Витамин D как фактор повышения качества жизни у женщин после 50 лет (обзор литературы)
Витамин D как фактор повышения качества жизни у женщин после 50 лет (обзор литературы)
Пестрикова Т.Ю., Юрасова Е.А., Князева Т.П. Витамин D как фактор повышения качества жизни у женщин после 50 лет (обзор литературы).
Гинекология. 2019; 21 (6): 48–50.
DOI: 10.26442/20795696.2019.6.190758
________________________________________________
Pestrikova T.Yu., Yurasova E.A., Knyazeva T.P. Vitamin D as a factor for improving the quality of life in women after 50 years (literature review). Gynecology. 2019; 21 (6): 48–50.
DOI: 10.26442/20795696.2019.6.190758
Витамин D как фактор повышения качества жизни у женщин после 50 лет (обзор литературы)
Пестрикова Т.Ю., Юрасова Е.А., Князева Т.П. Витамин D как фактор повышения качества жизни у женщин после 50 лет (обзор литературы).
Гинекология. 2019; 21 (6): 48–50.
DOI: 10.26442/20795696.2019.6.190758
________________________________________________
Pestrikova T.Yu., Yurasova E.A., Knyazeva T.P. Vitamin D as a factor for improving the quality of life in women after 50 years (literature review). Gynecology. 2019; 21 (6): 48–50.
DOI: 10.26442/20795696.2019.6.190758
Актуальность. Здоровье населения является одним из ключевых факторов развития экономики и одновременно объективным показателем качества жизни. В настоящее время число женщин старше 50 лет прогрессивно увеличивается, а их растущая социальная включенность обусловит стремление к активному и здоровому долголетию. В этой связи политика общественного здоровья в стране должна идти по пути все более масштабного финансирования проектов здорового образа жизни, не концентрируя расходы только на медицинской помощи. Цель. Проведение анализа литературных источников по целесообразности использования витамина D как фактора, повышающего качество жизни женщин в перименопаузальном периоде и менопаузе. Материалы и методы. Для написания данного обзора осуществлен поиск отечественных и зарубежных публикаций в российских и международных системах поиска (PubMed, eLIBRARY и пр.) за последние 20 лет. В обзор включены статьи из рецензируемой литературы. Результаты. Изложен широкий спектр биологических свойств витамина D, участвующего в регуляции многих важных физиологических функций. Представлено негативное влияние дефицита витамина D не только на развитие онкологических, сердечно-сосудистых заболеваний, но и на усиление тяжести климактерического синдрома. Установлено, что использование препарата колекальциферола (витамина D3) в сочетании с менопаузальной гормональной терапией способствует нормализации углеводного, липидного и фосфорно-кальциевого обменов, улучшению нейропсихического самочувствия пациенток, что позволяет активно применять колекальциферол в рутинной клинической практике при климактерическом синдроме. Выводы. Многочисленные положительные эффекты колекальциферола (витамина D3) позволяют использовать препарат как средство для повышения социальной адаптации, а следовательно, улучшения качества жизни.
Ключевые слова: колекальциферол (витамин D3), климактерический синдром, перименопаузальный период, менопауза, социальная адаптация, качество жизни.
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Relevance. Public health is one of the key factors in the development of the economy and at the same time an objective indicator of quality of life. Currently, the number of women over 50 years old is progressively increasing, and their growing social inclusion will determine the desire for active and healthy longevity. In this regard, the public health policy in the country should follow the path of increasingly large-scale financing of projects of a healthy lifestyle, not concentrating expenses only on medical care. Aim. Analysis of literature on the feasibility of using vitamin D as a factor that improves the quality of life of women in the perimenopausal period and in menopause. Materials and methods. To write this review, we searched for domestic and foreign publications in Russian and international search engines (PubMed, eLIBRARY, etc.) over the past 20 years. The review included articles from peer-reviewed literature. Results. The review outlines a wide range of biological properties of vitamin D involved in the regulation of many important physiological functions. The negative effect of vitamin D deficiency is presented not only on the development of cancer, cardiovascular diseases, but also on the increase in the severity of menopausal syndrome. It has been established that the use of colecalciferol (vitamin D3) in combination with menopausal hormone therapy contributes to the normalization of carbohydrate, lipid and calcium phosphorus metabolism, improves the neuropsychic state of patients, which makes it possible to actively use colecalciferol in routine clinical practice in menopausal syndrome. Conclusions. Numerous positive effects of colecalciferol (vitamin D3) allow the use of the drug as a means to increase social adaptation, and, consequently, improve the quality of life.
