Interpretación de la Declaración de Consenso de Expertos sobre el Papel de la Vitamina D en la Salud Metabólica

closely associated with various metabolic abnormalities. However, the benefits of vitamin D supplementation remain controversial, particularly in the general population, where its efficacy is still unclear. Based on the full text of the consensus statement, this article provides a systematic interpretation of its development methods, key points, evidence base, and clinical implications. It also discusses the current clinical practice of related disciplines, aiming to provide a reference for clinicians in the rational use of vitamin D. 维生素D作为一种具有多效性作用的类固醇激素，近年来在骨骼以外疾病领域的研究持续升温。第8届维生素D争议国际会议形成的《维生素D在代谢健康中作用的共识声明》系统总结了维生素D在肌少症、心血管疾病、糖代谢异常、肥胖及代谢综合征等方面的机制与临床证据。该共识强调低25-羟维生素D水平与多种代谢异常密切相关，但关于补充维生素D的获益仍存在争议，尤其在一般人群中的效果尚不明确。本文结合共识全文内容，对其形成方法、核心观点、循证依据及临床启示进行系统解读，并结合相关学科的临床实践现状进行分析，以期为临床医生合理应用维生素D提供参考。.