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D Vitamini?ne Genel Bir Bakış

Yıl 2020, Cilt: 6 Sayı: 2, 168 - 174, 01.01.2020

Öz

D vitamini yağda çözünen bir vitamin olup güneş ışığına cevap olarak sentezlenir. Aktif form 1, 25 OH 2D'dir. Kemik sağlığı, serum kalsiyum ve fosfor düzeyleri üzerinde önemli bir rol oynar. Son epidemiyolojik çalışmalar düşük D vitamini düzeyleri ve birçok hastalık arasındaki ilişkiyi göz önüne sermiştir. Düşük D vitamini düzeyleri erişkinlerde osteomalazi, otoimmün ve bulaşıcı hastalıklar, diabetes mellitus, artmış düşme ve kırık riski, kanser, hipertansiyon ve kardiyovasküler hastalıklar ile ilişkilidir. Burada D vitamini fizyolojisi, metabolizması, eksikliği ve takviye için yeni öneriler literatürde yayınlanan yeni bulgular dikkate alınarak gözden geçirilmiştir

Kaynakça

  • Asensi-Fabado MA, Munné-Bosch S. Vitamins in plants: Occurrence, biosynthesis and antioxidant function. Trends Plant Sci 2010; 15(10):582-92.
  • Holick MF. Vitamin D: A millenium perspective. J Cell Biochem 2003; 88(2):296-307.
  • Holick MF. Vitamin D deficiency. N Engl J Med 2007; 357(3):266-81.
  • Forrest KYZ, Stuhldreher WL. Prevalence and correlates of vitamin D deficiency in US adults. Nutr Res 2011; 31(1):48-54.
  • Hossein-Nezhad A, Holick MF. Vitamin D for health: A global perspective. Mayo Clin Proc 2013; 88(7):720-55.
  • Baggerly CA, Cuomo RE, French CB, Garland CF, Gorham ED, Grant WB, Heaney RP, Holick MF, Hollis BW, McDonnell SL, Pittaway M, seaton P, Wagner CL, Wunsch A. Sunlight and vitamin D: Necessary for public health. J Am Coll Nutr 2015; 34(4):359-65.
  • MacLaughlin JA, Anderson RR, Holick MF. Spectral character of sunlight modulates photosynthesis of previtamin D3 and its photoisomers in human skin. Science 1982; 216(4549):1001-3.
  • Arık, S. Hashimoto tiroiditinde 25 hidroksi D vitamini ve paratiroid hormon düzeyi (Uzmanlık Tezi). Göztepe Eğitim ve Araştırma Hastanesi, 2008.
  • Tian XQ, Chen TAIC, Shao Q. D vitamin. Characterization of the translocation into the circulation. Endocrinology 1994; 135(2):655-61.
  • Haddad JG, Matsuoka LY, Hollis BW, Hu YZ, Wortsman J. Human plasma transport of vitamin-D after its endogenous synthesis. J Clin Invest 1993; 91(6):2552-5.
  • Stolzenberg-Solomon RZ, Vieth R, Azad A, Pietinen P, Taylor PR, Virtamo J, Albanes D. A prospective nested case-control study of vitamin D status and pancreatic cancer risk in male smokers. Cancer Res 2006; 66(20):10219-9.
  • Helzlsouer KJ, Overview of the cohort consortium vitamin D pooling project of rarer cancers. Am J Epidemiol 2010; 172(1):4-9.
  • Vimaleswaran KS, Berry DJ, Lu C, Tikkanen E, Pilz S, Hiraki LT, Cooper JD, Dastani Z. et al. Causal relationship between obesity and vitamin D status: Bi-Directional Mendelian Randomization Analysis of multiple cohorts. PLoS Med 2013; 10(2):e1001383.
  • Song Y, Wang L, Pittas AG, Del Gobbo LC, Zhang C, Manson JE, Hu FB. Blood 25-hydroxy vitamin D levels and incident type 2 diabetes: A meta-analysis of prospective studies. Diabetes Care 2013; 36(5):1422-8.
  • Pittas AG, Chung M, Trikalinos T, Mitri J, Brendel M, Patel K, Lichtenstein AH. Annals of Internal Medicine Review Systematic Review: Vitamin D and Cardiometabolic Outcomes. Ann Intern Med 2010; 152(5):307-14.
  • Theodoratou E, Tzoulaki I, Zgaga L, Ioannidis JPA. Vitamin D and multiple health outcomes: Umbrella review of systematic reviews and meta-analyses of observational studies and randomised trials. BMJ 2014; 348:g2035.
  • McGrath J. Does ‘imprinting’ with low prenatal vitamin D contribute to the risk of various adult disorders?. Med Hypotheses 2001; 56(3):367-71.
