对口服维生素D补充剂的反应中的种族差异:系统性审查和元分析
Sumayah Abdul-Jabbar1, Chukwuebuka Nebechi2, Graham R McClelland2
1Institute of Pharmaceutical Science, Faculty of Life Science & Medicine, King's College London, London SE1 9NH, United Kingdom.
种族显著影响个人对口服维生素D补充剂的反应. 这次元分析发现,不同种族群体的维生素D血液水平有不同的增加,这表明个性化剂量可能是有益的.
科学领域:
- 营养科学 营养科学
- 遗传学和基因组学 在
- 公共卫生 公共卫生
背景情况:
- 口服维生素D补充剂反应的个体变异性尚未得到充分理解.
- 种族已被涉及,但没有很好地描述为这种变化的一个因素.
研究的目的:
- 系统地评估种族对口服维生素D补充剂反应的影响.
主要方法:
- 从1960年到2020年发表的18项研究 (1131名参与者) 的系统审查和元分析.
- 提取和分析了血清25(OH) D3水平的数据,并按种族分组.
- 剂量和BMI被正常化为共变量;度并不重要.
主要成果:
- 种族显著影响了剂量和BMI调整后的血清中位25(OH) D3水平 (P < .00001,I2 = 98%).
- 与阿拉伯和黑人参与者 (37 nmol/L和99 nmol/L) 相比,亚洲人和白人参与者显示出更高的增加 (183 nmol/L和173 nmol/L).
- 敏感性分析证实,研究结果对于研究偏见和移民人口来说是强有力的.
结论:
- 种族是影响口服维生素D反应的重要因素.
- 需要进一步的研究来确定是否基于种族的剂量分层在临床实践和试验中是合理的.
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