Key words: colecalciferol (vitamin D3), menopause, perimenopausal period, menopause, social adaptation, quality of life.
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4. McCullough MJ, Leider JP. Associations between county wealth, health and social services spending, and health outcomes. Am J Prevent Med 2017; 53 (5): 592–8. DOI: 10.1016/j.amepre.2017.05.005
5. Barthold D, Nandi A, Mendoza Rodriguez J, Heymann J. Analyzing whether countries are equally efficient at improving longevity for men and women. Am J Public Health 2014; 104 (11): 9–2163. DOI: 10.2105/AJPH.2013.301494
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[Pestrikova T.Yu., Yachinskaya T.V. Vitamin D and its role in the formation of postmenopausal diseases (a literature review). Gynecology. 2015; 17 (4): 19–22 (in Russian).]
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[Pestrikova T.Iu., Iachinskaia T.V. Otsenka effektivnosti kompleksnogo podkhoda k lecheniiu menopauzal'nykh simptomov u zhenshchin perioda rannei postmenopauzy na fone defitsita vitamina D. Med. alfavit. 2017; 4 (37): 6–10 (in Russian).]
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10. IARC Working Group on Vitamin D: Vitamin D and Cancer. Report number 5. Geneva, Switzerland, WHO Press, 2008.
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12. Grant WB, Mohr SF. Ecological studies of ultraviolet B, vitamin D and cancer since 2000. Ann Epidemiol 2009; 19: 446–54.
13. Hyppönen E, Läärä E, Reunanen A et al. Intake of vitamin D and risk of type 1 diabetes: a birth-cohort study. Lancet 2001; 358: 1500–3.
14. Chiu KC, Chu A, Go VL, Saad MF. Hypovitaminosis D is associated with insulin resistance and beta cell dysfunction. Am J Clin Nutr 2004; 79: 820–5.
15. Pittas AG, Dawson-Hughes B, Li T et al. Vitamin D and calcium intake in relation to type 2 diabetes in women. Diabetes Care 2006; 29: 650–6.
16. Krause R, Bühring M, Hopfenmüller W et al. Ultraviolet B and blood pressure. Lancet 1998; 352: 709–10.
17. Pierrot-Deseilligny C, Souberbielle J-C. Contribution of vitamin D insufficiency to the pathogenesis of multiple sclerosis. Ther Adv Neurol Dis 2013; 6 (2): 81–116. DOI: 10.1177/1756285612473513
18. Merlino LA, Curtis J, Mikuls TR et al. Vitamin D intake is inversely associated with rheumatoid arthritis: results from the Iowa Women's Health Study. Arthritis Rheum 2004; 50: 72–7.
19. Ginde AA, Mansbach JM, Camargo CA Jr. Association between serum 25-hydroxyvitamin D level and upper respiratory tract infection in the Third National Health and Nutrition Examination Survey. Arch Int Med 2009; 169 (4): 384–90.
20. Ralph AP, Lucas RM, Norval M. Vitamin D and solar ultraviolet radiation in the risk and treatment of tuberculosis. Lancet Infect Dis 2013; 13 (1): 77–88.
DOI: 10.1016/S1473-3099(12)70275-X
21. Ghaly S, Lawrance I. The role of vitamin D in gastrointestinal inflammation. Expert Rev Gastroenterol Hepatol 2014; p. 1–15.
22. Wöbke TK, Sorg BL, Steinhilber D. Vitamin D in inflammatory diseases. Front Physiol. 2014; 5: 244. DOI: 10.3389/fphys.2014.00244. eCollection 2014.
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[Pestrikova T.Iu., Iachinskaia T.V. Kolekal'tsiferol kak neobkhodimyi komponent kompleksnogo lecheniia klimaktericheskogo sindroma na fone defitsita vitamina D. Rus. med. zhurn. 2017; 15: 1112–5 (in Russian).]
25. Инструкция по использованию препарата Aквадетрим. https://yandex.ru/health/pills/product/akvadetrim5060?utm_source=yandex&utm_medium=search&am...
[Instruktsiia po ispol'zovaniiu preparata Akvadetrim. https://yandex.ru/health/
pills/product/akvadetrim5060?utm_source=yandex&utm_medium=search&utm_campaign=yandexsearchster&utm_content=wizarddrugs&saas_webreqid=15768090476021871777860347650600439700125-vla1-2589 (in Russian).]
