Deficiência de vitamina D e sua associação com a Síndrome Metabólica

Autores

  • Anderson da Silva Secretaria Municipal de Saúde de Mauá
  • Sandra José do Nascimento Brito Sanfisio
  • Regicely Aline Brandão Ferreira Secretaria Municipal de Saúde de Mauá

DOI:

https://doi.org/10.59171/nutrivisa-2017v4e9024

Palavras-chave:

síndrome metabólica, vitamina D, deficiência, humanos

Resumo

A vitamina D possui como principal função regular a homeostase do cálcio. Sua síntese é estimulada com a exposição à luz solar e, também, pode ser obtida através da ingestão alimentar adequada. Diversas evidências têm demonstrado sua ligação com o desenvolvimento dos componentes da síndrome metabólica. Portanto, foi realizada uma revisão sistemática da literatura para reunir e aprimorar o conhecimento sobre o tema. Foram analisados estudos dos últimos 5 anos retrogradamente a partir de 01 de julho de 2010 na base de dados Pubmed (Medline) abrangendo todas as faixas etárias. Foram encontrados 13 artigos, dos quais 8 contemplavam os critérios de inclusão, sendo analisados e tendo seus principais achados descritos em um quadro. Todos os estudos demonstram que a deficiência de vitamina D está associada ao desenvolvimento de diversas alterações metabólicas do organismo, tais como obesidade, resistência à insulina, hiperglicemia, dislipidemia e hipertensão arterial, quadro que em conjunto configuram a síndrome metabólica. Após revisão sistemática dos estudos, concluiu-se que existe uma estreita relação entre a deficiência de vitamina D e a síndrome metabólica, contudo são necessários mais estudos para conhecer melhor todos os mecanismos envolvidos nesse processo.

Referências

ABDEEN, M. B. et al. Nonalcoholic steatohepatitis and the cardiometabolic syndrome. Journal of the cardiometabolic syndrome, v. 1, n. 1, p. 36-40, 2006.

ALBERTI, K. G. M. M.; ZIMMET, P.Z. Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: diagnosis and classification of diabetes mellitus. Provisional report of a WHO consultation. Diabetic medicine, v. 15, n. 7, p. 539-553, 1998.

BAZ-HECHT, M.; GOLDFINE, A. B. The impact of vitamin D deficiency on diabetes and cardiovascular risk. Current Opinion in Endocrinology, Diabetes and Obesity, v. 17, n. 2, p. 113-119, 2010.

BOUILLON, R. et al. Vitamin D and human health: lessons from vitamin D receptor null mice. Endocrine reviews, v. 29, n. 6, p. 726-776, 2008.

BRAGE, S. et al. Objectively measured physical activity correlates with indices of insulin resistance in Danish children. International journal of obesity, v. 28, n. 11, p. 1503-1508, 2004.

CHACKO, S. A. et al. Serum 25-hydroxyvitamin D concentrations in relation to cardiometabolic risk factors and metabolic syndrome in postmenopausal women. The American journal of clinical nutrition, v. 94, n. 1, p. 209- 217, 2011.

CIMBEK, A. et al. Relation of obesity with serum 25 hydroxy vitamin D3 levels in type 2 diabetic patients. Journal of research in medical sciences: the official journal of Isfahan University of Medical Sciences, v. 17, n. 12, p. 1119, 2012.

DETECTION, Expert Panel On. Evaluation and Treatment of high blood cholesterol in adults. Executive summary of the third report of The National Cholesterol Education Program (NCEP) Expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III). Jama, v. 285, n. 19, p. 2486-2497, 2001.

ECKEL, R. H.; GRUNDY, S. M.; ZIMMET, P. Z. The metabolic syndrome. The Lancet, v. 365, n. 9468, p. 1415-1428, 2005.

FORMAN, J. P. et al. Plasma 25-hydroxyvitamin D levels and risk of incident hypertension. Hypertension, v. 49, n. 5, p. 1063-1069, 2007.

GOLDNER, W. S. et al. Prevalence of vitamin D insufficiency and deficiency in morbidly obese patients: a comparison with non-obese controls. Obesity surgery, v. 18, n. 2, p. 145-150, 2008.

GUASCH, A. et al. Plasma vitamin D and parathormone are associated with obesity and atherogenic dyslipidemia: a cross-sectional study.Cardiovascular diabetology, v. 11, n. 1, p. 1, 2012.

