维生素D补充可以减缓多发性硬化症中大脑体积的损失吗? 一项为期四年的观察性研究
Weronika Galus1, Mateusz Winder2, Aleksander J Owczarek3
1Department of Neurology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, 40-752 Katowice, Poland.
Nutrients
|July 30, 2025
概括
维生素D补充剂可能会减少多发性硬化症 (MS) 患者的脑缩. 这项观察性研究发现,在36个月的时间内,在补充剂的患者中,脑缩指标的增加较低.
科学领域:
- 神经科学是一个神经科学.
- 免疫学 免疫学 免疫学
- 内分泌学 在内分泌学.
背景情况:
- 维生素D在免疫功能和耐受性中起作用.
- 维生素D缺乏与增加多发性硬化症 (MS) 风险和更糟糕的结果有关.
- 关于维生素D对MS进展的影响的证据是相互矛盾的,对大脑缩的研究有限.
研究的目的:
- 调查维生素D补充剂与复发性复发性多发性硬化症 (MS) 疾病进展之间的关联.
- 具体来说,要检查维生素D补充剂在4年内对大脑缩的影响.
主要方法:
- 一项为期4年的观察性研究,对132名复发性复发性多发性硬化症患者 (97名补充,35名不补充).
- 每年评估复发,残疾 (EDSS),MRI病变和25-氧维生素D水平.
- 在基线和36个月使用2D测量测量脑缩.
主要成果:
- 两组患者在36个月后都出现了大脑缩的增加.
- 没有维生素D补充剂的患者在特定缩指标 (间距离,第三心室宽度,二间距离比率) 中显著增加.
- 维生素D补充剂对其他疾病活动标志物没有影响.
结论:
- 维生素D补充与MS患者脑缩进展的减少有关.
- 需要进一步的随机对照试验来确认维生素D对MS脑缩的影响.
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