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维生素D补充:不同临床环境下的实用建议

Vitamin D Supplementation: Practical Advice in Different Clinical Settings.

作者信息

Bendotti Giulia, Biamonte Emilia, Leporati Paola, Goglia Umberto, Ruggeri Rosaria Maddalena, Gallo Marco

机构信息

Endocrinology and Metabolic Diseases Unit, SS. Antonio e Biagio e Cesare Arrigo Teaching Hospital, 15121 Alessandria, Italy.

Endocrinology and Diabetology Unit, Local Health Authority CN1, 12100 Cuneo, Italy.

出版信息

Nutrients. 2025 Feb 24;17(5):783. doi: 10.3390/nu17050783.

Abstract

A global deficiency in vitamin D is now widely prevalent. Extensive scientific research has provided compelling evidence of the detrimental effects of vitamin D deficiency on the skeletal system. Furthermore, vitamin D supplementation not only helps prevent bone fractures but may also slow the progression of various conditions, such as diabetes, autoimmune disorders, and cardiovascular disease. Achieving optimal circulating vitamin D levels can be challenging, particularly in certain clinical scenarios. Moreover, the effect of vitamin D supplementation varies depending on factors such as body weight, pregnancy status, absorption capacity, metabolic rate, and renal function. This review aims to explore which vitamin D formulations are most effective in specific clinical contexts where reaching adequate vitamin D levels may not be straightforward.

摘要

目前,维生素D全球缺乏现象广泛存在。大量科学研究已提供了确凿证据,证明维生素D缺乏对骨骼系统具有有害影响。此外,补充维生素D不仅有助于预防骨折,还可能减缓各种疾病的进展,如糖尿病、自身免疫性疾病和心血管疾病。达到最佳循环维生素D水平可能具有挑战性,尤其是在某些临床情况下。此外,补充维生素D的效果因体重、妊娠状态、吸收能力、代谢率和肾功能等因素而异。本综述旨在探讨在达到足够维生素D水平可能并非易事的特定临床背景下,哪种维生素D制剂最为有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94bf/11901608/1b8494a3e4bb/nutrients-17-00783-g001.jpg

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