HA, C. D. et al. Serum vitamin D, physical activity, and metabolic risk factors in Korean children. Medicine and science in sports and exercise, v. 45, n. 1, p. 102-108, 2013.

HYPPONEN, E. et al. 25-hydroxyvitamin D, IGF-1, and metabolic syndrome at 45 years of age A cross-sectional study in the 1958 British Birth Cohort. Diabetes, v. 57, n. 2, p. 298-305, 2008.

HYPPONEN, E.; POWER, C. Vitamin D status and glucose homeostasis in the 1958 British birth cohort the role of obesity. Diabetes care, v. 29, n. 10, p. 2244-2246, 2006.

IOM. Institute of Medicine of the National Academies. Dietary Reference Intakes for Calcium and Vitamin D. Report IOM. November, 2010.

IP, T. P.; LEUNG, J.; KUNG, A. W. C. Management of osteoporosis in patients hospitalized for hip fractures. Osteoporosis international, v. 21, n. 4, p. 605- 614, 2010.

KAYANIYIL, S. et al. Association of 25 (OH) D and PTH with metabolic syndrome and its traditional and nontraditional components. The Journal of Clinical Endocrinology & Metabolism, v. 96, n. 1, p. 168-175, 2011.

KIENREICH, K. et al. Vitamin D and cardiovascular disease. Nutrients, v. 5, n. 8, p. 3005-3021, 2013.

LAKKA, H. M. et al. The metabolic syndrome and total and cardiovascular disease mortality in middle-aged men. Jama, v. 288, n. 21, p. 2709-2716, 2002.

LEE, D. M. et al. Vitamin D, parathyroid hormone and the metabolic syndrome in middle-aged and older European men. European Journal of Endocrinology, v. 161, n. 6, p. 947-954, 2009.

LIPS, P. et al. A global study of vitamin D status and parathyroid function in postmenopausal women with osteoporosis: baseline data from the multiple outcomes of raloxifene evaluation clinical trial. The Journal of Clinical Endocrinology & Metabolism, v. 86, n. 3, p. 1212-1221, 2001.

LU, L. et al. Plasma 25-hydroxyvitamin D concentration and metabolic syndrome among middle-aged and elderly Chinese individuals. Diabetes care, v. 32, n. 7, p. 1278-1283, 2009.

MITHAL, A. et al. Global vitamin D status and determinants of hypovitaminosis D. Osteoporosis international, v. 20, n. 11, p. 1807-1820, 2009.

MOY, F. M.; BULGIBA, A. High prevalence of vitamin D insufficiency and its association with obesity and metabolic syndrome among Malay adults in Kuala Lumpur, Malaysia. BMC Public Health, v. 11, n. 1, p. 1, 2011.

MULDOWNEY, S.; KIELY, M. Vitamin D and cardiometabolic health: a review of the evidence. Nutrition research reviews, v. 24, n. 01, p. 1-20, 2011.

PACIFICO, L. et al. Low 25 (OH) D3 levels are associated with total adiposity, metabolic syndrome, and hypertension in Caucasian children and adolescents. European Journal of Endocrinology, v. 165, n. 4, p. 603-611, 2011.

PINHEIRO, M. M. et al. Nutrient intakes related to osteoporotic fractures in men and women–The Brazilian Osteoporosis Study (BRAZOS).Nutrition journal, v. 8, n. 1, p. 1, 2009.

STOKIĆ, E. et al. Obesity and Vitamin D Deficiency Trends to Promote a More Proatherogenic Cardiometabolic Risk Profile. Angiology, v. 66, n. 3, p. 237-243, 2015.

THACHER, T. D.; CLARKE, B. L. Vitamin D insufficiency. Mayo Clinic Proceedings. Elsevier, p. 50-60, 2011.

YIN, X. et al. Serum 25 (OH) D is inversely associated with metabolic syndrome risk profile among urban middle- aged Chinese population.Nutrition journal, v. 11, n. 1, p. 1, 2012.

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Publicado

2017-12-25

Como Citar

SILVA, A. da .; BRITO, S. J. do N. .; FERREIRA, R. A. B. . Deficiência de vitamina D e sua associação com a Síndrome Metabólica. Nutrivisa Revista de Nutrição e Vigilância em Saúde, Fortaleza, v. 4, n. 2, p. 38–47, 2017. DOI: 10.59171/nutrivisa-2017v4e9024. Disponível em: https://revistas.uece.br/index.php/nutrivisa/article/view/9024. Acesso em: 22 dez. 2024.

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