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美国青少年维生素 D 浓度与胰岛素、血糖和 HbA1c 浓度之间的关联。

Associations between concentrations of vitamin D and concentrations of insulin, glucose, and HbA1c among adolescents in the United States.

机构信息

Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.

出版信息

Diabetes Care. 2011 Mar;34(3):646-8. doi: 10.2337/dc10-1754. Epub 2011 Jan 27.

Abstract

OBJECTIVE

Our objective was to examine the associations between concentrations of vitamin D and concentrations of insulin, glucose, and HbA(1c) in a nationally representative sample of adolescents in the U.S.

RESEARCH DESIGN AND METHODS

We used data for 1,941 adolescents, aged 12-17 years, who participated in the National Health and Nutrition Examination Survey between 2001 and 2006.

RESULTS

Adjusted concentrations of insulin were ~24% lower among male subjects with a concentration of vitamin D ≥ 75 nmol/L than among male subjects with a concentration of vitamin D <50 nmol/L (P = 0.003). Concentrations of vitamin D were inversely associated with concentrations of glucose only among Mexican American male subjects (P = 0.007). No significant associations between concentrations of vitamin D and HbA(1c) were detected.

CONCLUSIONS

Our results support an inverse association between concentrations of vitamin D and insulin primarily in adolescent male subjects.

摘要

目的

本研究旨在探讨美国代表性青少年人群中维生素 D 浓度与胰岛素、血糖和 HbA(1c)浓度之间的相关性。

研究设计和方法

我们使用了 2001 年至 2006 年间参与国家健康和营养调查的 1941 名年龄在 12-17 岁的青少年的数据。

结果

在维生素 D 浓度≥75nmol/L的男性受试者中,调整后的胰岛素浓度比维生素 D 浓度<50nmol/L的男性受试者低约 24%(P=0.003)。仅在墨西哥裔美国男性受试者中,维生素 D 浓度与血糖浓度呈负相关(P=0.007)。未发现维生素 D 浓度与 HbA(1c)之间存在显著相关性。

结论

本研究结果支持维生素 D 浓度与胰岛素浓度之间存在负相关,主要存在于青少年男性受试者中。

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