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儿童和青少年血清维生素D缺乏与1型糖尿病有关。

Serum vitamin D deficiency in children and adolescents is associated with type 1 diabetes mellitus.

作者信息

Liu Changwei, Wang Jingwen, Wan Yuanyuan, Xia Xiaona, Pan Jian, Gu Wei, Li Mei

机构信息

Children's Hospital of Nanjing Medical University, Nanjing, China.

出版信息

Endocr Connect. 2018 Dec;7(12):1275-1279. doi: 10.1530/EC-18-0191.

Abstract

BACKGROUND

To investigate the relationship 25-hydroxy vitamin D (25OHD) level among children and in children with type 1 diabetes mellitus (T1DM).

METHODS

A case-control study was conducted to compare the serum 25OHD levels between cases and controls. This study recruited 296 T1DM children (106 newly diagnosed T1DM patients and 190 established T1DM patients), and 295 age- and gender-matched healthy subjects as controls.

RESULTS

The mean serum 25OHD in T1DM children was 48.69 ± 15.26 nmol/L and in the controls was 57.93 ± 19.03 nmol/L. The mean serum 25OHD in T1DM children was lower than that of controls (P < 0.01). The mean serum 25OHD level (50.42 ± 14.74 nmol/L) in the newly diagnosed T1DM children was higher than that (47.70 ± 15.50 nmol/L) in the established T1DM children but the difference was not statistically significant (P = 0.16). HbA1c values were associated with 25OHD levels in established T1DM children (r = 0.264, P < 0.01), and there was no association between 25OHD and HbA1c in newly diagnosed T1DM children (r = 0.164; P > 0.05).

CONCLUSION

Vitamin D deficiency is common in T1DM children, and it should be worthy of attention on the lack of vitamin D in established T1DM children.

摘要

背景

研究儿童及1型糖尿病(T1DM)患儿体内25-羟基维生素D(25OHD)水平之间的关系。

方法

开展一项病例对照研究,比较病例组与对照组的血清25OHD水平。本研究招募了296例T1DM患儿(106例新诊断的T1DM患者和190例确诊的T1DM患者),以及295例年龄和性别匹配的健康受试者作为对照。

结果

T1DM患儿的血清25OHD平均水平为48.69±15.26 nmol/L,对照组为57.93±19.03 nmol/L。T1DM患儿的血清25OHD平均水平低于对照组(P<0.01)。新诊断的T1DM患儿血清25OHD平均水平(50.42±14.74 nmol/L)高于确诊的T1DM患儿(47.70±15.50 nmol/L),但差异无统计学意义(P=0.16)。确诊的T1DM患儿中糖化血红蛋白(HbA1c)值与25OHD水平相关(r=0.264,P<0.01),新诊断的T1DM患儿中25OHD与HbA1c之间无相关性(r=0.164;P>0.05)。

结论

维生素D缺乏在T1DM患儿中很常见,确诊的T1DM患儿维生素D缺乏问题应引起关注。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/904b/6240138/1cb9caefaf70/EC-18-0191fig1.jpg

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