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The Role of Vitamin D in Neurodegeneration and Other Pathological Processes of the Central Nervous System 维生素D在神经退行性变和中枢神经系统其他病理过程中的作用
Pub Date : 2021-06-10 DOI: 10.5772/intechopen.98390
C. N. Homann
The nervous system is the most complex organ in the human body, and it is the most essential. However nerve cells are particularly precious as, only like muscle cells, once formed, they do not replicate. This means that neural injuries cannot easily be replaced or repaired. Vitamin D seems to play a pivotal role in protecting these vulnerable and most important structures, but exactly how and to what extend is still subject to debate. Systematically reviewing the vast body of research on the influence of Vitamin D in various neuropathological processes, we found that Vitamin D particularly plays a mitigating role in the development of chronic neurodegeneration and the measured response to acutely acquired traumatic and non-traumatic nerve cells incidents. Adequate serum levels of Vitamin D before the initiation of these processes is increasingly viewed as being neuroprotective. However, comprehensive data on using it as a treatment during the ongoing process or after the injury to neurons is completed are much more ambiguous. A recommendation for testing and supplementation of insufficiencies seems to be well-founded.
神经系统是人体最复杂的器官,也是最基本的器官。然而,神经细胞就像肌肉细胞一样,一旦形成就不能复制,因此尤为珍贵。这意味着神经损伤不容易被替换或修复。维生素D似乎在保护这些脆弱和最重要的结构方面起着关键作用,但究竟如何以及在多大程度上仍存在争议。系统地回顾了大量关于维生素D在各种神经病理过程中的影响的研究,我们发现维生素D在慢性神经变性的发展以及对急性获得性创伤性和非创伤性神经细胞事件的测量反应中起着特别的缓解作用。在这些过程开始之前,足够的血清维生素D水平越来越被认为是神经保护。然而,在正在进行的过程中或在神经元损伤完成后将其用作治疗的综合数据更加模糊。关于检测和补充不足的建议似乎是有充分根据的。
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引用次数: 1
Vitamin D Deficiency in Pregnant Women and Newborn 孕妇和新生儿维生素D缺乏症
Pub Date : 2021-06-08 DOI: 10.5772/INTECHOPEN.98454
Neelakanta Kanike, Naveen Kannekanti, Jenny E. Camacho
Vitamin-D is not only an essential element in bone health, but it is also a pro-hormone. Deficiency of vitamin D is the most common cause of rickets and is also known to increase the risk of respiratory distress syndrome, lower respiratory infections, food sensitivities, asthma, type I diabetes, autism and schizophrenia. Vitamin D deficiency limits the effective absorption of dietary calcium and phosphorus. Vitamin D status in newborns is entirely dependent on maternal supply during pregnancy. Low maternal vitamin D status during pregnancy is a major risk factor for rickets in infants. Rickets in children is caused by severe, chronic vitamin D deficiency with apparent skeletal abnormalities, but neonates with vitamin D insufficiency have no overt skeletal or calcium metabolism defects. Rickets was a global disease in the early twentieth century. It has nearly disappeared in developed countries after its causal pathway was understood and fortification of milk with the hormone vitamin D was introduced at the population level. Surprisingly, rickets is re-emerging per recent evidence. Vitamin D deficiency is prevalent in both developed and developing countries. The chapter will review the prevalence of vitamin D deficiency in pregnant women and newborn population and its adverse effects on pregnancy and infant’s health. The chapter also describes evidence-based recommendations to prevent vitamin D deficiency in these vulnerable population.
维生素d不仅是骨骼健康的必需元素,也是一种促激素。缺乏维生素D是佝偻病最常见的原因,也会增加患呼吸窘迫综合征、下呼吸道感染、食物敏感、哮喘、I型糖尿病、自闭症和精神分裂症的风险。维生素D缺乏限制了膳食中钙和磷的有效吸收。新生儿的维生素D状况完全取决于怀孕期间母亲的供应。怀孕期间母亲维生素D水平低是婴儿佝偻病的主要危险因素。儿童佝偻病是由严重的慢性维生素D缺乏和明显的骨骼异常引起的,但维生素D不足的新生儿没有明显的骨骼或钙代谢缺陷。佝偻病在20世纪早期是一种全球性疾病。在了解了其因果途径以及在人群水平上引入激素维生素D强化牛奶后,它在发达国家几乎消失了。令人惊讶的是,根据最近的证据,佝偻病正在重新出现。维生素D缺乏症在发达国家和发展中国家都很普遍。本章将回顾孕妇和新生儿维生素D缺乏症的患病率及其对妊娠和婴儿健康的不利影响。本章还介绍了预防这些脆弱人群维生素D缺乏症的循证建议。
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引用次数: 1
Vitamin D and Dentistry 维生素D和牙科
Pub Date : 2021-06-07 DOI: 10.5772/INTECHOPEN.98471
E. Aydın, Ö. Özdemir
Vitamin D deficiency is a pandemic issue due to decreased vitamin D intake from food and lessened sunlight exposure. Attention is drawn to vitamin D and its role learned in notable clinical disorders such as diabetes, cardiovascular disease and cancers including oral ones. Vitamin D is also very effective along with minerals in the protection of oral health. Vitamin D helps maintain the calcium-phosphate balance and contributes to the shaping of the bone. It is reported that with sufficient vitamin D level, the onset and progression of caries in the tooth structure can be stopped, the formation of caries can be reduced and enamel loss can be prevented. Vitamin D also affects the disease and health conditions of the periodontium. Anti-inflammatory and immunomodulatory functions have a role in the pathogenesis of periodontal disorders. It can reduce bone resorption and suppress the inflammatory outcome related to periodontal diseases by increasing mineral density. Vitamin D has been linked with tooth decay, gingivitis, and tooth loss. Vitamin D, in particular, as a promising oral health-protective agent, is said to lessen the incidence of caries and periodontitis.
