血钙水平及其与冠状动脉疾病的关系

IF 0.1 Q4 MEDICINE, GENERAL & INTERNAL
Mansi N. Patel, S. Agrawal, S. Acharya, S. Sushanth Kumar
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引用次数: 0

摘要

数千人参加了长达30年的前瞻性研究,结果表明循环钙是血管疾病的危险因素。其他心血管风险因素,如循环脂质水平、血压和体重指数,可能部分介导这些关系,但血清钙似乎具有残余的独立影响。与血清钙小幅升高有关的钙感应受体的多态性也与心血管疾病有关,这表明钙是一种致病成分。钙补充剂已被证明会增加透析患者和肾功能不太严重的患者的死亡率和/或加速血管疾病,对没有明显肾功能疾病的成年人的试验的荟萃分析也表明了类似的效果。基线钙补充剂的使用和钙随机化的效果之间的强烈相互作用阻碍了对最大研究的解释。这项研究只针对缺钙的人,这一事实突显了一直存在的危险。对膳食钙的观察研究并没有一致地表明它对心血管健康有害,尽管异常高或极低的摄入量可能是有害的。因此,应该鼓励吃钙而不是服用补充剂。目前的系统综述使用系统综述和荟萃分析标准的首选报告项目来解决血清钙水平及其与冠状动脉疾病的关系。对于截至2021年12月发表的研究,使用以下数据库对电子和手动数据资源进行了审查:PubMed/MEDLINE、Embase、ScienceDirect、Cochrane Library。这些发现被过滤掉,排除了用英语写的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Serum calcium levels and its association with coronary artery disease
Thousands of people took part in prospective studies lasting up to 30 years, and the results showed that circulating calcium is a risk factor for vascular disease. Other cardiovascular risk factors such as circulating lipid levels, blood pressure, and body mass index may partially mediate these relationships, but serum calcium appears to have a residual independent influence. Polymorphisms in calcium-sensing receptors connected to small elevations in serum calcium have also been linked to cardiovascular disease, suggesting that calcium is a causative component. Calcium supplements have been shown to increase mortality and/or accelerate vascular disease in dialysis patients and those with less severe renal failure, and meta-analyses of trials in adults without overt renal disease imply a similar effect. A strong interaction between baseline calcium supplement use and the effect of calcium randomization hampered the interpretation of the largest research. The fact that the study only looked at calcium-deficient people highlights the dangers that are always present. Observational studies of dietary calcium have not consistently demonstrated that it is deleterious to cardiovascular health, albeit exceptionally high or extremely low intakes may be harmful. As a result, eating calcium rather than taking supplements should be encouraged. The current systematic review addresses serum calcium levels and their relationship with coronary artery disease using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses standards. For studies published through December 2021, electronic and manual data resources were reviewed using the following databases: PubMed/MEDLINE, Embase, ScienceDirect, Cochrane Library. The findings were filtered to exclude studies that were written in English.
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来源期刊
Journal of the Scientific Society
Journal of the Scientific Society MEDICINE, GENERAL & INTERNAL-
自引率
33.30%
发文量
19
审稿时长
36 weeks
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