Zhao Shiyu, Qian Frank, Wan Zhenzhen, Chen Xue, Pan An, Liu Gang
School of Public Health, and Division of Endocrinology, Department of Internal Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China; Department of Nutrition and Food Hygiene, Hubei Key Laboratory of Food Nutrition and Safety, Ministry of Education Key Laboratory of Environment and Health, and State Key Laboratory of Environment Health (Incubating), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Section of Cardiovascular Medicine, Boston Medical Center, and Boston University Chobanian and Avedisian School of Medicine, Boston, MA, USA.
Trends Endocrinol Metab. 2024 Dec;35(12):1050-1061. doi: 10.1016/j.tem.2024.04.018. Epub 2024 May 31.
Numerous observational studies have demonstrated a significant inverse association between vitamin D status and the risk of major chronic disease, including type 2 diabetes (T2D), cardiovascular disease (CVD), and cancer. However, findings from Mendelian randomization (MR) studies and randomized controlled trials (RCTs) suggest minimal or no benefit of increased vitamin D levels. We provide an overview of recent literature linking vitamin D to major chronic diseases. Because emerging evidence indicates a potential threshold effect of vitamin D, future well-designed studies focused on diverse populations with vitamin D deficiency or insufficiency are warranted for a more comprehensive understanding of the effect of maintaining sufficient vitamin D status on the prevention of major chronic diseases.
众多观察性研究表明,维生素D水平与包括2型糖尿病(T2D)、心血管疾病(CVD)和癌症在内的主要慢性疾病风险之间存在显著的负相关。然而,孟德尔随机化(MR)研究和随机对照试验(RCT)的结果表明,提高维生素D水平的益处微乎其微或根本没有益处。我们概述了近期将维生素D与主要慢性疾病联系起来的文献。由于新出现的证据表明维生素D存在潜在的阈值效应,因此有必要开展未来设计良好的研究,关注维生素D缺乏或不足的不同人群,以便更全面地了解维持充足维生素D水平对预防主要慢性疾病的影响。