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中国中老年人群中的维生素D、甲状旁腺激素及血脂谱

Vitamin D, parathyroid hormone, and serum lipid profiles in a middle-aged and elderly Chinese population.

作者信息

Chen Wei Ren, Sha Yuan, Chen Yun Dai, Shi Yang, Yin Da Wei, Wang Hao

机构信息

Department of Cardiology, PLA General Hospital, Beijing.

Department of South-building Cardiology, PLA General Hospital, Beijing.

出版信息

Endocr Pract. 2014 Jun;20(6):556-65. doi: 10.4158/EP13329.OR.

Abstract

OBJECTIVES

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.

METHODS

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.

RESULTS

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.

CONCLUSIONS

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.

摘要

目的

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。

方法

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。

结果

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。

结论

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。

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