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肯尼亚的维生素D状况与患乳腺癌风险

Vitamin D status and risk for breast cancer in Kenya.

作者信息

Wasike Ronald, Mobegi Victor, Maina Esther, Makokha Francis, Armstrong Robert, Mbithi Annastacia

机构信息

Department of Surgery, Aga Khan University Hospital, Nairobi, Kenya.

Department of Biochemistry, University of Nairobi, Nairobi, Kenya.

出版信息

J Health Popul Nutr. 2025 Jul 3;44(1):234. doi: 10.1186/s41043-025-00874-7.

Abstract

BACKGROUND

Vitamin D plays a critical role in bone metabolism, calcium regulation, and various cellular processes, including those linked to cancer. The biologically active form, 1,25-dihydroxyvitamin D [1,25(OH)2D], works through the Vitamin D Receptor (VDR). Polymorphisms in VDR and related genes have been associated with cancer risk, including breast cancer. This case-control study aimed to investigate the relationship between serum vitamin D levels and breast cancer among Kenyan women.

METHODS

Serum 25-hydroxyvitamin D [25(OH)D] levels were measured in 112 breast cancer patients and 106 controls using electrochemiluminescence.

RESULTS

Results indicated that 81.2% of participants had deficient or insufficient vitamin D levels, with controls showing slightly higher sufficient levels compared to cases. Although previous studies suggested an association between higher vitamin D levels and reduced breast cancer risk, our findings revealed no significant link between vitamin D levels and various demographic factors, including BMI.

CONCLUSION

The study underscores the need for public awareness about vitamin D supplementation and further research to clarify the role of vitamin D in breast cancer development, particularly in populations with widespread vitamin D deficiency.

摘要

背景

维生素D在骨代谢、钙调节以及包括与癌症相关的各种细胞过程中发挥着关键作用。其生物活性形式1,25 - 二羟基维生素D [1,25(OH)2D] 通过维生素D受体(VDR)起作用。VDR及相关基因的多态性与包括乳腺癌在内的癌症风险相关。这项病例对照研究旨在调查肯尼亚女性血清维生素D水平与乳腺癌之间的关系。

方法

使用电化学发光法测量了112例乳腺癌患者和106例对照者的血清25 - 羟基维生素D [25(OH)D] 水平。

结果

结果表明,81.2%的参与者维生素D水平不足或缺乏,与病例组相比,对照组的充足水平略高。尽管先前的研究表明较高的维生素D水平与降低的乳腺癌风险之间存在关联,但我们的研究结果显示维生素D水平与包括BMI在内的各种人口统计学因素之间没有显著联系。

结论

该研究强调了提高公众对维生素D补充剂的认识以及进一步研究以阐明维生素D在乳腺癌发展中的作用的必要性,特别是在维生素D普遍缺乏的人群中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d22/12224571/305c20e638db/41043_2025_874_Fig1_HTML.jpg

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