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维生素 D 与呼吸系统疾病:在 2023 年 10 月 15 日作为演讲发表的第 11 届 I.C. Verma 儿科医生卓越研究奖上的演讲内容。

Vitamin D and Respiratory Diseases : Based on 11th Dr. I. C. Verma Excellence in Research Award for Young Pediatricians Delivered as Oration on 15th Oct. 2023.

机构信息

Department of Pediatrics, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.

出版信息

Indian J Pediatr. 2024 Jan;91(1):67-72. doi: 10.1007/s12098-023-04904-2. Epub 2023 Nov 10.

Abstract

The significance of Vitamin D has been appreciated beyond bone health and calcium metabolism. The importance of Vitamin D in respiratory health has been recognized due to its immunomodulatory and anti-microbial properties. The hypothesis is that Vitamin D could have a significant role in the pathogenesis of respiratory diseases and may represent a novel preventive and therapeutic strategy. Furthermore, enumerable observational studies established the association of Vitamin D deficiency with respiratory diseases such as asthma, bronchiolitis, pneumonia, tuberculosis, etc. However, experimental studies have not shown the encouraging results. This brief review will summarize and discuss the synthesis and metabolism of Vitamin D, the prevalence of Vitamin D deficiency in children, its role in the pathogenesis of various childhood respiratory diseases, and an overview of the therapeutic trials assessing the role of Vitamin D supplementation in childhood respiratory diseases.

摘要

维生素 D 的意义不仅在于骨骼健康和钙代谢。由于其免疫调节和抗微生物特性,维生素 D 在呼吸道健康中的重要性已得到认可。有假说认为,维生素 D 可能在呼吸道疾病的发病机制中起重要作用,并可能代表一种新的预防和治疗策略。此外,无数观察性研究已经确定了维生素 D 缺乏与哮喘、细支气管炎、肺炎、结核病等呼吸道疾病之间的关联。然而,实验研究并未显示出令人鼓舞的结果。这篇简要综述将总结和讨论维生素 D 的合成和代谢、儿童维生素 D 缺乏的流行情况、其在各种儿童呼吸道疾病发病机制中的作用,以及评估维生素 D 补充在儿童呼吸道疾病中的作用的治疗试验概述。

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