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Isr Med Assoc J:以色列住院医师的维生素D水平

2017-07-27 MedSci MedSci原创

以色列是一个气候温和的国家,然而,在阳光照射不足的人群中,维生素D缺乏和不足是非常常见的。医疗中心里的住院医师大部分时间为室内工作,因此理论上来说接受阳光照射的机会受到了很大的限制。

以色列是一个气候温和的国家,然而,在阳光照射不足的人群中,维生素D缺乏和不足是非常常见的。医疗中心里的住院医师大部分时间为室内工作,因此理论上来说接受阳光照射的机会受到了很大的限制。

本研究旨在评估特拉维夫某医疗中心住院医师维生素D水平是否低于正常范围。

来自三个不同领域(内科、普通外科/妇产科、儿科)的46名住院医师(28名女性,18名男性,平均年龄33.9±2.8岁)被纳入研究。通过问卷调查获得人口统计数据、个人生活方式、体力活动细节和太阳照射时间。使用放射免疫分析法测定血清25(OH)D的水平。

结果显示:平均血清25(OH)D浓度为29.8±5.8ng/ml。根据医学研究所的定义的参考值,结果显示无住院医师患有维生素D缺乏,其中只有2名受试者(4%)为维生素D不足(15ng/ml),不同领域的住院医师25(OH)D水平无明显差异。25(OH)D水平与太阳照射持续时间和后代数量有关(回归分析:R2=9.2%,p<0.04,R2=8.9%,p<0.04),但与营养、血液生化检查结果或体力活动程度无关。

大多数的住院医师25(OH)D水平正常或接近正常的,表明住院医师实施计划本身并没有造成维生素D缺乏的严重风险。

原始出处:

Moran-Lev H1,2, Mandel D3,2, et al. Vitamin D Status among Israeli Medical Residents. Isr Med Assoc J. 2017 Jun;19(6):341-344.

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    2017-10-24 jyzxjiangqin

    以色列住院医师的维生素D水平.

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    2017-09-15 jyzxjiangqin

    以色列住院医师的维生素D水平.

    0

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    2017-09-04 jyzxjiangqin

    以色列住院医师的维生素D水平.

    0

  4. 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GetPortalCommentsPageByObjectIdResponse(id=1607888, encodeId=d8b7160e8882e, content=<a href='/topic/show?id=eb6b1145939' target=_blank style='color:#2F92EE;'>#Med#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11459, encryptionId=eb6b1145939, topicName=Med)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=552a19396740, createdName=ms3994565386320060, createdTime=Fri Jul 28 23:54:00 CST 2017, time=2017-07-28, status=1, ipAttribution=)]
    2017-08-13 jyzxjiangqin

    以色列住院医师的维生素D水平。

    0

  5. 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    2017-07-31 ylzr123

    认真学习,把间接经验应用到临床实践中去,然后再总结出新思路。给点赞啦

    0

  6. 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    2017-07-29 虈亣靌

    厉害厉害……学习了

    0

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GetPortalCommentsPageByObjectIdResponse(id=1607888, encodeId=d8b7160e8882e, content=<a href='/topic/show?id=eb6b1145939' target=_blank style='color:#2F92EE;'>#Med#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11459, encryptionId=eb6b1145939, topicName=Med)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=552a19396740, createdName=ms3994565386320060, createdTime=Fri Jul 28 23:54:00 CST 2017, time=2017-07-28, status=1, ipAttribution=)]
    2017-07-29 大爰

    学习并分享!!

    0

  8. 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    2017-07-28 saikp
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最近发表在《the Journal of Investigative Dermatology》期刊的一项研究显示,在晒伤后1小时服用大剂量的维生素D可显着减少皮肤发红、肿胀和发炎。

重复:Lancet Diabetes Endo:每月高剂量维生素D补充能否预防跌倒和非椎体骨折?

血中25-羟维生素D水平较低与跌倒和骨折风险增加相关。但是,在一般人群中,补充大剂量维生素D能否降低跌倒和骨折的风险?2017年6月,发表在《Lancet Diabetes Endocrinol》的一项由英国、新西兰和美国科学家进行的随机、双盲、安慰剂对照的ViDA研究,其次要结局考察了每月高剂量维生素D补充对跌倒和非椎体骨折的影响。

Oncotarget:维生素D缺乏通过激发肝细胞中的氧化应激引起胰岛素抵抗

胰岛素抵抗是指各种原因使胰岛素促进葡萄糖摄取和利用的效率下降,机体代偿性的分泌过多胰岛素产生高胰岛素血症,以维持血糖的稳定。胰岛素抵抗易导致代谢综合征和2型糖尿病。研究表明,维生素D缺乏可导致胰岛素抵抗。维生素D3是维生素D在人体内主要的活性形式,1α-羟化酶是激活维生素D3合成的关键酶。发表于Oncotarget的一篇文章中,研究人员发现,维生素D缺乏诱导的胰岛素抵抗与肝细胞氧化应激有关。

J Nutr Health Aging:天坛医院研究称,卒中患者若维生素D不足,复发和死亡风险增加

北京天坛医院赵继宗院士等开展的一项2年随访研究提示,对于缺血性卒中患者,血清维生素D水平高一点比较好,血清维生素D水平较低的患者卒中复发和死亡的风险明显升高。 该研究对216例缺血性卒中患者随访了2年,卒中复发率为18.5%,死亡率为30.1%。 研究者指出,该研究表明,维生素D可能是我国缺血性卒中患者的独立保护因素。维生素D缺乏导致卒中复发和死亡风险升高的机制尚不明确。 校正已知危险因素后

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