Analysis of the Cochrane Review: Vitamin D Supplementation for Prevention of Cancer in Adults. Cochrane Database Syst Rev. 2014, 6:CD007469.

Detalhes bibliográficos
Autor(a) principal: Cardoso, André Torres
Data de Publicação: 2014
Outros Autores: Nanji, Liliana, Costa, João, Carneiro, António Vaz
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.
id RCAP_ddf7abb345a059ca74ca31f495ce8422
oai_identifier_str oai:ojs.www.actamedicaportuguesa.com:article/5686
network_acronym_str RCAP
network_name_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository_id_str 7160
spelling 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
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5686
oai:ojs.www.actamedicaportuguesa.com:article/5686
url https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5686
identifier_str_mv oai:ojs.www.actamedicaportuguesa.com:article/5686
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5686
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5686/4035
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Ordem dos Médicos
publisher.none.fl_str_mv Ordem dos Médicos
dc.source.none.fl_str_mv 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
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
_version_ 1799130642358730752