Dipali Dumbre, Sheela Upendra, Betsy Sara Zacharias
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To find correlations between deficiency of vitamin D and NCDs, data was extracted from the studies and analyzed using the Mixed Method Appraisal Tools (MMAT). In meta-analysis data combined from multiple observational Unraveling the Relationship Between Vitamin D and Noncommunicable Diseases-A Systemic Review and Meta-Analysis studies to evaluate the relationship between vitamin D insufficiency and health outcomes. Statistical techniques, such as calculating effect sizes and constructing confidence ranges, are employed to determine combined outcomes and investigate possible causal connections.</p><p><strong>Results: </strong>Fourteen studies-including cross-sectional studies, prospective cohorts, randomized controlled trials, and longitudinal studies-met the inclusion criteria. 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引用次数: 0
摘要
背景:亚临床维生素D不足在发展中国家和发达国家都很常见。即使在20世纪30年代通过强化牛奶消除了佝偻病之后,全世界仍有多达10亿人患有亚临床维生素D缺乏症(VDD)。许多非传染性疾病(ncd),包括抑郁症、自身免疫性疾病、糖尿病、骨质疏松症和心血管疾病,都与这种缺乏有关。方法学:在进行系统评价时,采用系统评价和荟萃分析首选报告项目(PRISMA)协议。通过搜索Web of Science、Scopus和PubMed等数据库,找到了2010年至2023年间发表的相关研究。为了发现维生素D缺乏与非传染性疾病之间的相关性,从研究中提取数据并使用混合方法评估工具(MMAT)进行分析。在综合了多个观察数据的荟萃分析中,揭示了维生素D与非传染性疾病之间的关系——一项评估维生素D不足与健康结果之间关系的系统综述和荟萃分析研究。统计技术,如计算效应大小和构建置信范围,被用来确定综合结果和调查可能的因果关系。结果:14项研究——包括横断面研究、前瞻性队列研究、随机对照试验和纵向研究——符合纳入标准。该综述发现,维生素D缺乏与许多非传染性疾病(包括贫血、糖尿病、高血压、类风湿性关节炎(RA)、精神健康问题和自身免疫性甲状腺功能减退)之间存在显著相关性。研究结果强调了全球范围内维生素D缺乏的普遍性及其对健康的有害影响。为了降低许多非传染性疾病的风险,本综述强调需要提高认识并采取可能的干预措施来维持适当的维生素D水平。进行了一项荟萃分析,以调查维生素D不足与不同健康疾病之间的潜在因果关系。它阐明了维生素D缺乏水平与精神健康障碍、贫血、糖尿病、高血压和自身免疫性疾病等疾病之间的联系。该研究优先考察了时间相关性、生物学合理性和消除混杂因素,为这些关联提供支持。虽然文章承认,实验数据,如随机对照试验,将加强因果关系的论点,但它主要取决于观察性研究。
Unraveling the Relationship Between Vitamin D and Noncommunicable Diseases: A Systemic Review and Meta-Analysis.
Background: Subclinical vitamin D insufficiency is frequent in both developing and developed countries. Even after rickets was eliminated in the 1930s by fortifying milk, up to 1 billion people worldwide suffer from subclinical vitamin D deficiency (VDD). Numerous noncommunicable diseases (NCDs), including depression, autoimmune illnesses, diabetes, osteoporosis, and cardiovascular disease, are linked to this deficiency.
Methodology: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol was applied when conducting a systematic review. Relevant studies published between 2010 and 2023 were found by searching databases such as Web of Science, Scopus, and PubMed. To find correlations between deficiency of vitamin D and NCDs, data was extracted from the studies and analyzed using the Mixed Method Appraisal Tools (MMAT). In meta-analysis data combined from multiple observational Unraveling the Relationship Between Vitamin D and Noncommunicable Diseases-A Systemic Review and Meta-Analysis studies to evaluate the relationship between vitamin D insufficiency and health outcomes. Statistical techniques, such as calculating effect sizes and constructing confidence ranges, are employed to determine combined outcomes and investigate possible causal connections.
Results: Fourteen studies-including cross-sectional studies, prospective cohorts, randomized controlled trials, and longitudinal studies-met the inclusion criteria. Significant correlations among deficiency of vitamin D and a number of NCDs, including anemia, diabetes, hypertension, rheumatoid arthritis (RA), mental health issues, and autoimmune hypothyroidism, were found in the review. The results highlight the prevalence of deficiency of vitamin D worldwide and its detrimental impact on health. In order to lower the risk of numerous NCDs, this review emphasizes the need for greater awareness and possible interventions to maintain appropriate vitamin D levels. A meta-analysis was conducted to investigate the potential causal connections between vitamin D insufficiency and different health disorders. It elucidates the connections between deficient levels of vitamin D and conditions such as mental health disorders, anemia, diabetes, hypertension, and autoimmune diseases. The study prioritizes the examination of temporal correlations, biological plausibility, and the removal of confounding factors to provide support for these associations. While the text acknowledges that experimental data, such as randomized controlled trials, would enhance the argument for causation, it mostly depends on observational studies.
期刊介绍:
Public Health Nursing publishes empirical research reports, program evaluations, and case reports focused on populations at risk across the lifespan. The journal also prints articles related to developments in practice, education of public health nurses, theory development, methodological innovations, legal, ethical, and public policy issues in public health, and the history of public health nursing throughout the world. While the primary readership of the Journal is North American, the journal is expanding its mission to address global public health concerns of interest to nurses.