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维生素D充足、不足和缺乏的绝经后女性的身体成分、营养及代谢参数

Body composition and nutritional and metabolic parameters in postmenopausal women sufficient, insufficient and deficient in vitamin D.

作者信息

Simas Luisa Amábile Wolpe, Zanatta Leila Caroline Bianchet, Moreira Carolina Aguiar, Borba Victoria Zeghbi Cochenski, Boguszewski Cesar Luiz

机构信息

Serviço de Endocrinologia e Metabologia (SEMPR), Departamento de Medicina Interna , Universidade Federal do Paraná , Curitiba , PR , Brasil.

出版信息

Arch Endocrinol Metab. 2019 May-Jun;63(3):265-271. doi: 10.20945/2359-3997000000121. Epub 2019 Apr 25.

DOI:10.20945/2359-3997000000121
PMID:31038588
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10522206/
Abstract

OBJECTIVE

We investigated changes in body composition and nutritional and metabolic parameters in a group of postmenopausal women who were classified as sufficient, insufficient and deficient in vitamin D.

SUBJECTS AND METHODS

A total of 106 postmenopausal women were included in this cross-sectional study and classified according to their serum levels of 25-OH-vitamin D as sufficient (≥ 30 ng/mL; group S), insufficient (20.1 and 29.9 ng/mL; group I) or deficient (≤ 20 ng/mL; group D) in vitamin D. Body composition was measured by dual-energy X-ray absorptiometry (DXA); dietary recall questionnaires were completed; and blood samples were analysed to compare the metabolic and nutritional status of the study groups.

RESULTS

Eleven (10.4%) of the women were classified in group S, 50 (47.2%) in group I and 45 (42.4%) in group D, with a mean serum level for 25-OH-D of 21.1 ± 7.0 ng/mL in all participants. Body composition did not differ among the groups. Serum levels of 25-OH-D were negatively correlated with serum levels of triglycerides, total cholesterol and LDL cholesterol.

CONCLUSIONS

Vitamin D insufficiency and deficiency were highly prevalent in our group of postmenopausal women, showing an association with an unfavourable lipid profile.

摘要

目的

我们调查了一组绝经后女性的身体成分、营养和代谢参数的变化,这些女性被分类为维生素D充足、不足和缺乏。

受试者与方法

本横断面研究共纳入106名绝经后女性,并根据她们血清25-羟基维生素D水平分类为维生素D充足(≥30 ng/mL;S组)、不足(20.1至29.9 ng/mL;I组)或缺乏(≤20 ng/mL;D组)。通过双能X线吸收法(DXA)测量身体成分;完成饮食回顾问卷;并分析血样以比较各研究组的代谢和营养状况。

结果

11名(10.4%)女性被分类为S组,50名(47.2%)为I组,45名(42.4%)为D组,所有参与者的血清25-OH-D平均水平为21.1±7.0 ng/mL。各组之间的身体成分没有差异。血清25-OH-D水平与甘油三酯、总胆固醇和低密度脂蛋白胆固醇水平呈负相关。

结论

在我们的绝经后女性组中,维生素D不足和缺乏非常普遍,显示出与不良血脂谱相关。

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Role of vitamin D in diabetes mellitus and chronic kidney disease.维生素D在糖尿病和慢性肾脏病中的作用。
World J Diabetes. 2016 Mar 10;7(5):89-100. doi: 10.4239/wjd.v7.i5.89.
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Metabolic syndrome: A review of the role of vitamin D in mediating susceptibility and outcome.代谢综合征:维生素 D 在介导易感性和结局中的作用综述。
World J Diabetes. 2015 Jul 10;6(7):896-911. doi: 10.4239/wjd.v6.i7.896.
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Association of serum 25-hydroxyvitamin d levels and vitamin D dietary intake with metabolic syndrome: a case control study.血清25-羟维生素D水平及维生素D膳食摄入量与代谢综合征的关联:一项病例对照研究
J Res Health Sci. 2015 Winter;15(1):32-6.
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Vitamin D status and metabolic syndrome in the elderly: the Rotterdam Study.老年人维生素 D 状况与代谢综合征:鹿特丹研究。
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Metabolic syndrome: a closer look at the growing epidemic and its associated pathologies.代谢综合征:深入审视这一日益蔓延的流行病及其相关病理状况。
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Recommendations of the Brazilian Society of Endocrinology and Metabology (SBEM) for the diagnosis and treatment of hypovitaminosis D.巴西内分泌与代谢学会(SBEM)关于维生素D缺乏症诊断与治疗的建议
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