每天10和15μg的维生素D剂量之间的药理学差异
Tao You1,2,3, Nadda Muhamad1,2,4, Joseph Jenner1
1Department of Pharmacology and Therapeutics, University of Liverpool, Liverpool, L69 7BE, UK.
通过比较维生素D摄入量,这项研究发现10和15微克/天都有效. 更高的15微克维生素D剂量有助于更多的人更快地达到最佳的25-基维生素D水平.
科学领域:
- 营养科学 营养科学
- 药理动力学 药理动力学
- 公共卫生 公共卫生
背景情况:
- 英国和美国的维生素D摄入量建议有所不同:10微克/天 (英国) 和15微克/天 (美国).
- 了解血清25-基维生素D (25(OH) D) 度概况对于评估维生素D的疗效至关重要.
研究的目的:
- 为了比较10微克/天和15微克/天维生素D剂量之间的血清25...OH) D度概况.
- 根据这些不同摄入水平,预测英国成年人中的25...OH) D水平.
主要方法:
- 使用全球成人试验数据开发了一个基于生理学的药理动力学模型.
- 使用非线性混合效应建模分析维生素D和25(OH) D血清度.
- 该模型用于预测16岁及以上的英国成年人中的25...OH) D水平.
主要成果:
- 一个最小的生理学基础的药理动力学模型,根据体重进行调整,准确地预测了25...OH) D度.
- 模拟表明,95%的英国成年人每天服用10μg,在32周内将达到25±OH) D的50nmol/L.
- 服用15μg/天预测97.5%将在28周内达到50nmol/L.
结论:
- 10微克/天和15微克/天的维生素D剂量都对超过95%的英国人口有效.
- 15微克/天的剂量更有效,使97.5%的英国成年人能够达到50nmol/L血清25(OH) D.
- 更高的剂量还可以更快地达到25nmol/L的门,在4周内.
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