Suplementación de vitamina D y perfil lipídico en mujeres con síndrome de ovarios poliquísticos y deficiencia de vitamina D

Jorly Mejia-Montilla , Eduardo Reyna-Villasmil , María Andrade-Albán , Mariela Lozada-Meza , María Rodríguez-Cevallos , Angélica Solís-Manzano
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引用次数: 2

Abstract

Objective

To establish the effects of vitamin D supplementation on the lipid profile in women with polycystic ovary syndrome and vitamin D deficiency.

Material and methods

A randomised double-blind study was conducted on women with polycystic ovary syndrome and vitamin D deficiency (concentrations less than 20 ng/mL), who were assigned to receive 5,000 IU daily of vitamin D or paraffin oil for 12 weeks. General characteristics, hormonal concentrations and lipid profile values before and after treatment were compared.

Results

For the final analysis, 169 women were selected, 84 women in group A (cases) and 85 women in group B (controls). No significant differences were found between the groups in the general characteristics, sex hormone concentrations, or vitamin D (P=ns). After supplementation, the patients in group A showed a decrease in the concentrations of total cholesterol, triglycerides and low-density lipoproteins (P<.05). No significant differences were observed in high-density lipoprotein concentrations (P=ns). Vitamin D concentrations increased significantly (P<.0001). No significant differences in lipid profile were observed in these parameters in patients in group B (P=ns).

Discussion

Vitamin D supplementation in women with polycystic ovary syndrome and vitamin D deficiency leads to a significant decrease in the concentrations of cholesterol, triglycerides and low-density lipoproteins, without affecting high-density lipoprotein concentrations.

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多囊卵巢综合征和维生素D缺乏妇女的维生素D补充和脂质谱
目的探讨补充维生素D对多囊卵巢综合征合并维生素D缺乏症患者血脂的影响。材料和方法对患有多囊卵巢综合征和维生素D缺乏症(浓度低于20 ng/mL)的女性进行了一项随机双盲研究,这些女性被分配每天服用5000 IU维生素D或石蜡油,持续12周。比较治疗前后的一般特征、激素浓度和血脂值。结果最终入选169例,其中A组84例(病例),B组85例(对照组)。两组之间在一般特征、性激素浓度或维生素D (P=ns)方面没有发现显著差异。补充后,A组患者的总胆固醇、甘油三酯和低密度脂蛋白浓度下降(P< 0.05)。高密度脂蛋白浓度差异无统计学意义(P=ns)。维生素D浓度显著升高(P< 0.0001)。B组患者脂质谱在这些参数上均无显著差异(P=ns)。对患有多囊卵巢综合征和缺乏维生素D的妇女补充维生素D可显著降低胆固醇、甘油三酯和低密度脂蛋白的浓度,而不影响高密度脂蛋白的浓度。
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