{"id":1313,"date":"2017-03-23T12:43:58","date_gmt":"2017-03-23T03:43:58","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=1313"},"modified":"2017-03-23T12:43:58","modified_gmt":"2017-03-23T03:43:58","slug":"%e3%83%93%e3%82%bf%e3%83%9f%e3%83%b3d%e3%81%ab%e3%82%88%e3%82%8b%e4%b8%8a%e6%b0%97%e9%81%93%e6%84%9f%e6%9f%93%e7%97%87%e4%ba%88%e9%98%b2","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=1313","title":{"rendered":"\u30d3\u30bf\u30df\u30f3D\u306b\u3088\u308b\u4e0a\u6c17\u9053\u611f\u67d3\u75c7\u4e88\u9632"},"content":{"rendered":"<p>\u2015\u6587\u732e\u540d\uff0d<br \/>\nAdrian R Martineau et al. Vitamin D supplementation to prevent acute respiratory tract infections: systematic review and meta-analysis of individual participant data. BMJ 2017;356:i6583<\/p>\n<p>\uff0d\u8981\u7d04\uff0d<br \/>\n<strong>Introduction<\/strong><br \/>\n\u3000\u6025\u6027\u4e0a\u6c17\u9053\u611f\u67d3\u75c7\u306f\u983b\u5ea6\u304c\u9ad8\u304f\u3001\u6b7b\u4ea1\u7387\u3082\u9ad8\u3044\u91cd\u8981\u306a\u75be\u60a3\u3067\u3042\u308b\u3002\u904e\u53bb\u306e\u89b3\u5bdf\u7814\u7a76\u306b\u304a\u3044\u3066\u300125-\u30d2\u30c9\u30ed\u30ad\u30b7\u30d3\u30bf\u30df\u30f3D\u306e\u8840\u4e2d\u6fc3\u5ea6\u304c\u4f4e\u3044\u3053\u3068\u3068\u6025\u6027\u4e0a\u6c17\u9053\u611f\u67d3\u75c7\u306e\u7f79\u60a3\u7387\u306b\u95a2\u9023\u6027\u304c\u3042\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u3066\u3044\u305f\u3002\u307e\u305f\u3001\u30d3\u30bf\u30df\u30f3D\u306f\u4e0a\u6c17\u9053\u708e\u3078\u306e\u6297\u83cc\u30fb\u6297\u30a6\u30a4\u30eb\u30b9\u30da\u30d7\u30c1\u30c9\u3092\u523a\u6fc0\u3057\u3001\u611f\u67d3\u4e88\u9632\u306b\u50cd\u304f\u53ef\u80fd\u6027\u304c\u3042\u308b\u3068\u8a00\u308f\u308c\u3066\u3044\u305f\u3002\u30d3\u30bf\u30df\u30f3D\u88dc\u7d66\u304c\u6025\u6027\u4e0a\u6c17\u9053\u611f\u67d3\u75c7\u306e\u30ea\u30b9\u30af\u3092\u6e1b\u3089\u305b\u308b\u304b\u3001\u3068\u3044\u3063\u305fRCT\u304c\u591a\u6570\u3055\u308c\u3066\u304a\u308a\u3001\u73fe\u5728\u307e\u3067\u306b5\u3064\u306e\u96c6\u8a08\u30c7\u30fc\u30bf\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\u304c\u5b9f\u65bd\u3055\u308c\u3066\u3044\u308b\u3002\u305d\u306e\u3046\u30612\u3064\u306f\u7d71\u8a08\u5b66\u7684\u306b\u6709\u610f\u306a\u52b9\u679c\u3092\u5831\u544a\u3057\u30013\u3064\u306f\u6709\u610f\u306a\u52b9\u679c\u3092\u5831\u544a\u3057\u306a\u304b\u3063\u305f\u3053\u308c\u30895\u3064\u306e\u8a66\u9a13\u306e\u3046\u30614\u3064\u3067\u3001\u7d71\u8a08\u7684\u306b\u6709\u610f\u306a\u7570\u8cea\u6027\u304c\u3042\u308b\u3068\u5831\u544a\u3057\u3066\u3044\u308b\u3002COPD\u60a3\u8005\u306e\u4e2d\u3067\u3082\u30d3\u30bf\u30df\u30f3D\u306e\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u304c\u4f4e\u3044\u60a3\u8005\u306b\u3064\u3044\u3066\u306f\u88dc\u7d66\u306b\u3088\u308b\u5229\u76ca\u306f\u5927\u304d\u304f\u3001\u307e\u305f\u5e74\u9f62\u3084BMI\u306a\u3069\u306f\u30d3\u30bf\u30df\u30f3D\u88dc\u7d66\u306b\u3088\u308b25-\u30d2\u30c9\u30ed\u30ad\u30b7\u30d3\u30bf\u30df\u30f3D\u306e\u5fdc\u7b54\u306b\u5f71\u97ff\u3059\u308b\u3068\u8a00\u308f\u308c\u3066\u3044\u308b\u3002\u4eca\u56de\u3001\u3053\u306e\u7570\u8cea\u6027\u3092\u8aac\u660e\u3059\u308b\u8981\u56e0\u3092\u7279\u5b9a\u3059\u308b\u305f\u3081\u306b\u3001\u30d3\u30bf\u30df\u30f3D\u88dc\u7d66\u306b\u3088\u308b\u6025\u6027\u547c\u5438\u5668\u611f\u67d3\u75c7\u4e88\u9632\u306b\u95a2\u3059\u308b25\u306eRCT\u3059\u3079\u3066\u306b\u304a\u3044\u3066\u3001\u500b\u3005\u306e\u53c2\u52a0\u8005\u30c7\u30fc\u30bf\u306e\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\u3092\u884c\u3063\u305f\u3002<\/p>\n<p><strong>Method<\/strong><br \/>\n\u3000\u30c7\u30b6\u30a4\u30f3\uff1a\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13\u304b\u3089\u306e\u500b\u3005\u306e\u53c2\u52a0\u8005\u30c7\u30fc\u30bf\u306e\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\u3001\u304a\u3088\u3073\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9<br \/>\n\u3000\u30c7\u30fc\u30bf\u30bd\u30fc\u30b9\uff1aMedline, Embase, the Cochrane Central Register of Controlled Trials, Web of Science, ClinicalTrials.gov, the International Standard Randp,osed Controlled Trials Number registry<br \/>\n\u3000\u8a66\u9a13\u9078\u8003\u306e\u305f\u3081\u306e\u57fa\u6e96\uff1a\u30e9\u30f3\u30c0\u30e0\u5316\u3001\u4e8c\u91cd\u76f2\u691c\u3001\u30d7\u30e9\u30bb\u30dc\u6bd4\u8f03\u306b\u3088\u308b\u30d3\u30bf\u30df\u30f3D3\u3042\u308b\u3044\u306f\u30d3\u30bf\u30df\u30f3D2\u88dc\u7d66\u306e\u8a66\u9a13\u3067\u3042\u308a\u3001\u502b\u7406\u59d4\u54e1\u4f1a\u306b\u627f\u8a8d\u3055\u308c\u3066\u304a\u308a\u3001\u6025\u6027\u4e0a\u6c17\u9053\u611f\u67d3\u75c7\u306e\u767a\u751f\u7387\u306b\u95a2\u3059\u308b\u30c7\u30fc\u30bf\u304c\u524d\u5411\u304d\u306b\u53ce\u96c6\u3055\u308c\u3066\u3044\u308b\u3082\u306e\u3002<\/p>\n<p><strong>Results<\/strong><br \/>\n\u300025\u306eRCT\uff08\u8a0811321\u540d\u306e\u53c2\u52a0\u8005\u30010\u6b73\u304b\u308995\u6b73\u307e\u3067\uff09\u304c\u540c\u5b9a\u3055\u308c\u305f\u3002\u53c2\u52a0\u8005\u30c7\u30fc\u30bf\u306f10933\u540d\uff0896.6\uff05\uff09\u3067\u5f97\u3089\u308c\u305f\u3002\u30d3\u30bf\u30df\u30f3D\u88dc\u7d66\u306b\u3088\u308a\u3001\u5168\u3066\u306e\u53c2\u52a0\u8005\u306e\u6025\u6027\u547c\u5438\u5668\u611f\u67d3\u8a3c\u306e\u30ea\u30b9\u30af\u3092\u6e1b\u3089\u3057\u305f\uff08\u8abf\u6574\u30aa\u30c3\u30ba\u6bd40.88\u300195\uff05\u4fe1\u983c\u533a\u95930.81-0.96\u3001P\u5024<0.001\uff09\u3002\u30b5\u30d6\u30b0\u30eb\u30fc\u30d7\u89e3\u6790\u3067\u306f\u3001\u8ffd\u52a0\u306e\u30dc\u30fc\u30e9\u30b9\u6295\u4e0e\u306a\u3057\u3067\u3001\u6bce\u65e5\u3042\u308b\u3044\u306f\u6bce\u9031\u30d3\u30bf\u30df\u30f3D\u3092\u6442\u53d6\u3057\u305f\u8005\u306b\u4fdd\u8b77\u52b9\u679c\u304c\u8a8d\u3081\u3089\u308c\u305f\uff08\u8abf\u6574\u30aa\u30c3\u30ba\u6bd40.81\u30010.72-0.91\uff09\u304c\u30011\u56de\u4ee5\u4e0a\u306e\u30dc\u30fc\u30e9\u30b9\u7528\u91cf\u3092\u53d7\u3051\u305f\u8005\u3067\u306f\u52b9\u679c\u304c\u898b\u3089\u308c\u306a\u304b\u3063\u305f\uff08\u8abf\u6574\u30aa\u30c3\u30ba\u6bd40.97\u30010.86-1.10\u3001P\u5024=0.05\uff09\u3002\u6bce\u65e5\u3042\u308b\u3044\u306f\u6bce\u9031\u30d3\u30bf\u30df\u30f3D\u3092\u6442\u53d6\u3057\u305f\u8005\u306e\u3046\u3061\u3001\u4fdd\u8b77\u52b9\u679c\u304c\u3088\u308a\u5f37\u304b\u3063\u305f\u306e\u306f\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u306e25-\u30d2\u30c9\u30ed\u30ad\u30b7\u30d3\u30bf\u30df\u30f3D\u30ec\u30d9\u30eb\uff1c25nmol\/L\uff08\u8abf\u6574\u30aa\u30c3\u30ba\u6bd40.30\u30010.17-0.53\uff09\u3067\u3042\u308a\u300125-\u30d2\u30c9\u30ed\u30ad\u30b7\u30d3\u30bf\u30df\u30f3D\u30ec\u30d9\u30eb\u226