Chen Wei Ren, Sha Yuan, Chen Yun Dai, Shi Yang, Yin Da Wei, Wang Hao
Department of Cardiology, PLA General Hospital, Beijing.
Department of South-building Cardiology, PLA General Hospital, Beijing.
Endocr Pract. 2014 Jun;20(6):556-65. doi: 10.4158/EP13329.OR.
To explore the associations of serum vitamin D and parathyroid hormone (PTH) levels with serum lipid profiles and the risk of hyperlipidemia in a middle-aged and elderly population.
A population-based cross-sectional study was conducted in the spring of 2012 among 1,203 Chinese participants, aged 52 to 101 years. 25-Hydroxyvitamin D [25(OH)D] was measured by chemiluminescence assay. (PTH) levels were measured with an electrochemiluminescence immunoassay (ECLIA) method.
A total of 1,203 participants, including 526 women (43.7%), were evaluated in 2012. The median concentrations of serum 25(OH)D and PTH for the entire group were 17.3 ng/mL and 38.3 pg/mL, respectively. Serum 25(OH)D and PTH levels were not independently associated with serum total cholesterol, triglycerides, low-density lipoprotein (LDL) cholesterol and high-density lipoprotein (HDL) cholesterol levels in a multivariate adjusted linear regression analysis of 1,027 participants not receiving antihyperlipidemic treatment (P>.05). In logistic regression analyses, serum 25(OH)D and PTH levels were not associated with a risk of hyperlipidemia after adjustment for age, sex, heavy drinking, smoking, diabetes, obesity, family history of hyperlipidemia, body mass index (BMI), physical activity, glomerular filtration rate (GFR), fasting glucose, high-sensitivity C-reactive protein (hsCRP), calcium, and hemoglobin.
Serum 25(OH)D and PTH levels are not independently associated with serum lipid levels or an increased risk of hyperlipidemia in a middle-aged and elderly Chinese population.
探讨中老年人群血清维生素D和甲状旁腺激素(PTH)水平与血脂谱及高脂血症风险之间的关联。
2012年春季对1203名年龄在52至101岁之间的中国参与者进行了一项基于人群的横断面研究。采用化学发光法测定25-羟基维生素D[25(OH)D]。采用电化学发光免疫分析法(ECLIA)测定PTH水平。
2012年共评估了1203名参与者,其中包括526名女性(43.7%)。整个研究组血清25(OH)D和PTH的中位数浓度分别为17.3 ng/mL和38.3 pg/mL。在对1027名未接受降脂治疗的参与者进行的多变量校正线性回归分析中,血清25(OH)D和PTH水平与血清总胆固醇、甘油三酯、低密度脂蛋白(LDL)胆固醇和高密度脂蛋白(HDL)胆固醇水平无独立关联(P>0.05)。在逻辑回归分析中,校正年龄、性别、大量饮酒、吸烟、糖尿病、肥胖、高脂血症家族史、体重指数(BMI)、身体活动、肾小球滤过率(GFR)、空腹血糖、高敏C反应蛋白(hsCRP)、钙和血红蛋白后,血清25(OH)D和PTH水平与高脂血症风险无关。
在中老年中国人群中,血清25(OH)D和PTH水平与血脂水平或高脂血症风险增加无独立关联。