一项系统性审查支持内分泌学会关于维生素D的临床实践指南
Vishal Paresh Shah1, Tarek Nayfeh1, Yahya Alsawaf1
1Mayo Clinic Evidence-Based Practice Center, Rochester, MN 55905, USA.
The Journal of clinical endocrinology and metabolism
|June 3, 2024
概括
维生素D补充剂可以减少儿童的呼吸道感染,并减缓糖尿病前期患者的糖尿病进展. 高剂量的维生素D可能会增加跌倒,而对于健康成年人的证据是不确定的.
科学领域:
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
- 营养科学 营养科学
背景情况:
- 维生素D水平较低的情况很普遍,并与许多健康状况有关.
- 维生素D对整体健康和疾病预防起着至关重要的作用.
研究的目的:
- 为内分泌学会关于维生素D的临床实践指南提供信息.
- 系统地审查关于维生素D对疾病预防的益处和危害的证据.
主要方法:
- 从37007个引用中对151项研究进行了系统审查.
- 专注于14个临床问题,涉及维生素D对不同年龄组和疾病的影响.
- 使用推评估,开发和评价 (GRADE) 方法进行评级.
主要成果:
- 维生素D可以减少儿童的呼吸道感染,并在糖尿病前期患者中减缓糖尿病的进展.
- 在健康成年人中观察到有限的益处;在75岁以上的成年人中潜在的死亡率降低.
- 与每日低剂量相比,高剂量间歇性维生素D可能会增加跌倒风险.
结论:
- 有证据支持维生素D在特定疾病预防策略中的作用.
- 临床建议需要考虑患者的价值和上下文因素.
- 需要进一步研究维生素D选疗效.
关键词:
25 (((OH) D) D) D) D) D) D) D) D) D) D) D) D) D) D) D) D) D) D) D)内分泌学会内分泌学会这些指导方针是指导方针.系统性审查是系统的审查.维生素D是维生素D的重要组成部分.更多相关视频
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