在挪威母亲,父亲和儿童队列中,维生素D摄入量和多发性硬化症风险
Akash Kapali1,2, Anne Kjersti Daltveit1,3, Kjell-Morten Myhr2,4
1Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Journal of neurology, neurosurgery, and psychiatry
|November 28, 2025
概括
更高的维生素D摄入量与患多发性硬化症 (MS) 的风险降低有关. 这项在挪威进行的前性研究表明,维生素D本身,而不仅仅是阳光,可能会影响MS风险.
科学领域:
- 流行病学 流行病学
- 营养科学 营养科学
- 神经学 神经学
背景情况:
- 维生素D水平与多发性硬化症 (MS) 风险相反相关.
- 维生素D与阳光照射在这种关联中的作用仍在争论中.
研究的目的:
- 为了研究总维生素D摄入量与发生性多发性硬化症风险之间的关联,在一个大规模的挪威女性前队列中进行了调查.
- 为了确定食物或补充剂中的维生素D是否对MS风险产生不同影响.
主要方法:
- 对78,074名挪威妇女 (2002-2022) 的前性队列研究.
- 事件MS病例通过与挪威MS登记处的联系确定.
- 维生素D摄入量通过验证的食物频率问卷进行评估;通过考克斯回归进行统计分析.
主要成果:
- 较高的维生素D总摄入量与MS风险降低42%有关 (HR0.58;95% CI 0.38-0.89).
- 在调整了BMI和吸烟等混因素后,关联仍然很重要.
- 对于来自食物和补充剂的维生素D,观察到类似的风险降低.
结论:
- 增加维生素D摄入量与日光诱导的维生素D产量有限的人群中MS风险降低有关.
- 这些发现支持了维生素D在改变多发性硬化风险方面发挥直接作用的假设.
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