• 제목/요약/키워드: Vitamin D3

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한국 성인의 비타민D 섭취량과 혈중 25OHD 농도 및 골밀도와의 관련성 : 2011 국민건강영양조사 결과 재분석 (Vitamin D intake, serum 25OHD, and bone mineral density of Korean adults: Based on the Korea National Health and Nutrition Examination Survey (KNHANES, 2011))

  • 김미연;김미자;이선영
    • Journal of Nutrition and Health
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    • 제49권6호
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    • pp.437-446
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    • 2016
  • 본 연구는 국민건강영양조사 5기의 2011년 자료를 이용하여 만 19세 이상 남녀를 대상으로 비타민D 섭취량과 혈중 25OHD 농도, 골밀도와의 관계를 분석하였다. 평균 비타민D 섭취량은 남성이 $3.84{\pm}0.23{\mu}g/day$, 여성은 $2.22{\pm}0.11{\mu}g/day$로 나타났으며, AI 미만 섭취 비율은 남성은 71.6~96.6%,여성은 80.2~98.5%로 모두 높게 나타났으며 여성이 남성에 비해 더 높았다. 혈중 25OHD 농도는 연령이 높아질수록 증가했으며, 혈중 25OHD의 결핍수준을 20 ng/mL 미만으로 보았을 때 남성은 47.8~81.1%, 여성은 59.4~92.8%의 결핍률을 보였고 젊은 층의 결핍률이 더 높았다. 50세 미만과 이상으로 나누어 비타민D 섭취량과 혈중 25OHD 농도, BMD와의 관계를 조사한 결과 50세 미만 연령층군에서는 비타민D 섭취량이 $10{\mu}g/day$ 이상인 군이 $5{\mu}g/day$ 이하인 군에 비하여 유의하게 혈중 25OHD 농도가 더 높았으며, 50세 이상 여성에서는 비타민D 섭취량이 $10{\mu}g/day$ 이상인 군이 $5{\mu}g/day$ 이하인 군에 비하여 골밀도가 유의하게 높게 나타났다. 즉, 한국 성인 남녀의 비타민D 섭취량 수준은 상당히 취약한 상태이나 식사를 통한 비타민D가 혈중 25OHD 농도를 상승시킬 수 있음을 보여주고 있다. 그러므로 한국인이 비타민D 섭취량을 늘릴 수 있도록 강화식품 정책 등을 통해 비타민D 섭취량을 늘리는 방안을 모색하여야 한다. 특히, 2010년에 비해 2015년 한국인영양소섭취기준에서 19~49세 연령층의 비타민D 충분섭취량을 $5{\mu}g$에서 $10{\mu}g$으로 상향조정한 것은 바람직한 방향으로 개정된 것으로 판단된다.

비타민 D 농도와 신생아 조기 패혈증의 연관성에 대한 체계적 문헌고찰 및 메타분석 (The Association between Vitamin D Levels and Neonatal Early-onset Sepsis : A Systematic Review and Meta-analysis)

  • 이소연;김하은;안숙희
    • 한국임상약학회지
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    • 제28권1호
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    • pp.10-16
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    • 2018
  • Background: Vitamin D has been associated with sepsis in pediatric and adult patients. The association with neonates is unclear. This systematic review and meta-analysis examined the effect of neonatal and maternal vitamin D levels on neonatal early-onset sepsis. Methods: We searched studies published up to November 2017 in PubMed/Medline, Embase, and the Cochrane Library databases. All studies that reported 25-hydroxyvitamin D levels in neonates with or without early-onset sepsis were included. Meta-analysis was performed using RevMan 5.3 software. Results: Four studies were eligible. The weighted mean difference of 25-hydroxyvitamin D levels in neonates with early-onset sepsis and controls was -7.27 ng/mL (95% confidence interval = -7.62, -6.92). Maternal vitamin D levels in neonates with early-onset sepsis were significantly lower than those in controls (weighted mean difference -7.24 ng/mL, 95% confidence interval -8.45, -6.03). All neonates with early onset sepsis had vitamin D deficiency (25-hydroxyvitamin D <20 ng/mL). Conclusion: Lower neonatal and maternal 25-hydroxyvitamin D levels were associated with neonatal early-onset sepsis. Vitamin D supplementation during pregnancy may be helpful to prevent neonatal early-onset sepsis. The effects of vitamin D supplementation on early-onset sepsis in neonates warrant further study.

