘要

目的

多囊卵巢综合征(PCOS)是最常见的内分泌-生殖疾病,不仅与不孕有关,还与严重的合并症有关。有报道称,维生素 D 水平低与多种健康状况有关,包括 PCOS。本综述旨在分析维生素 D 在 PCOS 发病机制中的作用、维生素 D 在 PCOS 治疗中的应用,以及这些观察结果的分子基础。

方法

在 1990 年至 2023 年期间,使用与该主题相关的关键词组合,在 Medline 和 PubMed 上进行了文献检索。根据作者的评估和目标,确定并纳入了论文进行综述。

结果

维生素 D 水平较低与 PCOS 以及胰岛素抵抗、代谢综合征、高雄激素血症、代谢和内分泌紊乱以及氧化应激和促炎环境的发生有关,在 PCOS 女性中。

结论

维生素 D 在与 PCOS 相关的病理变化中起作用。需要进一步进行分子和临床研究,以提供关于维生素 D 在 PCOS 发展和相关内分泌及代谢紊乱中的作用的新信息。

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Reprod Biol Endocrinol. 2023 Mar 3;21(1):24. doi: 10.1186/s12958-023-01075-9.
2
Maternal serum vitamin D level in early pregnancy and risk for preeclampsia: A case-control study in Southern Sweden.孕妇早孕期血清维生素 D 水平与子痫前期风险的病例对照研究:瑞典南部的一项研究。
PLoS One. 2023 Feb 7;18(2):e0281234. doi: 10.1371/journal.pone.0281234. eCollection 2023.
3
Impact of body mass index and vitamin D on serum AMH levels and antral follicle count in PCOS.
多囊卵巢综合征患者血清 AMH 水平与窦卵泡计数受体重指数和维生素 D 的影响。
Eur Rev Med Pharmacol Sci. 2023 Jan;27(1):179-187. doi: 10.26355/eurrev_202301_30870.
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Association between Serum Vitamin D and Metabolic Syndrome in Women with Polycystic Ovary Syndrome.血清维生素 D 与多囊卵巢综合征妇女代谢综合征的关系。
Mymensingh Med J. 2023 Jan;32(1):125-134.
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An Evidence-Based Review of Vitamin D for Common and High-Mortality Conditions.常见和高死亡率疾病的维生素 D 循证评价
J Am Board Fam Med. 2022 Dec 23;35(6):1217-1229. doi: 10.3122/jabfm.2022.220115R1. Epub 2022 Nov 17.
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J Clin Med. 2022 Aug 2;11(15):4509. doi: 10.3390/jcm11154509.
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