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27. Gómez de Tejada Romero MJ, Sosa Henríquez M, Del Pino Montes J et al. Position document on the requirements and optimum levels of vitamin D. Rev Osteoporos Metab Miner 2011; 3 (1): 53–64.
28. Rizzoli R, Boonen S, Brandi ML et al. Vitamin D supplementation in elderly or postmenopausal women: a 2013 update of the 2008 recommendations from the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO). Curr Med Res Opin 2013; 29 (4): 305–13. DOI: 10.1185/03007995.2013.766162
29. Ячинская Т.В. Менопаузальная гормональная терапия и витамин D у женщин в постменопаузе: качество жизни сегодня и завтра. Дальневосточный мед. журн. 2017; 3: 28–31.
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31. Wacker M, Holick MF. Vitamin D – Effects on Skeletal and Extraskeletal Health and the Need for Supplementation. Nutrients 2013; 5: 111–48.
32. Bikle D. Nonclassic actions of vitamin D. J Clin Endocrinol Metab 2008; 94; 1: 26–34.
________________________________________________
1. Andreev E., Shkol'nikov V. Sviaz' mezhdu urovniami smertnosti i ekonomicheskogo razvitiia v Rossii i ee regionakh. Demograficheskoe obozrenie. 2018; 1: 6–24. https://demreview.hse.ru/article/view/7707/8548 (in Russian).
2. Bradley EH, Sipsma H, Taylor LA. American health care paradox – high spending on health care and poor health. QJM: An Int J Med 2017; 1: 61–5. DOI: 10.1093/qjmed/hcw187
3. Heuvel van den W, Olaroiu M. How important are health care expenditures for life expectancy? A comparative European analysis. J Am Med Dir Assoc 2017; 18 (3): 9–12. https://www.jamda.com/article/S1525-8610(16)30559-X/pdf
4. McCullough MJ, Leider JP. Associations between county wealth, health and social services spending, and health outcomes. Am J Prevent Med 2017; 53 (5): 592–8. DOI: 10.1016/j.amepre.2017.05.005
5. Barthold D, Nandi A, Mendoza Rodriguez J, Heymann J. Analyzing whether countries are equally efficient at improving longevity for men and women. Am J Public Health 2014; 104 (11): 9–2163. DOI: 10.2105/AJPH.2013.301494
6. Pestrikova T.Yu., Yachinskaya T.V. Vitamin D and its role in the formation of postmenopausal diseases (a literature review). Gynecology. 2015; 17 (4): 19–22 (in Russian).
7. Pestrikova T.Iu., Iachinskaia T.V. Otsenka effektivnosti kompleksnogo podkhoda k lecheniiu menopauzal'nykh simptomov u zhenshchin perioda rannei postmenopauzy na fone defitsita vitamina D. Med. alfavit. 2017; 4 (37): 6–10 (in Russian).
8. Vitamin D deficiency in adults: diagnosis, treatment and prevention. Clinical recommendations. Moscow, 2015 (in Russian).
9. Bischoff-Ferrari HA, Burckhardt P, Quack-Loetscher K et al. Vitamin D deficiency: Evidence, safety, and recommendations for the Swiss population. Report written by a group of experts on behalf of the Federal Commission for Nutrition (FCN) 2012. http://www.iccidd.org/p142000804.html
10. IARC Working Group on Vitamin D: Vitamin D and Cancer. Report number 5. Geneva, Switzerland, WHO Press, 2008.
11. Peterlik M, Boonen S, Cross HS, Lamberg-Allardt C. Vitamin D and Calcium Insufficiency-Related Chronic Diseases: an Emerging World-Wide Public Health Problem. J Environ Res Public Health 2009; 6: 2585–607.
12. Grant WB, Mohr SF. Ecological studies of ultraviolet B, vitamin D and cancer since 2000. Ann Epidemiol 2009; 19: 446–54.
13. Hyppönen E, Läärä E, Reunanen A et al. Intake of vitamin D and risk of type 1 diabetes: a birth-cohort study. Lancet 2001; 358: 1500–3.
14. Chiu KC, Chu A, Go VL, Saad MF. Hypovitaminosis D is associated with insulin resistance and beta cell dysfunction. Am J Clin Nutr 2004; 79: 820–5.
15. Pittas AG, Dawson-Hughes B, Li T et al. Vitamin D and calcium intake in relation to type 2 diabetes in women. Diabetes Care 2006; 29: 650–6.
