维生素D缺乏对骨和骨外作用研究进展
Research progress in the effect of vitamin D deficiency on skeletal and extraskeletal health
  
DOI:10.3969/j.issn.1006-7108.2020.01.022
中文关键词:  维生素D缺乏  骨和骨外作用  骨质疏松
英文关键词:vitamin D deficiency  skeletal and extraskeletal effects  osteoporosis
基金项目:国家自然科学基金项目(81674004,81673786);广东省科技计划项目(2016A020216024,2016ZC0096)
作者单位
马江涛1 柴爽1 万雷2 黄宏兴2* 1.广州中医药大学广东 广州 510405 2.广州中医药大学第三附属医院广东 广州 510375 
摘要点击次数: 687
全文下载次数: 597
中文摘要:
      维生素D缺乏作为一种在人群中发病率较高的疾病,日益受到人们的广泛关注。维生素D缺乏的主要诊断指标是血清25-羟维生素D水平。大量研究表明,维生素D缺乏不仅可以引起体内钙磷代谢障碍、佝偻病、软骨病和骨质疏松性骨折等骨骼系统疾病,而且还可能引起癌症、免疫系统疾病、心血管疾病、代谢性疾病(2型糖尿病和肥胖症)、肌肉功能障碍和跌倒等其他骨外系统疾病。维生素D缺乏对骨骼系统的作用,目前学术界已形成共识,然而维生素D缺乏对骨外系统的作用,目前学术界存在较大争议。笔者就维生素D缺乏对骨和骨外作用的研究进展进行全面介绍,探讨维生素D具有广泛作用的可能机理。初步阐述维生素D缺乏对骨和骨外系统的作用,不仅为研究维生素D缺乏对骨和骨外作用及可能机理提供新的研究思路,而且为防治维生素D缺乏的相关疾病提供新的临床思路。尽管目前对维生素D缺乏的骨外作用观点不一,但有充分证据表明补充适量的维生素D有助于身体健康。
英文摘要:
      Vitamin D deficiency, as a disease with high morbidity in the population, has attracted more and more attention. The main diagnostic index of vitamin D deficiency is serum 25-hydroxyvitamin D level. Numerous studies have shown that vitamin D deficiency not only causes skeletal system diseases such as calcium and phosphorus metabolic disorders, rickets, osteomalacia, and osteoporotic fractures, but also causes cancer, immune system diseases, cardiovascular diseases, metabolic diseases (type 2 diabetes mellitus and obesity), muscle dysfunction, falls, and other extraskeletal system diseases. The effect of vitamin D deficiency on the skeletal system has been widely recognized in the academic circles. However, the effect of vitamin D deficiency on the extraskeletal system is still controversial in the academic circles. In this review, the research progress of vitamin D deficiency on skeletal and extraskeletal effects is comprehensively introduced, and the possible mechanism of vitamin D is discussed. The exploration of the effect of vitamin D deficiency on skeletal and extraskeletal system not only provides new research ideas for studying the possible mechanisms of vitamin D deficiency on skeletal and extraskeletal system, but also provides new clinical ideas for preventing and treating diseases related to vitamin D deficiency. Although there are different opinions on the extraskeletal effects of vitamin D deficiency, there is ample evidence that adequate vitamin D supplementation contributes to good health.
查看全文  查看/发表评论  下载PDF阅读器
关闭
function PdfOpen(url){ var win="toolbar=no,location=no,directories=no,status=yes,menubar=yes,scrollbars=yes,resizable=yes"; window.open(url,"",win); } function openWin(url,w,h){ var win="toolbar=no,location=no,directories=no,status=no,menubar=no,scrollbars=yes,resizable=no,width=" + w + ",height=" + h; controlWindow=window.open(url,"",win); } &et=FC9DA7BF2F842A3BAE24B54F70914FE6BE46A02E5D59CB9198C0B557B5C5FD3A2DC1777415DB9C39BFDD993CCB06279DE4F830817E2A725B09B94F1C1D10C9B1BD88DA013D0D198B7A43AA203AD52ECF42BA218FE8EFD8B608FB23E11AD42D6F&pcid=A9DB1C13C87CE289EA38239A9433C9DC&cid=527A01A248DACB72&jid=CA678592D11E309E8E3FB3B2BFE9BE1A&yid=0D1D160AB8016934&aid=5A76E18CB3C3906C74BCDE5914844A9C&vid=&iid=CA4FD0336C81A37A&sid=91C9056D8E8856E0&eid=A63576421B012172&fileno=20200122&flag=1&is_more=0"> var my_pcid="A9DB1C13C87CE289EA38239A9433C9DC"; var my_cid="527A01A248DACB72"; var my_jid="CA678592D11E309E8E3FB3B2BFE9BE1A"; var my_yid="0D1D160AB8016934"; var my_aid="5A76E18CB3C3906C74BCDE5914844A9C";