The use of laser Doppler blood flow to assess the effect of acute administration of vitamin D on micro vascular endothelial function in people with diabetes

  • Petrofsky, Jerrold;Alshammari, Faris;Khowailed, Iman Akef;Lodha, Riya;Deshpande, Pooja;Rajaram, Praveen;Gaikwad, Mahendra;Vadera, Vidhi
    • Physical Therapy Rehabilitation Science
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    • 제2권2호
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    • pp.63-69
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    • 2013
  • Objective: To assess the effect of vitamin D administration on the skin blood flow response to occlusion and heat. Design: Cross-sectional study. Methods: Twenty age matched subjects; 10 who had diabetes and 10 who were controls were administered 4,000 IU of vitamin D3 for 3 weeks at breakfast. The function of the endothelial cells was evaluated in 2 ways; first, the response to 4 minutes of vascular occlusion of the skin was measured with a laser Doppler flow meter. Second, the skin blood flow response to local heat at 42 degrees C for 6 minutes was examined. Results: The results of the experiments showed that the blood flow response to heat was reduced after 3 weeks administration of vitamin D in the subjects with diabetes and in the control subjects (p<0.05). The response to occlusion was not significantly different within each group before and after vitamin D administration, but the group with diabetes had a significantly lower blood flow response to occlusion than did the controls (p<0.05). Conclusions: Acute doses of vitamin D may impair nitric oxide production and reduce blood flow to tissue during stressors in people with diabetes.

아위버섯의 성분에 관한 연구 (Stuy on the Composition of Pleurotus ferulae Fruit Body)

  • 차월석;이희덕;김종수
    • 생명과학회지
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    • 제14권2호
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    • pp.205-208
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    • 2004
  • 아위버섯을 약용과 식용으로 이용하고자 일반성분, 무기질, 구성아미노산, 유리 아미노산, 비타민 등을 분석검토한 결과 조지방이 8.0 g%, 탄수화물이 54.3 g%, 조단백질이 20.2 g%이었다. 무기물은 K가 2,337.0 mg%으로 가장 많이 함유 되어있고, Mg, Na, Zn, Ca, Fe의 순으로 함유되었다. 구성 아미노산은 glutamic acid가 13.65 %mol로 가장 많이 함유되어있고, aspartic acid, glysine, alanine, leucine, arginine, valine, lysine등의 순으로 17종의 아미노산을 함유하고 있으며 필수아미노산은 37,78 %mol이었다. 유리아미노산은 alanine이 547.97 $\mu\textrm{g}$%으로 가장 많이 함유되어 있고, phenylalanine, tyrosine, leucine 등의 순이며, 총 함유량은 2,737.38 $\mu\textrm{g}$%이고, 21종을 함유하고 있기 때문에 아위버섯의 맛이 좋을 것이라 생각되어 진다. 비타민의 경우 vitamin A가 0.12 mg%, vitamin B$_1$은 0.31 mg%, vitamin B$_2$는 0.68 mg%, vitamin C는 7.99 mg%, vitamin E는 316.88 mg%, vitamin D$_3$는 0.29 mg%을 함유하였고, 비타민의 총 함유량은 326.27 mg%이었다. 특히 vitamin C와 vitamin E가 많이 함유되어 노화방지에 좋으리라 생각된다.

