婴儿维生素D补充方案的比较疗效:系统性审查和网络元分析
Thangaraj Abiramalatha1,2, Viraraghavan Vadakkencherry Ramaswamy3, Sivam Thanigainathan4
1KMCH Institute of Health Sciences and Research (KMCHIHSR), Coimbatore, Tamil Nadu, India.
The British journal of nutrition
|September 16, 2024
概括
建议婴儿常规补充维生素D,但最佳剂量仍在争论中. 每天400-600 IU的剂量似乎是预防婴儿维生素D不足的最有效和最安全剂量.
科学领域:
- 儿科 儿科 儿科
- 营养科学 营养科学
- 公共卫生 公共卫生
背景情况:
- 维生素D缺乏症在婴儿中很常见,需要进行例行预防.
- 对新生儿的最佳维生素D补充剂剂量和持续时间仍在讨论中.
研究的目的:
- 为了比较各种维生素D补充方案的有效性和安全性,在期末和晚期早产新生儿中.
- 为婴儿确定最有效和最安全的维生素D剂量.
主要方法:
- 随机和准随机试验的系统审查和网络元分析.
- 搜索了MEDLINE,Cochrane中央注册表和Embase的6周内肠道维生素D补充试验.
- 用于数据合成的贝叶斯随机效应模型;证据确定性的GRADE标准.
主要成果:
- 所有治疗方案≥400 IU/day均增加了与没有治疗相比,血清中平均25 (((OH) D水平.
- 补充剂≤250 IU/天或1400 IU/周没有显著增加水平.
- 每天≥800 IU的剂量增加了维生素D和高血的风险;建议每天400-600 IU是最佳的.
结论:
- 维生素D补充剂每天400-600 IU可能是婴儿最有效和最安全的.
- 较高剂量 (≥800 IU/天) 存在风险,而较低剂量 (≤250 IU/天) 可能不足.
- 需要更多关于主要临床结果的数据.
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