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在超重儿童中发现隐藏的维生素D缺乏
1Pediatric Outpatient Clinic, Department of Medicine, Helgeland Hospital, Alstahaug (Sandnessjøen) NO-8800, Nordland, Norway. chandev@gmail.com.
World journal of clinical pediatrics
|November 19, 2025
概括
由于饮食和阳光照射之外的复杂因素,肥胖儿童经常出现维生素D缺乏. 个性化,可能需要更高的剂量来纠正这种功能缺陷并改善健康.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 营养科学 营养科学
- 代谢健康 代谢健康
背景情况:
- 超重和肥胖儿童的维生素D缺乏率很高.
- 传统的缺陷解释不足以解释这个群体的流行情况.
研究的目的:
- 审查儿童肥胖症中维生素D缺乏的多因素病理生理学.
- 突出目前诊断和治疗指南的局限性.
- 强调个性化干预的必要性.
主要方法:
- 文献综述综合了当前对维生素D代谢和儿童肥胖症缺陷的理解.
- 对封存,代谢改变,生物可用性和炎症的新兴证据的分析.
- 评估当前的诊断标准和补充指南.
主要成果:
- 肥胖儿童的维生素D缺乏症涉及复杂的机制,如脂肪组织的封存,肝脏代谢的改变和炎症诱导的抵抗.
- 这些因素导致功能缺陷,血清水平可能不反映真正的维生素D状态.
- 肥胖会影响维生素D结合蛋白,受体表达和信号通路,影响生物活动.
结论:
- 目前的指导方针可能导致儿童肥胖症中维生素D缺乏的诊断不足和治疗不足.
- 个性化的方法,包括更高的,根据身体组成调整的剂量和考虑炎症状态,是有希望的.
- 需要进一步的儿科特异性临床试验来验证高剂量补充策略.
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