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维生素K:更年期女性的钙代谢调节剂

Vitamin K: Calcium Metabolism Modulator for Menopausal Women.

作者信息

Kim Tae-Hee, Kim Hayeon, Lee Hae Hyeog, Sang Jae Hong

机构信息

Department of Obstetrics and Gynecology, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.

出版信息

J Menopausal Med. 2024 Dec;30(3):152-163. doi: 10.6118/jmm.24023.

Abstract

Vitamin K (VitK) exists in multiple forms, with Vitamin K1 (VitK1) and Vitamin K2 (VitK2) being the most prominent. VitK1 primarily regulates clotting factors in the liver, whereas VitK2 plays a crucial role in activating extrahepatic proteins involved in various physiological processes. VitK plays a pivotal role in various physiological functions, including vascular health, bone metabolism, neuroprotection, hepatoprotection, immune response modulation, dental health, and glucose control. Particularly, activation of the matrix Gla protein and osteocalcin through VitK2 inhibits vascular calcification (VC) and promotes bone mineralization. This review provides an overview of the physiological functions of VitK2, underscoring its role in calcium metabolism modulation and its diverse effects on health. Additionally, this article provides a comprehensive overview of the beneficial functions of VitK, and discusses the significance of adequate dietary intake and oral supplementation of VitK. Particularly, emphasizing on the need for VitK2 supplementation owing to its relatively limited availability in Western diets. VitK2 supplementation effectively counters VC, enhances bone density, and offers neuroprotective, hepatoprotective, and anti-inflammatory benefits. Thus, the supplementation of VitK2, alongside dietary intake, is essential for preventive healthcare, particularly in the prevention of osteoporosis and vascular diseases. Incorporating adequate VitK2 intake highlights its significance in promoting overall well-being. Illustrated summary of the role of VitK in menopausal women.

摘要

维生素K(VitK)有多种形式,其中维生素K1(VitK1)和维生素K2(VitK2)最为突出。VitK1主要调节肝脏中的凝血因子,而VitK2在激活参与各种生理过程的肝外蛋白质方面起着关键作用。VitK在各种生理功能中发挥着关键作用,包括血管健康、骨代谢、神经保护、肝脏保护、免疫反应调节、牙齿健康和血糖控制。特别是,通过VitK2激活基质Gla蛋白和骨钙素可抑制血管钙化(VC)并促进骨矿化。本综述概述了VitK2的生理功能,强调了其在调节钙代谢中的作用及其对健康的多种影响。此外,本文全面概述了VitK的有益功能,并讨论了充足的膳食摄入和口服补充VitK的重要性。特别是,强调由于其在西方饮食中的可用性相对有限,需要补充VitK2。补充VitK2可有效对抗VC,提高骨密度,并提供神经保护、肝脏保护和抗炎益处。因此,除了膳食摄入外,补充VitK2对于预防性医疗保健至关重要,特别是在预防骨质疏松症和血管疾病方面。纳入充足的VitK2摄入量突出了其在促进整体健康方面的重要性。维生素K在绝经后女性中的作用示意图总结。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/509b/11745727/028c3ee59b9e/jmm-30-152-g001.jpg

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