Tosunbayraktar Guler, Bas Murat, Kut Altug, Buyukkaragoz Aylin Hasbay
Baskent University, Health Sciences Faculty, Department of Nutrition and Dietetics, Ankara, Turkey.
Acıbadem University, Health Sciences Faculty, Department of Nutrition and Dietetics, Istanbul, Turkey.
Afr Health Sci. 2015 Dec;15(4):1161-9. doi: 10.4314/ahs.v15i4.15.
The aim of this study was to investigate the association of 25(OH)D levels with biochemical, anthropometric, and metabolic data obtained from normal and obese people.
This study was carried out on 90 individuals between the ages of 18 to 63 that had various body mass indexes. Blood samples and anthropometric measurements were taken.
Waist circumferences, fat mass, LDL cholesterol levels, HDL cholesterol levels, 25(OH)D levels, and triglyceride levels were significantly different according to the body mass index groups of the participants (p<0.05). When compared to the normal body mass index group, both other groups (overweight and obese) had higher waist circumferences, triglyceride levels, LDL cholesterol levels, fasting insulin levels, HOMA-IR ratios, parathyroid hormone levels, and fat mass, and had lower 25(OH)D levels (p<0.05). The overweight group participants had higher 25(OH)D levels than the obese group, and had lower waist circumferences, fat mass, fasting insulin level, HOMA-IR ratios, and HbA1C and PTH levels than those in the obese group (p<0.05).
In conclusion, the mean level of 25(OH)D is very low in overweight and obese individuals and low serum 25(OH)D levels appear to be associated with obesity, visceral obesity, hypertriglyceridemia, insulin resistance, and metabolic syndrome in obese patients.
本研究的目的是调查25(OH)D水平与从正常人和肥胖者获得的生化、人体测量和代谢数据之间的关联。
本研究对90名年龄在18至63岁之间、具有不同体重指数的个体进行。采集了血样并进行了人体测量。
根据参与者的体重指数组,腰围、脂肪量、低密度脂蛋白胆固醇水平、高密度脂蛋白胆固醇水平、25(OH)D水平和甘油三酯水平存在显著差异(p<0.05)。与正常体重指数组相比,其他两组(超重和肥胖)的腰围、甘油三酯水平、低密度脂蛋白胆固醇水平、空腹胰岛素水平、HOMA-IR比值、甲状旁腺激素水平和脂肪量更高,而25(OH)D水平更低(p<0.05)。超重组参与者的25(OH)D水平高于肥胖组,且腰围、脂肪量、空腹胰岛素水平、HOMA-IR比值以及HbA1C和PTH水平低于肥胖组(p<0.05)。
总之,超重和肥胖个体的25(OH)D平均水平非常低,低血清25(OH)D水平似乎与肥胖、内脏肥胖、高甘油三酯血症、胰岛素抵抗以及肥胖患者的代谢综合征有关。