由于从食物中摄入的维生素D减少和阳光照射减少,维生素D缺乏症是一个普遍问题。人们注意到维生素D及其在糖尿病、心血管疾病和包括口腔癌在内的癌症等显著临床疾病中的作用。维生素D和矿物质在保护口腔健康方面也非常有效。维生素D有助于维持钙-磷酸盐的平衡,有助于骨骼的形成。据报道,有足够的维生素D水平,可以阻止牙齿结构龋齿的发生和发展,减少龋齿的形成,防止牙釉质的流失。维生素D还会影响牙周组织的疾病和健康状况。抗炎和免疫调节功能在牙周病的发病机制中起作用。它可以通过增加矿物质密度来减少骨吸收和抑制与牙周病相关的炎症结果。维生素D与蛀牙、牙龈炎和牙齿脱落有关。特别是维生素D,作为一种很有前途的口腔健康保护剂,据说可以减少龋齿和牙周炎的发病率。
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引用次数: 1
Vitamin D Metabolism 维生素D代谢
Pub Date : 2021-04-02 DOI: 10.5772/INTECHOPEN.97180
S. Acar, B. Ozkan
Vitamin D plays an important role in bone metabolism. Vitamin D is a group of biologically inactive, fat-soluble prohormones that exist in two major forms: ergocalciferol (vitamin D2) produced by plants in response to ultraviolet irradiation and cholecalciferol (vitamin D3) derived from animal tissues or 7-dehydrocholesterol in human skin by the action of ultraviolet rays present in sunlight. Vitamin D, which is biologically inactive, needs two-step hydroxylation for activation. All of these steps are of crucial for Vitamin D to show its effect properly. In this section, we will present vitamin D synthesis and its action steps in detail.
维生素D在骨骼代谢中起着重要作用。维生素D是一组无生物活性的脂溶性原激素,主要有两种形式:麦角钙化醇(维生素D2)是植物在紫外线照射下产生的;胆钙化醇(维生素D3)是动物组织中产生的;7-脱氢胆固醇是人体皮肤中紫外线作用下产生的。维生素D不具有生物活性,需要两步羟基化才能激活。所有这些步骤都是维生素D发挥作用的关键。在本节中,我们将详细介绍维生素D的合成及其作用步骤。
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引用次数: 0
Vitamin D and Diabetic Foot 维生素D和糖尿病足
Pub Date : 2021-03-30 DOI: 10.5772/INTECHOPEN.97115
Antony Macido
Approximately 15% of patients with diabetes mellitus (DM) are prone to developing diabetic foot ulcers (DFU) in their lifetime. The term vitamin D status or 25-hydroxyvitamin D [25(OH)D] levels are used interchangeably to represent the status of vitamin D in individuals throughout this paper. Evidence suggests a relationship between 25(OH)D levels and DFU. However, very minimal data is available on the association between DFU and vitamin D deficiency. After a careful review of the literature, it was inferred that vitamin D could be associated with DFU and diabetic foot infections. Available evidence on vitamin D and DFU suggests a negative correlation between 25(OH)D levels and the presence of DFU. Evidence also supports a negative relationship between 25(OH)D levels and diabetic foot infections. Further large-scale randomized controlled studies need to be done to confirm the relationship between 25(OH)D levels and DFU including the use of vitamin D in the management of DFU and diabetic foot infections.
大约15%的糖尿病(DM)患者在其一生中容易发生糖尿病足溃疡(DFU)。在本文中,术语维生素D状态或25-羟基维生素D [25(OH)D]水平可互换使用,以表示个体维生素D的状态。有证据表明25(OH)D水平与DFU之间存在关系。然而,关于DFU和维生素D缺乏之间关系的数据非常少。在仔细查阅文献后,我们推断维生素D可能与DFU和糖尿病足感染有关。有关维生素D和DFU的现有证据表明,25(OH)D水平与DFU的存在呈负相关。证据也支持25(OH)D水平与糖尿病足感染之间的负相关。需要进行进一步的大规模随机对照研究,以确认25(OH)D水平与DFU之间的关系,包括在DFU和糖尿病足感染的管理中使用维生素D。
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引用次数: 0
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Vitamin D [Working Title]
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