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印度维生素D缺乏症的预防与治疗:专家组共识

Prevention and Treatment of Vitamin D Deficiency in India: An Expert Group Consensus.

作者信息

Kalra Sanjay, Zargar Abdul H, Das Ashok K, Baidya Arjun, Dasgupta Arundhati, Selvan Chitra, Bantwal Ganapathi, Kapoor Nitin, Lakhani Om J, Agarwal Pankaj K, Bajaj Sarita, Sarathi Vijaya

机构信息

Department of Endocrinology, Bharti Hospital, Karnal, Haryana, India.

University Centre for Research and Development, Chandigarh University, Mohali, Punjab, India.

出版信息

Indian J Endocrinol Metab. 2025 Jan-Feb;29(1):13-26. doi: 10.4103/ijem.ijem_264_24. Epub 2025 Feb 28.

Abstract

Vitamin D deficiency is highly prevalent in India, yet no standardized guidelines exist for classifying vitamin D status or its prevention and treatment. Even more, there is no consensus specific to vitamin D supplementation for the Indian population, and there are inconsistencies in the cut-off values for deficiency, severe deficiency, and insufficiency across various guidelines, which this evidence-based consensus seeks to resolve, thus guiding healthcare professionals in identifying, preventing, and managing vitamin D deficiency. An expert group of 41 endocrinologists from across India developed the consensus using the DELPHI method, achieving over 90% agreement on all recommendations. The consensus defines vitamin D deficiency, severe deficiency, and insufficiency, recommending supplementation strategies to maintain physiological 25(OH) D levels of 40-60 ng/mL (100-150 nmol/L). Tailored treatment regimens for neonates, infants, children, adolescents, adults, the elderly, pregnant and lactating women, and individuals with co-morbid conditions are provided to ensure optimal health for all age groups in India.

摘要

维生素D缺乏在印度极为普遍,但目前尚无用于分类维生素D状态及其预防和治疗的标准化指南。更有甚者,对于印度人群维生素D补充剂的使用,尚无具体共识,且不同指南中关于维生素D缺乏、严重缺乏和不足的临界值存在不一致之处,本循证共识旨在解决这些问题,从而指导医疗保健专业人员识别、预防和管理维生素D缺乏。来自印度各地的41名内分泌学家组成的专家小组采用德尔菲法制定了该共识,所有建议的达成率超过90%。该共识对维生素D缺乏、严重缺乏和不足进行了定义,推荐了补充策略以维持生理25(OH)D水平在40 - 60 ng/mL(100 - 150 nmol/L)。针对新生儿、婴儿、儿童、青少年、成年人、老年人、孕妇和哺乳期妇女以及患有合并症的个体,提供了量身定制的治疗方案,以确保印度所有年龄组的最佳健康状态。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25e6/11964374/693e0d736354/IJEM-29-13-g001.jpg

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