维生素D摄入对上班族生活质量参数的影响

A. Sharman, S. Adambekov, A. A. Imandosova, G. F. Elemesova
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摘要

目的:研究上班族维生素D缺乏症的患病率,分析治疗结果,包括生活质量评估。材料和方法。一项观察性非介入性横断面、队列、前瞻性IV期临床研究纳入了151名年龄在18-44岁的办公室工作人员,他们服用维生素D水溶液,在治疗前后测量患者血液中25(OH)D的浓度。治疗的持续时间,取决于缺乏的程度,是4或8周。采用SF-36量表评估患者的生理和心理状态。75.5%的研究参与者被检测出维生素D不足或缺乏。维生素D治疗前后血清25(OH)D平均含量差异有统计学意义。血清中维生素D水平(以其代谢物25(OH)D的含量衡量)<30 ng/ml被认为是次优,即维生素D不足,<20 ng/ml -被认为是维生素D缺乏(p<0.0001)。SF-36评分显示,在补充维生素D后,维生素D缺乏症患者的整体健康、身体功能和疼痛都有了统计学上的显著改善。多元线性回归表明,血清25(OH)D水平与每周摄入少于一次的富含维生素D的食物有关。维生素D缺乏症在办公室工作人员中非常普遍:75.5%的人维生素25(OH)D水平低于30纳克/毫升。维生素D缺乏症可以通过服用这种维生素得到纠正。补充维生素D有助于改善身心健康指标。血清25(ОН)D水平与富含维生素D的食物的摄入量和维生素D治疗的持续时间有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect of vitamin D intake on quality of life parameters in office workers
Objective: to study the prevalence of vitamin D deficiency and analyze the results of therapy in office workers, including an assessment of the quality of life.Material and methods. An observational non-interventional cross-sectional, cohort, prospective phase IV clinical study included office workers (151 people, age 18–44 years), who were prescribed an aqueous solution of vitamin D. The concentration of 25(OH)D in the blood of patients was measured before and after undergoing treatment. The duration of therapy, depending on the degree of deficiency, was 4 or 8 weeks. The SF-36 scale was used to assess the physiological and psychological status.Results. In 75.5% of the study participants, a insufficiency or deficiency of vitamin D was detected. Differences in the average content of 25(OH)D in blood serum before and after treatment with vitamin D were statistically significant. The level of vitamin D in blood serum, measured by the content of its metabolite 25(OH)D <30 ng/ml, is regarded as suboptimal, i.e. its insufficiency occurs, and <20 ng/ml – as vitamin D deficiency (p<0.0001). The SF-36 score showed significant statistically significant improvements in overall health, physical functioning, and pain in individuals with vitamin D deficiency after vitamin D supplementation. The use of multiple linear regression demonstrated an association of serum 25(OH)D levels with vitamin D-rich foods taken less than once a week.Conclusions. Vitamin D deficiency is very common among office workers: 75.5% had D 25(OH)D levels below 30 ng/ml. Vitamin D deficiency is corrected by taking this vitamin. Vitamin D supplementation helps to improve physical and mental health indicators. Serum 25(ОН)D levels are associated with intake of vitamin D-rich foods and duration of vitamin D treatment.
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