  • Aghajafari F, Nagulesapillai T, Ronksley PE, Tough SC, O’Beirne M, Rabi DM. Association between maternal serum 25-hydroxyvitamin D level and pregnancy and neonatal outcomes: systematic review and meta-analysis of observational studies. BMJ 2013; 346:f1169.
  • Jablonski NG, Chaplin G. The evolution of human skin coloration. J Hum Evol 2000; 39:57-106.
  • Chen TC, Chimeh F, Lu Z, Mathieu J, Person KS, Zhang A, Kohn N, et al. Factors that influence the cutaneous synthesis and dietary sources of vitamin D. Arch Biochem Biophys 2007; 460(2):213-7.
  • Webb AR, Kline L, Holick MF. Influence of season and latitude on the cutaneous synthesis of vitamin D3: exposure to winter sunlight in Boston and Edmonton will not promote vitamin D3 synthesis in human skin. J Clinical Endocrinol Metab 1988; 67(2):373-8.
  • Holick MF. Vitamin D: Importance in the prevention of cancers, type 1 diabetes, heart disease, and osteoporosis. American Journal of Clinical Nutrition 2004; 79(3):362- 71.
  • Institute of Medicine (US) Committee to Review Dietary Reference Intakes for Vitamin D and Calcium; Ross AC, Taylor CL, Yaktine AL, Del Valle HB, eds. Dietary Reference Intakes for Calcium and Vitamin D. Washington (DC): National Academies Press (US); 2011.
  • Osteoporoz ve Diğer Metabolik Kemik Hastalıkları Çalışma Grubu. Osteoporoz ve Metabolik Kemik Hastalıkları Tanı ve Tedavi Kılavuzu. Türkiye Endokrinoloji ve Metabolizma Derneği - 2018. 2018.
  • Cigerli O, Parildar H, Unal AD, Tarcin O, Erdal R, Guvener Demirag N. Vitamin D deficiency is a problem for adult out-patients? A university hospital sample in Istanbul, Turkey. Public Health Nutr 2013; 16(7):1306- 13.
  • Hekimsoy Z, Dinc G, Kafesciler S, Onur E, Guvenc Y, Pala T, Guclu F, Ozmen B. Vitamin D status among adults in the Aegean region of Turkey. BMC Public Health 2010; 10(1):782.
  • Wolpowitz D, Gilchrest BA. The vitamin D questions: How much do you need and how should you get it?. J Am Acad Dermatol 2006; 54(2):301-17.
  • Cauley JA, LaCroix AZ, Wu L, Horwitz M, Danielson ME, Bauer DC, Lee JS, et al. Serum 25-hydroxyvitamin D concentrations and risk for hip fractures. Ann Intern Med 2008; 149(4):242-50.
  • Valcour A, Blocki F, Hawkins DM, Rao SD. Effects of age and serum 25-OH-vitamin D on serum parathyroid hormone levels. J Clin Endocrinol Metab 2012; 97(11): 3989-95.
  • Garg MK, Tandon N, Marwaha RK, Menon AS, Mahalle N. The relationship between serum 25-hydroxy vitamin D, parathormone and bone mineral density in Indian population. Clin Endocrinol (Oxf) 2014; 80(1):41- 6.
  • Cauley JA, Parimi N, Ensrud KE, Bauer DC, Cawthon PM, Cummings SR, Hoffman AR, et al. Serum 25-hydroxyvitamin D and the risk of hip and nonspine fractures in older men. J Bone Miner Res 2010; 25(3): 545-53.
  • Tripkovic L, Lambert H, Hart K, Smith CP, Bucca G, Penson S, et al. Comparison of vitamin D 2 and vitamin D 3 supplementation in raising serum 25-hydroxyvitamin D status: A systematic review. Am J Clin Nutr 2012; 95: 1357-64.
  • Gallagher JC, Sai A, Ii TT, Smith L. Original research women. Ann Intern Med 2012; 156:425-37.
  • Heaney RP. Symposium: Optimizing Vitamin D Intake for Populations with Special Needs: Barriers to Effective Food Fortification and Supplementation Barriers to Optimizing Vitamin D 3 Intake for the Elderly 1. J Nutr 2006; 136(4):1126-9.
  • Group WCC, Joshi D, Center JR, Eisman JA. Vitamin D deficiency in adults 2010; 33:1-7.
  • Maclaughlin J, Holick MF. Aging Decreases the capacity of human-skin to produce vitamin-D3. J Clin Invest 1985; 76(4):1536-8.