비타민 D 결핍성 구루병에 동반된 근위 신 세뇨관성 산증 1례 (A Case of Proximal Renal Tubular Acidosis Accompanied by Vitamin D Deficient Rickets)

  • 권승연;최윤정;김기혁
    • Childhood Kidney Diseases
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    • 제10권1호
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    • pp.58-64
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    • 2006
  • 최근 들어 모유 단독 수유의 장기화 및 잘못된 식이 제한 등으로 인한 비타민 D 결핍성 구루병의 발병이 점차 증가하고 있는 시점에서, 비타민 D 결핍성 구루병 및 이와 동반된 저칼슘혈증성 경련에 대한 예는 다소 보고된 바 있으나, 비타민 D 결핍으로 인해 골 병변 뿐 아니라 저칼슘 혈증, 부갑상선 기능 항진증, 나아가 신세뇨관성 산증까지 초래한 예는 보고된 바가 없었다. 저자들은 8개월간 모유 단독 수유만 유지하던 중 저칼슘혈증성 경련을 주소로 내원하여 골 병변을 동반한 비타민 D 결핍성 구루병과 부갑상선 항진 및 근위 세뇨관성 산증을 진단 받은 후, 적절한 칼슘, 비타민 D, 중탄산염 투여 후 완전히 회복된 환자의 1례를 경험하였기에 보고하는 바이다.

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Bone Nodule Formation of MG63 Cells is Increased by the Interplay of Signaling Pathways Cultured on Vitamin $D_3$-Entrapped Calcium Phosphate Films

  • Choi, Yong-Seok;Hong, Yoon-Jung;Hur, Jung;Kim, Mee-Young;Jung, Jae-Young;Lee, Woo-Kul;Jeong, Sun-Joo
    • Animal cells and systems
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    • 제13권4호
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    • pp.363-370
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    • 2009
  • Since vitamin $D_3$ is an important regulator of osteoblastic differentiation, a presently-established vitamin $D_3$-entrapped calcium phosphate film (VCPF) was evaluated for hard tissue engineering. The entrapped vitamin $D_3$ more rapidly induced bone nodule formation. To characterize the cellular events leading to regulations including faster differentiation, signal transduction pathways were investigated in osteoblastic MG63 cells at a molecular level. Major signaling pathways for MG63 cell proliferation including phosphatidylinositol-3-kinase, extracellular signal-regulated kinase, c-Jun N-terminal kinase and focal adhesion kinase pathways were markedly down-regulated when cells were cultured on calcium phosphate film (CPF) and VCPF. This agreed with our earlier observations of the immediate delay in proliferation of MG63 cells upon culture on CPF and VCPF. On the other hand, the p38 mitogen-activated protein kinase (p38 MAPK) and protein kinase A (PKA) pathways were significantly up-regulated on both CPF and VCPF. CPF alone could simulate differential behaviors of MG63 cells even in the absence of osteogenic stimulation and entrapment of vitamin $D_3$ within CPF further amplified the signal pathways, resulting in continued promotion of MG63 cell differentiation. Interplay of p38 MAPK and PKA signaling pathways likely is a significant event for the promotion of differentiation and mineralization of MG63 cells.

25 Vitamin D3 측정에 있어서 화학발광미세입자 측정법과 화학발광면역 측정법 간의 비교 및 고찰 (Comparison between the method of the measurement 25 Vitamin D3)

