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多囊卵巢综合征女性与非多囊卵巢综合征女性的25-羟维生素D及代谢参数比较。

Comparison of 25-hydroxyvitamin D and metabolic parameters between women with and without polycystic ovarian syndrome.

作者信息

Ng Beng Kwang, Lee Chui Ling, Lim Pei Shan, Othman Hanita, Ismail Nor Azlin Mohamed

机构信息

.

出版信息

Horm Mol Biol Clin Investig. 2017 Jun 6;31(3):/j/hmbci.2017.31.issue-3/hmbci-2016-0057/hmbci-2016-0057.xml. doi: 10.1515/hmbci-2016-0057.

DOI:10.1515/hmbci-2016-0057
PMID:28586302
Abstract

Background There is increasing evidence that supports the contribution of vitamin D deficiency in metabolic disturbances among women with polycystic ovarian syndrome (PCOS). The aim of this study was to compare 25-hydroxyvitamin D level and the prevalence of metabolic syndrome in the PCOS and normal women. Materials and methods A case-controlled study was conducted in a teaching hospital over a 6-month duration from June 2015 to January 2016. A total of 90 women, who consisted of 45 women with PCOS (study group) and 45 women without PCOS (control group), were recruited. Results The final analysis was of 80 women only and the prevalence of vitamin D deficiency (<20 ng/mL) was high between both groups, i.e. 93.7% but there was no significant difference (p = 0.874). Nevertheless, the prevalence of metabolic syndrome was significantly higher in the study group as compared to the control group (27.5% vs. 5.0%, p = 0.013). There was no statistically significant correlation between vitamin D level with clinical [age, weight, body mass index (BMI), waist and hip circumference, systolic and diastolic blood pressure (SBP and DPB, respectively)] and metabolic parameters (fasting glucose, triglycerides, cholesterol, high-density lipoprotein and low-density lipoprotein) among women with PCOS. However, height was positively correlated (r = 0.338, p = 0.033) and the contrary waist-hip ratio was negatively correlated with vitamin D level (r = -0.605, p = 0.048). Conclusion The prevalence of vitamin D deficiency was high in our study population. Nevertheless, the prevalence of metabolic syndrome was higher among women with PCOS as compared to women without PCOS.

摘要

背景 越来越多的证据支持维生素D缺乏在多囊卵巢综合征(PCOS)女性代谢紊乱中的作用。本研究的目的是比较PCOS女性和正常女性的25-羟维生素D水平及代谢综合征的患病率。

材料与方法 2015年6月至2016年1月在一家教学医院进行了一项病例对照研究,为期6个月。共招募了90名女性,其中45名患有PCOS的女性(研究组)和45名无PCOS的女性(对照组)。

结果 最终仅对80名女性进行了分析,两组维生素D缺乏(<20 ng/mL)的患病率都很高,即93.7%,但无显著差异(p = 0.874)。然而,研究组代谢综合征的患病率显著高于对照组(27.5%对5.0%,p = 0.013)。PCOS女性的维生素D水平与临床指标[年龄、体重、体重指数(BMI)、腰围和臀围、收缩压和舒张压(分别为SBP和DPB)]及代谢参数(空腹血糖、甘油三酯、胆固醇、高密度脂蛋白和低密度脂蛋白)之间无统计学显著相关性。然而,身高呈正相关(r = 0.338,p = 0.033),相反,腰臀比与维生素D水平呈负相关(r = -0.605,p = 0.048)。

结论 在我们的研究人群中维生素D缺乏的患病率很高。然而,与无PCOS的女性相比,PCOS女性中代谢综合征的患病率更高。

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