Analysis of the Cochrane Review: Vitamin D Supplementation for Prevention of Cancer in Adults. Cochrane Database Syst Rev. 2014, 6:CD007469.
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5686 |
Resumo: | Vitamin D has been mentioned in the literature has a potentially important agent for preventing the development of tumors, namely breast, colon, prostate and ovary tumors. However, the currently available evidence on the subject is contradictory and inconclusive. In this Cochrane systematic review, patients taking supplemental vitamin D on its various forms (cholecalciferol, ergocalciferol, alfacalcidol or calcitriol), regardless the dose, duration and route of administration, were compared with placebo, healthy adults without any intervention or adults with a disease in a stable phase, non-related with vitamin D metabolism. The results showed that currently, there is no firm evidence that vitamin D supplementation increases or decreases the risk of cancer occurrence, mainly in elderly community- dwelling women. Though at risk of type I errors due to small samples and substantial dropout of participants during the trials, the administration of supplemental cholecalciferol led to a 12% (CI 95%: 2 a 22%) decreased in cancer mortality, while the administration of supplemental vitamin D decreased all-cause mortality by 7% (CI 95%: 2 a 12%). The combined administration of supplements of cholecalciferol and calcium induced an increased incidence of nephrolithiasis.Keywords: Adult; Randomized Controlled Trials as Topic; Neoplasms/prevention and control; Systematic Reviews; Vitamin D. |
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Analysis of the Cochrane Review: Vitamin D Supplementation for Prevention of Cancer in Adults. Cochrane Database Syst Rev. 2014, 6:CD007469.Análise da Revisão Cochrane: Administração Suplementar de Vitamina D para Prevenção de Cancro em Adultos. Cochrane Database Syst Rev. 2014, 6:CD007469.Vitamin D has been mentioned in the literature has a potentially important agent for preventing the development of tumors, namely breast, colon, prostate and ovary tumors. However, the currently available evidence on the subject is contradictory and inconclusive. In this Cochrane systematic review, patients taking supplemental vitamin D on its various forms (cholecalciferol, ergocalciferol, alfacalcidol or calcitriol), regardless the dose, duration and route of administration, were compared with placebo, healthy adults without any intervention or adults with a disease in a stable phase, non-related with vitamin D metabolism. The results showed that currently, there is no firm evidence that vitamin D supplementation increases or decreases the risk of cancer occurrence, mainly in elderly community- dwelling women. Though at risk of type I errors due to small samples and substantial dropout of participants during the trials, the administration of supplemental cholecalciferol led to a 12% (CI 95%: 2 a 22%) decreased in cancer mortality, while the administration of supplemental vitamin D decreased all-cause mortality by 7% (CI 95%: 2 a 12%). The combined administration of supplements of cholecalciferol and calcium induced an increased incidence of nephrolithiasis.Keywords: Adult; Randomized Controlled Trials as Topic; Neoplasms/prevention and control; Systematic Reviews; Vitamin D.A vitamina D tem sido referida na literatura como sendo um agente potencialmente importante na prevenção de condições neoplásicas, incluindo cancro da mama, cólon, próstata e ovários. Contudo, a evidência científica actualmente disponível sobre o assunto é contraditória e inconclusiva. Na presente revisão sistemática Cochrane compararam-se indivíduos a fazer suplementação de vitamina D nas suas variadas formas (colecalciferol, ergocalciferol, alfacalcidol ou calcitriol), independentemente da dose, via ou duração de administração versus placebo, adultos sem qualquer intervenção ou adultos com uma doença em fase estável, não relacionada com o metabolismo da vitamina D. Os resultados indicam que actualmente não existe evidência consistente a favor de os suplementos de vitamina D aumentarem ou diminuírem o risco de aparecimento de cancro, especialmente em mulheres idosas residentes na comunidade. Embora susceptíveis de terem sofrido erros de análise do tipo I por presença de RCTs com amostras reduzidas e por taxas de desistência significativas durante os estudos, a administração de suplementos de colecalciferol esteve associada a uma diminuição de 12% (IC95%: 2 a 22%) do risco de mortalidade por cancro, tendo a administração de suplementos de vitamina D diminuído em 7% (IC95%: 2 a 12%) o risco de mortalidade global (por todas as causas). A administração combinada de suplementos de colecalciferol e cálcio aumentou a incidência de casos de nefrolitíase.Palavras-chave: Adulto; Ensaios Clínicos Controlados Aleatórios como Assunto; Neoplasias/prevenção e controle; Revisão Sistemática; Vitamina D.Ordem dos Médicos2014-08-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5686oai:ojs.www.actamedicaportuguesa.com:article/5686Acta Médica Portuguesa; Vol. 27 No. 4 (2014): July-August; 411-413Acta Médica Portuguesa; Vol. 27 N.