  • 김대원;이정희;정안나;서소연
    • 핵의학기술
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    • 제19권2호
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    • pp.112-114
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    • 2015
  • Purpose Vitamin D to Anti- Rickets both steroid compounds showing activity, By acting on bone tissue secretary and the key to maintain serum Ca homeostasis. The blood level of vitamin D is the largest in D3 that the concentration of the metabolite is reflected in the holding state of vitamin D in vivo. Sunlight to change the 7-dehydrocholesterol in the skin and through the skin to D3, In the liver in combination with the D2 and D3 D4 changes. The Radioimmunoassay(RIA) method is measuring the D 3, the sensitivity can be measured also difficult trace substance to measure the normal test because it is very sensitive, but recently, a check is possible, for the Total D3 in Chemimicroparticle immunoassay(CMIA) or Chemiluminescent immunoassay(CLIA) measuring using microparticle RIA and CMIA(Architect i2000SR) / use the CLIA(DXI-800) method to compare and evaluate the correlation between the tests in the same test items. Materials and Methods Commissioned from January 2014 to March 2015 patients were enrolled in a total of 273 people. 29 out of 273 people conducted by RIA were compared with CMIA, 244 patients were compared with CLIA. Using reagents and equipment were used RIA(Diasource), CMIA(Architect i2000SR, Abbott Diagnostics) / CLIA( Unicel DXi-800, Beckman coulter). Results Correlation of the RIA and CLIA was a R2 = 0.1844 (y = 0.7303x + 3.9005), and the correlation of RIA CMIA is R2 = 0.2762 (y = 0.8862x + 4.56) respectively. (According to statistics, during the same period RIA is Deficiency 4.31%, Insufficiency 90.53%, Sufficiency 5.16%, was Excess 0%, CLIA / CMIA is Deficiency 17.02%, Insufficiency 75.91%, Sufficiency 7.03%, indicating the distribution of 0.03 % Excess) Conclusion Serum vitamin D and parathyroid hormone that show an inverse relationship, the level above which are not parathyroid hormone and vitamin D reduced the increase. The density is different for each study, at most 20 is reported to be the maximum between 30 ng / ml. In Korea it requires a proposed standard of vitamin D deficiency, reference to the WHO lack the case more than 10ng/ml, 20ng/ml and defined by the lack of, if not more than, the IOM, but looking at 12ng/ml or less to the normal to lack, at least 20ng/ml, the reference do not match the deficit under 20ng/ml, 21-29ng/ml relative lack between, was also defined as a sufficient condition for more than 30ng/ml. Although not statistically is between RIA and CLIA two ways to vitamin D levels change according to season match, when seasonally seen in summer as commonly known (April to September), winter (October to March) relative to the increase measured than it was found. Finally, the study on the correlation between the two methods have been expected to result in a consistent and apply the same view high reference value on the graph is difficult. However, there may be differences between the test equipment and methods, and could be especially the case of RIA method using an organic solvent is difficult to compare different methods and correlated view similar trend in vitamin D deficiency and quarterly aspect ratio.

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비타민D 보충 요법이 폐경 후 여성 근력에 미치는 효과: 메타분석 (Effect of Vitamin D on Muscular Strength in Postmenopausal Women: A Meta-Analysis)

  • 강푸름;김지형;김명진
    • Journal of Korean Biological Nursing Science
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    • 제21권4호
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    • pp.239-248
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    • 2019
  • Purpose: Postmenopausal women are a unique population with high risk for the degeneration of muscle. The aim of the present meta-analysis was to accurately evaluate the effects of vitamin D on muscular strength in postmenopausal women. Methods: A review was conducted using electronic databases, including PubMed, EMBASE, Ovid Medline, CINAHL complete, and the Cochrane Library from inception through 19 March 2019. Included studies were selected by two independent reviewers. The meta-analysis were performed using Review Manager 5.3 software. Results: A total of nine randomized controlled clinical trials were included in this review. Vitamin D interventions led to no changes in the upper limb muscle strength (mean difference -0.16, 95% CI: -1.09 to 0.77), lower body muscle strength (standard mean difference 0.08, 95% CI: -0.11 to 0.26), and back/hip muscle strength (standard mean difference 0.06, 95% CI: -0.05 to 0.17). Conclusion: Pooled results from eight studies indicated that supplementation of vitamin D did not increase muscle strength in postmenopausal women. Apparently, the present review suggests that supplementation of vitamin D alone had no didn't show any beneficial effects on muscle strength in postmenopausal women.

