维生素D可以改善刺激性肠综合征的症状:元分析
Chenxi Yan1, Chenmin Hu1, Xiaolong Chen1
1Pediatric Endoscopy Center and Department of Gastroenterology, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, National Children's Regional Medical Center, 3333 Bin Sheng Road, Hangzhou, 310052, Zhejiang, China.
维生素D补充剂可能有助于减少患有刺激性肠综合征 (IBS) 的患者的胃肠症状. 这次元分析发现,用维生素D对IBS症状严重性得分有显著的改善.
科学领域:
- 胃肠病学 胃肠病学
- 营养科学 营养科学
- 临床研究 临床研究
背景情况:
- 刺激性肠综合征 (IBS) 影响全球5%-10%的人口,造成了相当大的负担.
- 新兴研究表明,维生素D补充剂可以缓解IBS症状,但有力的证据有限.
研究的目的:
- 在IBS患者中进行元分析,评估维生素D补充剂在控制胃肠道 (GI) 症状中的有效性.
主要方法:
- 在PubMed,Embase和Cochrane控制试验中央注册表中进行了系统的文献搜索,直到2022年3月.
- 六项随机对照试验 (RCT) 涉及572名患者被纳入了分析.
- 统计分析使用了加权平均差异 (WMD) 和95%置信区间 (CI),其显著性设置为P <0.05.
主要成果:
- 随着维生素D补充,IBS症状严重性得分显著降低 (WMD, -34.88; 95% CI, -62.48至 -7.27; P = 0.013).
- 在IBS生活质量得分中没有发现显著差异 (WMD, 3.33;95% CI, -5.12至 -11.77;P = 0.440).
结论:
- 维生素D补充剂显示出作为减少IBS患者胃肠道症状的有效干预措施的潜力.
- 进一步的研究可能是合理的,以探索其对生活质量的影响.
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