725nmol\/L\uff08\u8abf\u6574\u30aa\u30c3\u30ba\u6bd40.75\u30010.60-0.95\u3001P\u5024=0.006\uff09\u3088\u308a\u9ad8\u304b\u3063\u305f\u3002\u30d3\u30bf\u30df\u30f3D\u6442\u53d6\u306b\u3088\u308b\u6709\u5bb3\u4e8b\u8c61\u306e\u767a\u751f\u7387\u306b\u306f\u5dee\u304c\u306a\u304b\u3063\u305f\uff08\u8abf\u6574\u30aa\u30c3\u30ba\u6bd40.98\u30010.80-1.20\u3001P=0.83\uff09\u3002\n\n\u7d50\u8ad6\uff1a\u30d3\u30bf\u30df\u30f3D\u88dc\u7d66\u306f\u5b89\u5168\u306b\u5b9f\u65bd\u3067\u304d\u3001\u6025\u6027\u547c\u5438\u5668\u611f\u67d3\u75c7\u306b\u5bfe\u3059\u308b\u4fdd\u8b77\u4f5c\u7528\u306f\u5168\u4f53\u306b\u8a8d\u3081\u3089\u308c\u305f\u3002\u4e2d\u3067\u3082\u3001\u30d3\u30bf\u30df\u30f3D\u6b20\u4e4f\u304c\u5f37\u3044\u8005\u3001\u30dc\u30fc\u30e9\u30b9\u6295\u4e0e\u3092\u53d7\u3051\u3066\u3044\u306a\u3044\u8005\u304c\u6700\u3082\u5229\u76ca\u3092\u53d7\u3051\u3066\u3044\u305f\u3002\n\n<a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/03\/\u4e2d\u5cf6\u5148\u751f\u56f3\uff11.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/03\/\u4e2d\u5cf6\u5148\u751f\u56f3\uff11-1024x732.png\" alt=\"\u4e2d\u5cf6\u5148\u751f\u56f3\uff11\" width=\"640\" height=\"458\" class=\"aligncenter size-large wp-image-1314\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/03\/\u4e2d\u5cf6\u5148\u751f\u56f3\uff11-1024x732.png 1024w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/03\/\u4e2d\u5cf6\u5148\u751f\u56f3\uff11-300x214.png 300w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/03\/\u4e2d\u5cf6\u5148\u751f\u56f3\uff11.png 1222w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/03\/\u4e2d\u5cf6\u5148\u751f\u56f3\uff12.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/03\/\u4e2d\u5cf6\u5148\u751f\u56f3\uff12.png\" alt=\"\u4e2d\u5cf6\u5148\u751f\u56f3\uff12\" width=\"990\" height=\"895\" class=\"aligncenter size-full wp-image-1315\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/03\/\u4e2d\u5cf6\u5148\u751f\u56f3\uff12.png 990w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/03\/\u4e2d\u5cf6\u5148\u751f\u56f3\uff12-300x271.png 300w\" sizes=\"auto, (max-width: 990px) 100vw, 990px\" \/><\/a><\/p>\n<p>\u3010\u958b\u50ac\u65e5\u3011<br \/>\n\u30002017\u5e743\u670822\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u2015\u6587\u732e\u540d\uff0d Adrian R Martineau et al. Vitamin D supplementation to prevent acute respiratory tract infections: syste &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=1313\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">\u30d3\u30bf\u30df\u30f3D\u306b\u3088\u308b\u4e0a\u6c17\u9053\u611f\u67d3\u75c7\u4e88\u9632<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17],"tags":[],"class_list":["post-1313","post","type-post","status-publish","format-standard","hentry","category-17"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1313","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1313"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1313\/revisions"}],"predecessor-version":[{"id":1316,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1313\/revisions\/1316"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1313"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1313"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1313"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}