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統合分析有關於懷孕期間母親維生素D的攝取量和兒童哮喘與喘息之間的關係

Maternal vitamin D intake during pregnancy and risk of asthma and wheeze in children: A systematic review and meta-analysis of observational studies.

/ 文獻筆記 /

維生素D對肺及免疫系統發育具有重要的作用,缺乏可能引起哮喘和喘息性疾病。經由統合分析發現,懷孕期間適量的增加孕婦維生素D的攝入量,可對兒童的喘息和哮喘,減少其發病率。

To summarize the relationship between vitamin D and infant asthma or wheeze.MATERIALS AND METHODS:We used PubMed and Embase to search articles through July 2017 with selection criteria for relevant studies. Random-effect models were used to pool the results of included studies.RESULTS:Ten articles with 14 independent reports of 2073 incident cases of asthma and 1875 cases of wheeze among 23 030 pairs of mother and child were included in our meta-analysis. Compared to those who didn't take vitamin D, the mothers who had vitamin D supplementation during pregnancy stage could reduce the risk of asthma or wheeze in infants. The combined odds ratio of infant wheeze was 0.65 (95% CI = 0.54-0.79) and asthma was 0.78 (95% CI = 0.69-0.89). The results almost didn't change in the subgroup analyses.CONCLUSIONS:It suggests that increasing maternal vitamin D intake during pregnancy might have a protective effect on suffering from wheeze and asthma for children.—文獻摘要

J Matern Fetal Neonatal Med. 2019 Apr 24:1-201. doi: 10.1080/14767058.2019.1611771.—文獻出處