维生素D对癌症发病率和死亡率的影响:系统性审查
1CardioMetabolic & Endocrine Institute, North Brunswick, NJ, USA.
Nutrients
|July 30, 2025
概括
适当的维生素D水平对健康至关重要. 维持足够的维生素D (25-氧维生素D) 显著降低癌症风险和死亡率,尽管最近的一些有缺陷的试验表明相反.
科学领域:
- 营养科学 营养科学
- 在瘤学瘤学.
- 预防医学 预防医学
背景情况:
- 维生素D对于许多生理过程至关重要,包括免疫功能和DNA修复.
- 由于摄入量不足和有限的阳光照射,普遍存在的维生素D缺乏症仍然存在.
- 维生素D补充是维持足够水平的成本有效策略.
研究的目的:
- 系统地审查有关维生素D在癌症风险和死亡率降低中的作用的证据.
- 探索维生素D可以预防癌症的机制.
- 评估来自观察性研究和随机对照试验的证据质量.
主要方法:
- 按照PRISMA和PICOS指南进行系统审查.
- 从调查维生素D和癌症的各种研究中综合证据.
- 对维生素D作用的基因组和非基因组机制的分析.
主要成果:
- 血清25-基维生素D水平与许多癌症类型的发病率,转移和死亡率之间存在显著的反向关系.
- 预防癌症的最佳血清25-基维生素D水平在40 ng/mL (100 nmol/L) 以上.
- 维生素D通过抗炎和信号通路发挥保护作用,超出其基因组作用.
结论:
- 观察性研究强烈支持维生素D对抗癌症的保护作用.
- 最近的大型随机对照试验显示没有益处是有缺陷的,由于研究设计问题.
- 经过精心设计的试验证实,适当的维生素D补充剂有效降低了癌症风险和死亡率.
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