维生素D与成年人骨骼健康应用指南(2014年标准版)  

Application Guideline for Vitamin D and Bone Health in Adult Chinese(2014 Standard Edition) Vitamin D Working Group of Osteoporosis Committee of China Gerontological Society

作　　者：廖祥鹏[1] 张增利[2] 张红红[3] 朱汉民[4] 周建烈 黄琪仁[6] 汪之顼[7] 王亮[8] 刘忠厚 

机构地区：[1]南京医科大学附属无锡妇幼保健院,江苏无锡214002 [2]苏州大学公共卫生学院,江苏苏州215123 [3]解放军总医院,北京100853 [4]复旦大学附属华东医院,上海200040 [5]今日维生素D 网站,上海200234 [6]上海交通大学附属第六人民医院,上海200233 [7]南京医科大学公共卫生学院,南京211166 [8]解放军总参谋部总医院,北京100091 [9]中国老年学学会骨质疏松委员会,北京100102

出　　处：《中国骨质疏松杂志》2014年第9期1011-1030,共20页Chinese Journal of Osteoporosis

摘　　要：维生素D对人体健康产生广泛作用，维生素D缺乏症（ Vitamin D deficiency）可能会导致骨质疏松症进展、跌倒和骨折；同时，在西方国家出现了不一致维生素D标准和实践方案。鉴于此，中国老年学会骨质疏松委员会相关专业人员，制定了《维生素D与成年人骨骼健康应用指南》。该《指南》分为《简化版》和《标准版》，主要证据来源于2013年英国骨质疏松学会指南、2011年美国健康研究院报告，以及国内文献。该指南适用于成年人骨骼疾病，或有骨病风险患者的维生素D缺乏症管理。需说明，该指南不针对儿童期、妊娠期、以及患有严重或终末期慢性肾脏病（4～5期）的人群。该指南《标准版》在本刊已发表《简化版》的基础上进一步详述，相关内容包括中国成年人群维生素D阈值设定、维生素D状况评价、25OHD测量值解释、维生素D缺乏症治疗和监测的详细计划、预防战略等。Vitamin D may contribute to widespread effects in human health, and vitamin D deficiency may lead to the development of osteoporosis, and to falls and fractures;meanwhile, there have been some conflicting guidelines and inconsistent practices about vitamin D in the West.Given these conditions, some specialists from Osteoporosis Committee of China Gerontological Society develop this practical application guideline for vitamin D and bone health in adult Chinese.This guideline includes“Starter Edition”and“Standard Edition”, and the evidence of this guideline mainly comes from the guideline of National Osteoporosis Society in the UK （2013）, the report of Institute of Medicine in the United States （2011）, supported by some domestic literatures.This guideline addresses the management of vitamin D deficiency in adult patients with, or at risk of developing, bone disease.It should be noted that the management of vitamin D deficiency in childhood, in pregnancy or in patients with severe or end-stage chronic kidney disease （CKD Stages 4-5） is beyond the topic of this guideline.Based on the published “Starter Edition” in this journal, this “Standard Edition” goes further;and the contents of this guideline includes the setting up of vitamin D thresholds for adult Chinese, assessment of vitamin D status, interpretation of 25OHD measurement, detailed plan of vitamin D treatment and monitoring, and prevention strategy for vitamin D deficiency.

关 键 词：维生素D 成年 中国人 骨骼 指南 

分 类 号：R68[医药卫生—骨科学]