与维生素B12缺乏症相关的危险因素和并发症 在成年人群中
Alexandra Lane1,2, Lucinda Lau1, Christy Alhannat1
1Cooper Medical School of Rowan University, Camden, NJ, USA.
Journal of primary care & community health
|July 28, 2025
概括
维生素B12缺乏 (B12D) 与许多健康状况和人口因素有关. 年龄较小,女性性别,以及某些相关疾病,如贫血和认知障碍与B12D显著相关.
科学领域:
- 内部医学 内部医学
- 营养科学 营养科学
- 老年病的医生 老年病的医生
背景情况:
- 维生素B12缺乏 (B12D) 存在各种风险因素和并发症.
- 目前缺乏针对风险人群的查指南.
- 识别这些关联对于积极的患者管理至关重要.
研究的目的:
- 在成年人群中调查与维生素B12缺乏相关的风险因素和并发症.
- 提供可能为未来B12D.查指南提供信息的数据.
主要方法:
- 从2011年到2020年,在一个大型城市三级医疗保健系统中对成年患者进行了回顾性审查.
- 诊断出B12D的患者与没有B12D缺乏症 (NoB12D) 的患者之间的变量比较.
主要成果:
- 患有B12D的患者比NoB12D组年轻得多.
- 与B12D更高的关联包括女性性别,黑人和西班牙裔种族,娱乐性药物使用和众多并发症 (例如,贫血,认知障碍,胃肠道问题,呼吸系统疾病).
- 使用质子抑制剂 (PPI) 和非类固醇抗炎药物 (NSAID) 也与增加B12D的几率有关.
结论:
- 年龄较小,女性性别,少数民族种族和特定的医疗状况与维生素B12缺乏有关.
- 伴随性疾病,如贫血,神经,认知和胃肠道疾病显著增加风险.
- 药物使用,包括PPI和NSAID,也是一个值得注意的相关因素.
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