患有囊性纤维化儿科患者的持续维生素D缺乏症
Magali Reyes-Apodaca1, José L Lezana-Fernández2, Rodrigo Vázquez Frias2
1Faculty of Medicine, National Autonomous University of Mexico, 3004 Universidad Ave, Mexico City 04510, Mexico.
Nutrients
|June 13, 2025
概括
维生素D缺乏在儿科囊性纤维化 (CF) 患者中仍然很常见. 每日摄入量超过2000 IU可能会改善这些人的维生素D水平.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 肺部病理学 肺部病理学
- 营养科学 营养科学
背景情况:
- 囊性纤维化 (CF) 是一种影响多个系统的遗传性疾病.
- 维生素D缺乏在CF患者中很普遍,尽管有补充方案.
- 低维生素D水平与CF中增加的呼吸道感染和肺部恶化有关.
研究的目的:
- 调查儿童CF患者中维生素D缺乏症的患病率.
- 分析维生素D补充剂剂量与血清维生素D水平之间的关系.
- 为了确定这个人群的最佳维生素D摄入水平.
主要方法:
- 横截面分析研究设计.
- 包括48名儿科CF患者.
- 收集血清维生素D水平,维生素D摄入量和胰腺酶剂量数据.
主要成果:
- 41.7%的维生素D水平正常,31.3%的维生素D不足,27%的维生素D缺乏.
- 维生素D的中位数摄入量为2050 IU.
- 每日摄入量>2000 IU显示出维生素D水平的统计学上显著差异;只有10%的患者在较低剂量时达到>30 ng/mL.
结论:
- 维生素D缺乏/不足是儿科CF的一个持续问题.
- 当前的补充计划可能需要改进.
- 建议每天服用2000 IU维生素D作为补充剂的有效起点.
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