Overview of Vitamin D

Yıl 2020, Cilt: 6 Sayı: 2, 168 - 174, 01.01.2020

Öz

Vitamin D, a fat-soluble vitamin, synthesised in response to sunlight. The active form is 1, 25- OH 2D. It plays an important role in bone health, serum calcium and phosphate levels. Recent epidemiologic studies have observed relationships between low vitamin D levels and multiple disease states. Low vitamin D levels are associated with osteomalacia in adults, autoimmune and infectious diseases, diabetes mellitus, increased risk of fall and fractures, cancer, hypertension and cardiovascular diseases. Here vitamin D physiology, metabolism, deficiency and new recommendations for supplementation are reviewed by taking into consideration new findings published in the literature

Kaynakça

  • Asensi-Fabado MA, Munné-Bosch S. Vitamins in plants: Occurrence, biosynthesis and antioxidant function. Trends Plant Sci 2010; 15(10):582-92.
  • Holick MF. Vitamin D: A millenium perspective. J Cell Biochem 2003; 88(2):296-307.
  • Holick MF. Vitamin D deficiency. N Engl J Med 2007; 357(3):266-81.
  • Forrest KYZ, Stuhldreher WL. Prevalence and correlates of vitamin D deficiency in US adults. Nutr Res 2011; 31(1):48-54.
  • Hossein-Nezhad A, Holick MF. Vitamin D for health: A global perspective. Mayo Clin Proc 2013; 88(7):720-55.
  • Baggerly CA, Cuomo RE, French CB, Garland CF, Gorham ED, Grant WB, Heaney RP, Holick MF, Hollis BW, McDonnell SL, Pittaway M, seaton P, Wagner CL, Wunsch A. Sunlight and vitamin D: Necessary for public health. J Am Coll Nutr 2015; 34(4):359-65.
  • MacLaughlin JA, Anderson RR, Holick MF. Spectral character of sunlight modulates photosynthesis of previtamin D3 and its photoisomers in human skin. Science 1982; 216(4549):1001-3.
  • Arık, S. Hashimoto tiroiditinde 25 hidroksi D vitamini ve paratiroid hormon düzeyi (Uzmanlık Tezi). Göztepe Eğitim ve Araştırma Hastanesi, 2008.
  • Tian XQ, Chen TAIC, Shao Q. D vitamin. Characterization of the translocation into the circulation. Endocrinology 1994; 135(2):655-61.
  • Haddad JG, Matsuoka LY, Hollis BW, Hu YZ, Wortsman J. Human plasma transport of vitamin-D after its endogenous synthesis. J Clin Invest 1993; 91(6):2552-5.
  • Stolzenberg-Solomon RZ, Vieth R, Azad A, Pietinen P, Taylor PR, Virtamo J, Albanes D. A prospective nested case-control study of vitamin D status and pancreatic cancer risk in male smokers. Cancer Res 2006; 66(20):10219-9.
  • Helzlsouer KJ, Overview of the cohort consortium vitamin D pooling project of rarer cancers. Am J Epidemiol 2010; 172(1):4-9.
  • Vimaleswaran KS, Berry DJ, Lu C, Tikkanen E, Pilz S, Hiraki LT, Cooper JD, Dastani Z. et al. Causal relationship between obesity and vitamin D status: Bi-Directional Mendelian Randomization Analysis of multiple cohorts. PLoS Med 2013; 10(2):e1001383.
  • Song Y, Wang L, Pittas AG, Del Gobbo LC, Zhang C, Manson JE, Hu FB. Blood 25-hydroxy vitamin D levels and incident type 2 diabetes: A meta-analysis of prospective studies. Diabetes Care 2013; 36(5):1422-8.
  • Pittas AG, Chung M, Trikalinos T, Mitri J, Brendel M, Patel K, Lichtenstein AH. Annals of Internal Medicine Review Systematic Review: Vitamin D and Cardiometabolic Outcomes. Ann Intern Med 2010; 152(5):307-14.
  • Theodoratou E, Tzoulaki I, Zgaga L, Ioannidis JPA. Vitamin D and multiple health outcomes: Umbrella review of systematic reviews and meta-analyses of observational studies and randomised trials. BMJ 2014; 348:g2035.
  • McGrath J. Does ‘imprinting’ with low prenatal vitamin D contribute to the risk of various adult disorders?. Med Hypotheses 2001; 56(3):367-71.
  • Aghajafari F, Nagulesapillai T, Ronksley PE, Tough SC, O’Beirne M, Rabi DM. Association between maternal serum 25-hydroxyvitamin D level and pregnancy and neonatal outcomes: systematic review and meta-analysis of observational studies. BMJ 2013; 346:f1169.
