维生素D缺乏对肥胖症患者免疫系统的影响及减重手术后的管理策略  

The influence of Vitamin D deficiency on the immune system of obese patients and manage-ment after bariatric surgery

作　　者：郑俊贤 周福庆 许晓宁 董志勇[2] Zheng Junxian;Zhou Fuqing;Xu Xiaoning;Dong Zhiyong(Faculty of Health Sciences,University of Macao,Macao999078,China;Department of Gastrointes-tinal and Bariatric Surgery,The First Affiliated Hospital of Ji'nan University,Guangzhou510632,China)

机构地区：[1]澳门大学健康科学学院,中国澳门999078 [2]暨南大学附属第一医院胃肠外科减重中心,广州510632

出　　处：《中华消化外科杂志》2024年第11期1410-1415,共6页Chinese Journal of Digestive Surgery

基　　金：广东省“海外名师”项目(2023(1643));广州市科技计划项目(2024A03J1037)。

摘　　要：维生素D在人体健康中扮演着多重角色,尤其是骨骼代谢和免疫调节。肥胖症患者普遍面临维生素D缺乏的风险。且减重手术还可能进一步加剧维生素D缺乏状态。笔者结合相关文献,分析归纳肥胖症与维生素D的关系、维生素D缺乏对免疫系统的影响、不同减重手术方式对维生素D状态的影响,以及维生素D的补充策略,旨在为减重手术后维生素D的管理提供实用指导和参考。Vitamin D plays multiple crucial roles in human health,especially in bone meta-bolism and immune modulation.Obese patients generally confront the risk of vitamin D deficiency.Furthermore,bariatric surgery may further intensify the vitamin D deficient condition.The authors,in combination with relevant literature,conduct analysis and induction on the relationship between obesity and vitamin D,the influence of vitamin D deficiency on the immune system,the impacts of different bariatric surgery approaches on the vitamin D status,as well as the supplementation strategies of vitamin D,aiming to offer practical guidance and reference for the management of vitamin D after bariatric surgery.

关 键 词：肥胖症 减重手术 维生素D 免疫系统 营养管理 

分 类 号：R656.61[医药卫生—外科学]