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血浆 25-羟维生素 D 与 2 型糖尿病男性患者的血红蛋白浓度独立相关。

Plasma 25-hydroxyvitamin d is independently associated with hemoglobin concentration in male subjects with type 2 diabetes mellitus.

机构信息

Department of Internal Medicine, School of Medicine, Keio University, Tokyo 160-8582, Japan.

出版信息

Int J Endocrinol. 2011;2011:362981. doi: 10.1155/2011/362981. Epub 2011 Jun 6.

Abstract

Introduction. It was reported that 25-hydroxyvitamin D level was independently associated with anemia in chronic kidney diseases, but the relation between vitamin D and anemia in diabetes mellitus is not still certain. We analyzed the relation between plasma 25-hydroxyvitamin D level and hemoglobin concentration. Materials and Methods. A cross-sectional study in male patients with type 2 diabetes was performed. Correlation coefficients and standardized partial regression coefficient for the hemoglobin concentration were evaluated. Results. Hemoglobin concentration was positively correlated with body mass index, HbA1c, estimated glomerular filtration rate, cholinesterase, and 25-hydroxyvitamin D level and negatively correlated with age, duration of diabetes mellitus, serum creatinine, and urinary albumin creatinine ratio. Multiple regression analysis revealed the independent relation of 25-hydroxyvitamin D to hemoglobin concentration. Conclusions. Plasma circulating form of vitamin D is significantly associated with hemoglobin concentration in diabetes mellitus independent of the clinical markers for kidney function or nutrition.

摘要

简介。有报道称 25-羟维生素 D 水平与慢性肾脏病患者的贫血独立相关,但维生素 D 与糖尿病患者贫血之间的关系尚不确定。我们分析了血浆 25-羟维生素 D 水平与血红蛋白浓度之间的关系。

材料和方法。对男性 2 型糖尿病患者进行了一项横断面研究。评估了血红蛋白浓度与相关系数和标准化偏回归系数的关系。

结果。血红蛋白浓度与体重指数、HbA1c、估算肾小球滤过率、胆碱酯酶和 25-羟维生素 D 水平呈正相关,与年龄、糖尿病病程、血清肌酐和尿白蛋白肌酐比呈负相关。多元回归分析显示,25-羟维生素 D 与血红蛋白浓度之间存在独立关系。

结论。循环血浆形式的维生素 D 与糖尿病患者的血红蛋白浓度显著相关,与肾功能或营养的临床标志物无关。

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