维生素D2补充对25-基维生素D3状态的影响:随机对照试验的系统审查和元分析
Emily I G Brown1, Andrea L Darling1, Tracey M Robertson1
1Discipline of Nutrition, Exercise, Chronobiology and Sleep, School of Biosciences, Faculty of Health and Medical Sciences, University of Surrey, Guildford, GU2 7XH, United Kingdom.
Nutrition reviews
|September 19, 2025
概括
维生素D2补充剂显著降低血清25-氧维生素D3 [25(OH) D3]水平. 这一元分析表明,维生素D2可能会增加25(OH) D3的代谢清除,影响维生素D的建议.
科学领域:
- 内分泌学 在内分泌学.
- 营养科学 营养科学
- 代谢过程中的代谢.
背景情况:
- 维生素D2和维生素D3之间存在代谢活性的差异.
- 有证据表明,维生素D2补充剂可能会增加25-氧维生素D3的代谢清除[25(OH) D3].
研究的目的:
- 系统地审查和元分析维生素D2补充对血清25(OH) D3度的影响.
主要方法:
- 随机对照试验的系统审查和元分析.
- 从1975年1月到2023年2月的PUBMED数据库搜索.
- 包括20篇文章,其中11篇适合进行元分析.
主要成果:
- 与对照组相比,维生素D2补充剂导致血清25(OH) D3度在统计学上显著降低.
- 试验结束时的数据显示平均差异为-17.99nmol/L (95% CI, -25.86至 -10.12).
- 在试验中的绝对变化显示了平均差异为 -9.25 nmol/L (95% CI, -14.40 到 -4.10).
结论:
- 维生素D2补充导致血清25(OH) D3水平降低.
- 一个潜在的监管机制增加25(OH) D处置率可以解释这些发现.
- 需要进一步的研究来确定在临床推中是否更喜欢维生素D3而不是D2.
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