Vitamin D and Sleep Regulation: Is there a Role for Vitamin D?

Current Pharmaceutical Design - Tập 26 Số 21 - Trang 2492-2496 - 2020
Fiammetta Romano1, Giovanna Muscogiuri1, Elea Di Benedetto1, Volha V. Zhukouskaya1, Luigi Barrea1, Gaetano Lombardi1, Annamaria Colao1, Carolina Di Somma1
1Dipartimento di Medicina Clinica e Chirurgia, Sezione di Endocrinologia, Universita degli Studi di Napoli Federico II, Italy

Tóm tắt

Background: Vitamin D exerts multiple pleiotropic effects beyond its role in calcium-phosphate metabolism. Growing evidence suggests an association between hypovitaminosis D and sleep disorders, thus increasing the interest in the role of this vitamin in the regulatory mechanisms of the sleep-wake cycle. Objective: The study aimed to explore and summarize the current knowledge about the role of vitamin D in sleep regulation and the impact of vitamin D deficiency on sleep disorders. Methods: The main regulatory mechanisms of vitamin D on sleep are explained in this study. The literature was scanned to identify clinical trials and correlation studies showing an association between vitamin D deficiency and sleep disorders. Results: Vitamin D receptors and the enzymes that control their activation and degradation are expressed in several areas of the brain involved in sleep regulation. Vitamin D is also involved in the pathways of production of Melatonin, the hormone involved in the regulation of human circadian rhythms and sleep. Furthermore, vitamin D can affect sleep indirectly through non-specific pain disorders, correlated with alterations in sleep quality, such as restless legs syndrome and obstructive sleep apnea syndrome. Conclusions: : Vitamin D has both a direct and an indirect role in the regulation of sleep. Although vitamin D deficiency has been associated to sleep disorders, there is still scant evidence to concretely support the role of vitamin D supplementation in the prevention or treatment of sleep disturbances; indeed, more intervention studies are needed to better clarify these aspects.

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Current Pharmaceutical Design

Tập 26 Số 21

2492-2496

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