  • Jablonski NG, Chaplin G. The evolution of human skin coloration. J Hum Evol 2000; 39:57-106.
  • Chen TC, Chimeh F, Lu Z, Mathieu J, Person KS, Zhang A, Kohn N, et al. Factors that influence the cutaneous synthesis and dietary sources of vitamin D. Arch Biochem Biophys 2007; 460(2):213-7.
  • Webb AR, Kline L, Holick MF. Influence of season and latitude on the cutaneous synthesis of vitamin D3: exposure to winter sunlight in Boston and Edmonton will not promote vitamin D3 synthesis in human skin. J Clinical Endocrinol Metab 1988; 67(2):373-8.
  • Holick MF. Vitamin D: Importance in the prevention of cancers, type 1 diabetes, heart disease, and osteoporosis. American Journal of Clinical Nutrition 2004; 79(3):362- 71.
  • Institute of Medicine (US) Committee to Review Dietary Reference Intakes for Vitamin D and Calcium; Ross AC, Taylor CL, Yaktine AL, Del Valle HB, eds. Dietary Reference Intakes for Calcium and Vitamin D. Washington (DC): National Academies Press (US); 2011.
  • Osteoporoz ve Diğer Metabolik Kemik Hastalıkları Çalışma Grubu. Osteoporoz ve Metabolik Kemik Hastalıkları Tanı ve Tedavi Kılavuzu. Türkiye Endokrinoloji ve Metabolizma Derneği - 2018. 2018.
  • Cigerli O, Parildar H, Unal AD, Tarcin O, Erdal R, Guvener Demirag N. Vitamin D deficiency is a problem for adult out-patients? A university hospital sample in Istanbul, Turkey. Public Health Nutr 2013; 16(7):1306- 13.
  • Hekimsoy Z, Dinc G, Kafesciler S, Onur E, Guvenc Y, Pala T, Guclu F, Ozmen B. Vitamin D status among adults in the Aegean region of Turkey. BMC Public Health 2010; 10(1):782.
  • Wolpowitz D, Gilchrest BA. The vitamin D questions: How much do you need and how should you get it?. J Am Acad Dermatol 2006; 54(2):301-17.
  • Cauley JA, LaCroix AZ, Wu L, Horwitz M, Danielson ME, Bauer DC, Lee JS, et al. Serum 25-hydroxyvitamin D concentrations and risk for hip fractures. Ann Intern Med 2008; 149(4):242-50.
  • Valcour A, Blocki F, Hawkins DM, Rao SD. Effects of age and serum 25-OH-vitamin D on serum parathyroid hormone levels. J Clin Endocrinol Metab 2012; 97(11): 3989-95.
  • Garg MK, Tandon N, Marwaha RK, Menon AS, Mahalle N. The relationship between serum 25-hydroxy vitamin D, parathormone and bone mineral density in Indian population. Clin Endocrinol (Oxf) 2014; 80(1):41- 6.
  • Cauley JA, Parimi N, Ensrud KE, Bauer DC, Cawthon PM, Cummings SR, Hoffman AR, et al. Serum 25-hydroxyvitamin D and the risk of hip and nonspine fractures in older men. J Bone Miner Res 2010; 25(3): 545-53.
  • Tripkovic L, Lambert H, Hart K, Smith CP, Bucca G, Penson S, et al. Comparison of vitamin D 2 and vitamin D 3 supplementation in raising serum 25-hydroxyvitamin D status: A systematic review. Am J Clin Nutr 2012; 95: 1357-64.
  • Gallagher JC, Sai A, Ii TT, Smith L. Original research women. Ann Intern Med 2012; 156:425-37.
  • Heaney RP. Symposium: Optimizing Vitamin D Intake for Populations with Special Needs: Barriers to Effective Food Fortification and Supplementation Barriers to Optimizing Vitamin D 3 Intake for the Elderly 1. J Nutr 2006; 136(4):1126-9.
  • Group WCC, Joshi D, Center JR, Eisman JA. Vitamin D deficiency in adults 2010; 33:1-7.
  • Maclaughlin J, Holick MF. Aging Decreases the capacity of human-skin to produce vitamin-D3. J Clin Invest 1985; 76(4):1536-8.
Toplam 36 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Derleme
Yazarlar

Esin Avşar Bu kişi benim

Demet Lazzari Şahiner Bu kişi benim

Yayımlanma Tarihi 1 Ocak 2020
Yayımlandığı Sayı Yıl 2020 Cilt: 6 Sayı: 2

Kaynak Göster

Vancouver Avşar E, Lazzari Şahiner D. D Vitamini?ne Genel Bir Bakış. Akd Tıp D. 2020;6(2):168-74.