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补充维生素D在哮喘治疗中的潜在作用。

The therapeutic potential of vitamin D supplementation in asthma.

作者信息

Krasowski Rafał, Kamińska Katarzyna, Głodek Katarzyna, Ostrowska Joanna, Zajda Klaudiusz, Pawliczak Rafał, Kleniewska Paulina

机构信息

Department of Immunopathology, Faculty of Medicine, Medical University of Lodz, Żeligowskiego 7/9, bldg 2 Rm 177, Łódź, 90-752, Poland.

出版信息

Pharmacol Rep. 2025 May 20. doi: 10.1007/s43440-025-00734-5.

Abstract

Recent years have seen a search for more effective forms of asthma therapy, with one possible option being vitamin D supplementation. The main objective of this study was to present the current state of knowledge on the effect of vitamin D supplementation on the course of asthma in children and adults; it also reviews the existing literature on prenatal vitamin D supplementation and asthma status. The search comprised articles, mostly randomized controlled trials (RCTs), included in the PubMed database and published after 2018. Most RCTs conducted on children indicate that vitamin supplementation did not affect the course of the disease, its control, or exacerbations; however, several trials in adults confirm it to have beneficial effects, with an important role being played by vitamin D deficiency. Unfortunately, the studies demonstrated considerable heterogeneity concerning the age and number of participants, dose, duration, and use of guidelines for pharmaceutical drugs, making it difficult to draw clear conclusions. Further, properly designed, large-scale studies with long-term follow-ups are needed.

摘要

近年来,人们一直在寻找更有效的哮喘治疗方法,补充维生素D是一种可能的选择。本研究的主要目的是介绍目前关于补充维生素D对儿童和成人哮喘病程影响的知识现状;它还回顾了关于产前补充维生素D与哮喘状况的现有文献。检索范围包括2018年后发表在PubMed数据库中的文章,主要是随机对照试验(RCT)。大多数针对儿童进行的RCT表明,补充维生素D对疾病进程、控制或加重情况没有影响;然而,一些针对成人的试验证实其具有有益效果,维生素D缺乏起着重要作用。不幸的是,这些研究在参与者的年龄和数量、剂量、持续时间以及药物使用指南方面存在相当大的异质性,难以得出明确结论。此外,需要进行设计合理、长期随访的大规模研究。

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