Center for Health management and Policy, Shandong University, Jinan, China.
Nutr J. 2012 Sep 9;11:68. doi: 10.1186/1475-2891-11-68.
Vitamin D deficiency is associated with a variety of chronic metabolic diseases. Limited evidence regarding vitamin D deficiency exists within the Chinese population. The present study aims to examine the association between serum vitamin D concentrations and cardiometabolic risk factors in the young and middle-aged, urban Chinese population
The cross-sectional relationships between serum 25-hydroxyvitamin D [25(OH)D] concentrations and indices of adiposity and cardiometabolic risk factors (e.g., body mass index, waist circumference, fasting plasma glucose, etc.) were evaluated in 601 non-diabetic adults.
Vitamin D deficiency or insufficiency was present in 66% of the tested population, and serum 25(OH)D levels were lower in patients who were overweight/obese or suffered metabolic syndrome when compared to individuals of healthy weight without metabolic syndrome (24.08 ± 8.08 vs 31.70 ± 11.77 ng/ml, 21.52 ± 6.9 vs 31.74 ± 10.21 ng/ml respectively). 25(OH)D was inversely associated with waist circumference, fasting glucose, fasting insulin, triglycerides and LDL-cholesterol, and it was positively associated with HDL-cholesterol in a multivariable-adjusted regression model.
Vitamin D deficiency is common in the young and middle-aged, urban Chinese population, with high prevalence in overweight/obese individuals and patients with metabolic syndrome. Low vitamin D concentration was associated with indices of adiposity and cardiometabolic risk factors. Further studies are warranted to elucidate the cause-effect relation between vitamin D status, obesity and related metabolic disorders.
维生素 D 缺乏与多种慢性代谢性疾病有关。中国人群中关于维生素 D 缺乏的证据有限。本研究旨在探讨血清维生素 D 浓度与中青年城市汉族人群代谢心血管危险因素之间的关系。
本横断面研究评估了 601 例非糖尿病成年人血清 25-羟维生素 D [25(OH)D]浓度与肥胖和代谢心血管危险因素指数(如体重指数、腰围、空腹血糖等)之间的关系。
测试人群中 66%存在维生素 D 缺乏或不足,超重/肥胖或代谢综合征患者的血清 25(OH)D 水平低于健康体重且无代谢综合征患者(24.08 ± 8.08 与 31.70 ± 11.77ng/ml,21.52 ± 6.9 与 31.74 ± 10.21ng/ml)。在多变量调整回归模型中,25(OH)D 与腰围、空腹血糖、空腹胰岛素、甘油三酯和 LDL 胆固醇呈负相关,与 HDL 胆固醇呈正相关。
维生素 D 缺乏在中青年城市汉族人群中很常见,超重/肥胖者和代谢综合征患者中发病率较高。低维生素 D 浓度与肥胖指数和代谢心血管危险因素有关。需要进一步的研究来阐明维生素 D 状态、肥胖和相关代谢紊乱之间的因果关系。