Hatamian Hamidreza, Bidabadi Elham, Seyed Saadat Seyed Mohammad, Saadat Niloufar Seyed, Kazemnezhad Ehsan, Ramezani Hamed, Bakhshayesh Babak
Associate Professor, Department of Neurology, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran.
Iran J Neurol. 2013;12(2):41-6.
Although the precise etiology of multiple sclerosis (MS) is unknown, it seems that both genetic and environmental factors are important. Recent studies suggest that low serum vitamin D levels are important environmental factor in MS. The aim of this study was to compare the serum levels of vitamin D between MS patients and healthy subjects, and to determine its association with disability in MS patients.
In this cross-sectional study, a total of 52 patients with MS were randomly recruited and matched for age and sex with 52 healthy subjects. Demographic characteristics and serum vitamin D levels for both groups, as well as duration of disease Expanded Disability Status Scale (EDSS) for MS patients were evaluated. Statistical analysis was performed by independent samples t-test and multiple linear regression analysis.
The mean serum vitamin D levels were 26.5 ± 16.3 ng/ml in MS patients vs. 37.1 ±19.7 in healthy subjects (P = 0.003). A linear regression analysis showed no significant association between vitamin D levels and EDSS score of patients with MS (P = 0.345), after adjusting for the covariates.
Our findings did not suggest a protective association for serum vitamin D levels against disability in MS patients.
尽管多发性硬化症(MS)的确切病因尚不清楚,但遗传和环境因素似乎都很重要。最近的研究表明,血清维生素D水平低是MS中的重要环境因素。本研究的目的是比较MS患者和健康受试者的血清维生素D水平,并确定其与MS患者残疾的关联。
在这项横断面研究中,共随机招募了52例MS患者,并按年龄和性别与52名健康受试者进行匹配。评估了两组的人口统计学特征和血清维生素D水平,以及MS患者的疾病持续时间扩展残疾状态量表(EDSS)。通过独立样本t检验和多元线性回归分析进行统计分析。
MS患者的平均血清维生素D水平为26.5±16.3 ng/ml,而健康受试者为37.1±19.7(P = 0.003)。线性回归分析显示,在调整协变量后,维生素D水平与MS患者的EDSS评分之间无显著关联(P = 0.345)。
我们的研究结果并未表明血清维生素D水平对MS患者的残疾具有保护关联。