Time for a U-Turn on Understanding the Major Cause of Universal HumanHypovitaminosis D

Abbas Tavakolian Arjm, S. Jafarian
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Abstract

Vitamin D deficiency has turned into a rather concerning health issue around the globe, touching at least 40- 50% of general population. The old and stereotyped view with regard to the problem is that, the current hypovitaminosis D results from inadequate vitamin D in human diet and lack of enough sunlight exposure. And even more amusing is that the vast majority of recent epidemic human health problems are being somehow regarded as the direct outcome of this particular micronutrient deficiency. Our major aim in this brief overview, which will be followed by an opinion, is to cast a faint beam of light onto a narrow road towards a more sensible understanding of this utterly bizarre and poorly explained human health dilemma. We would like to raise the impression that the current vitamin D deficiency state is not merely a simple dietary inadequacy, but an immediate outcome of metabolic syndrome and its closely related medical entity, the nonalcoholic fatty liver disease (NAFLD). We would like to put forward the idea of vitamin D malabsorption and impaired 25-hydroxylation of vitamin D precursors in subjects affected by NAFLD, and to open a wide field of research in front of dedicated and loyal scientists.
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是时候对人类普遍维生素D缺乏症的主要原因进行彻底的了解了
维生素D缺乏已经成为全球范围内一个相当令人担忧的健康问题,至少有40- 50%的人口受到影响。关于这个问题,旧的和刻板的观点是,目前的维生素D缺乏症是由于人类饮食中维生素D不足和缺乏足够的阳光照射。更有趣的是,最近绝大多数流行的人类健康问题都被认为是这种微量营养素缺乏的直接后果。在这篇简短的概述中,我们的主要目的是在一条狭窄的道路上投下一束微弱的光,以更明智地理解这一完全奇怪且解释不清的人类健康困境。我们希望唤起这样一种印象,即当前维生素D缺乏状态不仅仅是简单的饮食不足,而是代谢综合征及其密切相关的医学实体——非酒精性脂肪性肝病(NAFLD)的直接结果。我们希望在NAFLD患者中提出维生素D吸收不良和维生素D前体25-羟基化受损的观点,并在敬业和忠诚的科学家面前开辟广阔的研究领域。
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