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骨肉类肥胖症和维生素D状态:对当前证据的全面审查
Amanda Moreira Veloso Cutrim1, Maísa Miranda Araújo1, Patrícia Borges Botelho1,2
1Department of Nutrition, Graduate Program in Human Nutrition, University of Brasilia (UnB), 70910-900 Brasília, Brazil.
Nutrition reviews
|June 26, 2025
概括
维生素D水平较低与骨和骨质疏松性脂肪性 (OSA) 有关,这种疾病结合了肥胖,骨疏松症和骨质疏松症. 需要进一步的研究来证实这一关联,并探索维生素D补充剂用于OSA管理.
科学领域:
- 内分泌学和新陈代谢学
- 老年学是一门学科.
- 营养科学 营养科学
背景情况:
- 骨髓质肥胖症 (OSA) 的特点是同时存在肥胖,骨髓质衰竭和骨质疏松症.
- 维生素D在OSA的发展和进展中的作用尚不清楚,研究结果分歧.
- 目前对维生素D和OSA的研究有限,这阻碍了全面的系统审查.
研究的目的:
- 进行综合性审查,检查维生素D状态 (饮食摄入量和血清水平) 与骨和骨肥胖之间的关系.
- 综合当前关于维生素D如何影响OSA及其相关代谢影响的证据.
- 确定有关维生素D和OSA的文献中的空白.
主要方法:
- 使用PubMed/MEDLINE数据库进行文献搜索.
- 包括的研究包括7项横截面研究,1项范围审查和8项综合性审查.
- 总共分析了16项研究,以提供全面的概述.
主要成果:
- 观察性研究始终表明,低维生素D水平与OSA之间存在关联.
- 这种关联在女性和老年人中显得尤为明显.
- 该审查发现,OSA缺乏标准化诊断标准,OSA维生素D补充剂临床试验稀缺.
结论:
- 较低的维生素D水平与骨髓质肥胖症有关,特别是在脆弱人群中.
- 对OSA进行标准化诊断方法的急需非常大.
- 需要进行进一步的大规模临床试验,以调查维生素D补充剂在治疗OSA和改善患者治疗结果方面的疗效.
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