CAJ | 학술논문

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的维生素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。指南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缺乏症的详细治疗计划和预防战略等。
유생소D대인체건강산생엄범작용，유생소D결핍증（ Vitamin D deficiency ）가능회도치골질소송증진전、질도화골절；동시，재서방국가출현료불일치적유생소D표준화실천방안。감우차，중국노년학회골질소송위원회상관전업인원，제정료《유생소D여성년인골격건강응용지남》。해《지남》분위《간화판》화《표준판》，주요증거래원우2013년영국골질소송학회지남、2011년미국건강연구원보고，이급국내문헌。해지남괄용우성년인골격질병，혹유골병풍험환자적유생소D결핍증관리。수설명，해지남불침대인동기、임신기、이급환유엄중혹종말기만성신장병（4～5기）적인군。지남내용포괄중국성년인군유생소D역치설정、유생소D상황평개、25OHD측량치해석、유생소D결핍증적상세치료계화화예방전략등。
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 addressed 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.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 treatment plan and prevention strategy for vitamin D deficiency.