º 4 (2014): Julho-Agosto; 411-4131646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5686https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5686/4035Cardoso, André TorresNanji, LilianaCosta, JoãoCarneiro, António Vazinfo:eu-repo/semantics/openAccess2022-12-20T11:04:26Zoai:ojs.www.actamedicaportuguesa.com:article/5686Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:08.783532Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Analysis of the Cochrane Review: Vitamin D Supplementation for Prevention of Cancer in Adults. Cochrane Database Syst Rev. 2014, 6:CD007469. Análise da Revisão Cochrane: Administração Suplementar de Vitamina D para Prevenção de Cancro em Adultos. Cochrane Database Syst Rev. 2014, 6:CD007469. |
title |
Analysis of the Cochrane Review: Vitamin D Supplementation for Prevention of Cancer in Adults. Cochrane Database Syst Rev. 2014, 6:CD007469. |
spellingShingle |
Analysis of the Cochrane Review: Vitamin D Supplementation for Prevention of Cancer in Adults. Cochrane Database Syst Rev. 2014, 6:CD007469. Cardoso, André Torres |
title_short |
Analysis of the Cochrane Review: Vitamin D Supplementation for Prevention of Cancer in Adults. Cochrane Database Syst Rev. 2014, 6:CD007469. |
title_full |
Analysis of the Cochrane Review: Vitamin D Supplementation for Prevention of Cancer in Adults. Cochrane Database Syst Rev. 2014, 6:CD007469. |
title_fullStr |
Analysis of the Cochrane Review: Vitamin D Supplementation for Prevention of Cancer in Adults. Cochrane Database Syst Rev. 2014, 6:CD007469. |
title_full_unstemmed |
Analysis of the Cochrane Review: Vitamin D Supplementation for Prevention of Cancer in Adults. Cochrane Database Syst Rev. 2014, 6:CD007469. |
title_sort |
Analysis of the Cochrane Review: Vitamin D Supplementation for Prevention of Cancer in Adults. Cochrane Database Syst Rev. 2014, 6:CD007469. |
author |
Cardoso, André Torres |
author_facet |
Cardoso, André Torres Nanji, Liliana Costa, João Carneiro, António Vaz |
author_role |
author |
author2 |
Nanji, Liliana Costa, João Carneiro, António Vaz |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Cardoso, André Torres Nanji, Liliana Costa, João Carneiro, António Vaz |
description |
Vitamin D has been mentioned in the literature has a potentially important agent for preventing the development of tumors, namely breast, colon, prostate and ovary tumors. However, the currently available evidence on the subject is contradictory and inconclusive. In this Cochrane systematic review, patients taking supplemental vitamin D on its various forms (cholecalciferol, ergocalciferol, alfacalcidol or calcitriol), regardless the dose, duration and route of administration, were compared with placebo, healthy adults without any intervention or adults with a disease in a stable phase, non-related with vitamin D metabolism. The results showed that currently, there is no firm evidence that vitamin D supplementation increases or decreases the risk of cancer occurrence, mainly in elderly community- dwelling women. Though at risk of type I errors due to small samples and substantial dropout of participants during the trials, the administration of supplemental cholecalciferol led to a 12% (CI 95%: 2 a 22%) decreased in cancer mortality, while the administration of supplemental vitamin D decreased all-cause mortality by 7% (CI 95%: 2 a 12%). The combined administration of supplements of cholecalciferol and calcium induced an increased incidence of nephrolithiasis.Keywords: Adult; Randomized Controlled Trials as Topic; Neoplasms/prevention and control; Systematic Reviews; Vitamin D. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-08-01 |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5686 oai:ojs.www.actamedicaportuguesa.com:article/5686 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5686 |
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oai:ojs.www.actamedicaportuguesa.com:article/5686 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5686 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5686/4035 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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Ordem dos Médicos |
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Ordem dos Médicos |
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Acta Médica Portuguesa; Vol. 27 No. 4 (2014): July-August; 411-413 Acta Médica Portuguesa; Vol. 27 N.º 4 (2014): Julho-Agosto; 411-413 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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