Vitamin D Levels in Patients with Breast Cancer: Importance of Dressing Style

  • Alco, Gul;Igdem, Sefik;Dincer, Maktav;Ozmen, Vahit;Saglam, Sezer;Selamoglu, Derya;Erdogan, Zeynep;Ordu, Cetin;Pilanci, Kezban Nur;Bozdogan, Atilla;Yenice, Sedef;Tecimer, Coskun;Demir, Gokhan;Koksal, Gulistan;Okkan, Sait
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권3호
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    • pp.1357-1362
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    • 2014
  • Background: Vitamin D deficiency is a potentially modifiable risk factor that may be targeted for breast cancer (BC) prevention. It may also be related to prognosis after diagnosis and treatment. The aim of our study was to determine the prevalence of vitamin D deficiency as measured by serum 25-hydroxy vitamin D (25-OHD) levels in patients with BC and to evaluate its correlations with life-style and treatments. Materials and Methods: This study included 186 patients with stage 0-III BC treated in our breast center between 2010-2013. The correlation between serum baseline 25-OHD levels and supplement usage, age, menopausal status, diabetes mellitus, usage of bisphosphonates, body-mass index (BMI), season, dressing style, administration of systemic treatments and radiotherapy were investigated. The distribution of serum 25-OHD levels was categorized as deficient (<10ng/ml), insufficient (10-24 ng/ml), and sufficient (25-80 ng/ml). Results: The median age of the patients was 51 years (range: 27-79 years) and 70% of them had deficient/insufficient 25-OHD levels. On univariate analysis, vitamin D deficiency/insufficiency was more common in patients with none or low dose vitamin D supplementation at the baseline, high BMI (${\geq}25$), no bisphosphonate usage, and a conservative dressing style. On multivariate analysis, none or low dose vitamin D supplementation, and decreased sun-exposure due to a conservative dressing style were found as independent factors increasing risk of vitamin D deficiency/insufficiency 28.7 (p=0.002) and 13.4 (p=0.003) fold, respectively. Conclusions: The prevalence of serum 25-OHD deficiency/insufficiency is high in our BC survivors. Vitamin D status should be routinely evaluated for all women, especially those with a conservative dressing style, as part of regular preventive care, and they should take supplemental vitamin D.

The Effects of Vitamin D Supplementation to Peak-producing Hens Fed Diets Differing in Fat Source and Level on Laying Performance, Metabolic Profile, and Egg Quality

  • Turgut, L.;Hayirl, Armagan;Celebi, S.;Yoruk, M.A.;Gul, M.;Karaoglu, M.;Macit, M.
    • Asian-Australasian Journal of Animal Sciences
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    • 제19권8호
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    • pp.1179-1189
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    • 2006
  • This experiment was designed to examine the effects of supplemental vitamin D on laying performance, metabolic profile and egg quality of hens fed diets containing different fat sources and levels. Lohman strains (n = 480) were assigned to one of 10 diets: basal diet (BD), BD plus 2.5 and 5.0% sunflower oil (SO) or tallow (T) at vitamin D provided $1{\times}$ and $3{\times}$ of the current recommendation. The experiment lasted from week 30 to 44 of age. Each diet was tested in 12 replicate cages of 4 hens. Production, metabolism, and egg quality data were subjected to three-way ANOVA. Both fats decreased feed intake (FI) as compared to BD. Increasing SO and T levels linearly decreased and quadratically increased FI, respectively. The dietary factors did not affect egg production (EP) and egg weight. Vitamin D supplementation increased and decreased EP when diets contained SO and T, respectively. Feed conversion efficiency (FCE) for hens fed SO was lower than for hens fed T. However, increasing T level improved FCE, whereas increasing SO level worsened FCR. Vitamin D supplementation increased serum vitamin D and glucose concentrations. Vitamin D supplementation also caused a decrease and an increase in serum vitamin D concentration when diets contained SO and T, respectively. Serum glucose concentration for hens fed SO was lower than hens fed T. Increasing fat level linearly increased serum triglyceride and VLDL concentrations, regardless of the fat type. Increasing SO level linearly decreased serum cholesterol concentration. Vitamin D supplementation did not alter lipid metabolites. The dietary factors did not affect serum total protein, Ca, and P concentrations. As compared with BD, feeding SO decreased dry tibia and ash weights more than feeding T. Vitamin D supplementation tended to increase dry tibia weight and decrease tibia ash weight. Eggshell strength and thickness, yolk and albumen indexes, and Haugh unit were not responsive to the dietary factors. Eggshell strength quadratically increased with increasing T level. Yolk color for hens fed SO was lower than for hens fed T. The dietary factors did not affect most of yolk fatty acids. Increasing SO level quadratically decreased yolk $C_{18:2}$ concentration. Vitamin D supplementation increased and decreased yolk $C_{18:2}$ concentration when diets contained SO and T, respectively. In conclusion, increasing fat level improved laying performance without altering metabolic profile and egg quality. Vitamin D supplementation had minor alteration effects on laying performance, metabolic profile, and egg quality in response to fat feeding.