Vitamin D Insufficiency.
Vitamin D Insufficiency.
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DOI：
10.1056/nejmcp1009570
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发表时间：
2011-01-20
影响因子：
158.5
通讯作者：
Rosen, Clifford J.
中科院分区：
文献类型：
--
作者：
Rosen, Clifford J.
一名健康的61岁白色女性担心在评估其骨骼健康时检测到低维生素D水平。她的更年期开始于54岁。她没有福尔斯跌倒史，也没有髋部骨折家族史。她没有服用任何药物或补充剂。她身高157.5厘米（5英尺2英寸），体重59.1公斤（130磅）。体格检查结果无异常，实验室检查结果正常。髋部骨矿物质密度的T评分为-1.5，25-羟基维生素D的血清水平为21 ng/ml（53 nmol/L）。你有什么建议？
A healthy 61-year-old white woman is concerned about a low vitamin D level detected during an assessment of her skeletal health. Her menopause began at 54 years of age. She has no history of falls, and there is no family history of hip fracture. She takes no medications or supplements. Her height is 157.5 cm (5 ft 2 in.), and her weight 59.1 kg (130 lb). The results of a physical examination are unremarkable, and the findings on laboratory studies are normal. The T score for bone mineral density at the hip is -1.5, and the serum level of 25-hydroxyvitamin D is 21 ng per milliliter (53 nmol per liter). What do you advise?