16. Krause R, Bühring M, Hopfenmüller W et al. Ultraviolet B and blood pressure. Lancet 1998; 352: 709–10.
17. Pierrot-Deseilligny C, Souberbielle J-C. Contribution of vitamin D insufficiency to the pathogenesis of multiple sclerosis. Ther Adv Neurol Dis 2013; 6 (2): 81–116. DOI: 10.1177/1756285612473513
18. Merlino LA, Curtis J, Mikuls TR et al. Vitamin D intake is inversely associated with rheumatoid arthritis: results from the Iowa Women's Health Study. Arthritis Rheum 2004; 50: 72–7.
19. Ginde AA, Mansbach JM, Camargo CA Jr. Association between serum 25-hydroxyvitamin D level and upper respiratory tract infection in the Third National Health and Nutrition Examination Survey. Arch Int Med 2009; 169 (4): 384–90.
20. Ralph AP, Lucas RM, Norval M. Vitamin D and solar ultraviolet radiation in the risk and treatment of tuberculosis. Lancet Infect Dis 2013; 13 (1): 77–88.
DOI: 10.1016/S1473-3099(12)70275-X
21. Ghaly S, Lawrance I. The role of vitamin D in gastrointestinal inflammation. Expert Rev Gastroenterol Hepatol 2014; p. 1–15.
22. Wöbke TK, Sorg BL, Steinhilber D. Vitamin D in inflammatory diseases. Front Physiol. 2014; 5: 244. DOI: 10.3389/fphys.2014.00244. eCollection 2014.
23. Pestrikova T.Iu., Iachinskaia T.V. Sovremennye vzgliady na etiologiiu, patogenez, diagnostiku, profilaktiku i lechenie defitsita vitamina D u zhenshchin v postmenopauze (obzor literatury) (in Russian).
24. Pestrikova T.Iu., Iachinskaia T.V. Kolekal'tsiferol kak neobkhodimyi komponent kompleksnogo lecheniia klimaktericheskogo sindroma na fone defitsita vitamina D. Rus. med. zhurn. 2017; 15: 1112–5 (in Russian).
25. Instruktsiia po ispol'zovaniiu preparata Akvadetrim. https://yandex.ru/health/
pills/product/akvadetrim5060?utm_source=yandex&utm_medium=search&utm_campaign=yandexsearchster&utm_content=wizarddrugs&saas_webreqid=15768090476021871777860347650600439700125-vla1-2589 (in Russian).
26. Holick MF, Binkley NC, Bischoff-Ferrari HA et al; Endocrine Society. Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab 2011; 96 (7): 1911–30. DOI: 10.1210/jc.2011-0385. Epub 2011.
27. Gómez de Tejada Romero MJ, Sosa Henríquez M, Del Pino Montes J et al. Position document on the requirements and optimum levels of vitamin D. Rev Osteoporos Metab Miner 2011; 3 (1): 53–64.
28. Rizzoli R, Boonen S, Brandi ML et al. Vitamin D supplementation in elderly or postmenopausal women: a 2013 update of the 2008 recommendations from the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO). Curr Med Res Opin 2013; 29 (4): 305–13. DOI: 10.1185/03007995.2013.766162
29. Iachinskaia T.V. Menopauzal'naia gormonal'naia terapiia i vitamin D u zhenshchin v postmenopauze: kachestvo zhizni segodnia i zavtra. Dal'nevostochnyi med. zhurn. 2017; 3: 28–31 (in Russian).
30. Pestrikova T.Iu., Iurasova E.A. Kniazeva T.P., Shmatkova A.S. Tselesoobraznost' ispol'zovaniia vitamina-gormona D s profilakticheskoi i lechebnoi tsel'iu (obzor literatury). Rus. med. zhurn. 2018; 11: 126–31 (in Russian).
31. Wacker M, Holick MF. Vitamin D – Effects on Skeletal and Extraskeletal Health and the Need for Supplementation. Nutrients 2013; 5: 111–48.
32. Bikle D. Nonclassic actions of vitamin D. J Clin Endocrinol Metab 2008; 94; 1: 26–34.
Авторы
Т.Ю. Пестрикова*, Е.А. Юрасова, Т.П. Князева
ФГБОУ ВО «Дальневосточный государственный медицинский университет» Минздрава России, Хабаровск, Россия
*typ50@rambler.ru
________________________________________________
Tatyana Yu. Pestrikova*, Elena A. Yurasova, Tatyana P. Knyazeva
The Far Eastern State Medical University, Khabarovsk, Russia
*typ50@rambler.ru