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印度南部一家三级医疗中心接受健康检查人群中维生素D与高血压之间的关联。

Association between vitamin D and hypertension in people coming for health check up to a tertiary care centre in South India.

作者信息

Vatakencherry Rose Mary J, Saraswathy L

机构信息

Department of Physiology, Amrita School of Medicine, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham University, Kochi, Kerala.

出版信息

J Family Med Prim Care. 2019 Jun;8(6):2061-2067. doi: 10.4103/jfmpc.jfmpc_236_19.

Abstract

INTRODUCTION

Vitamin D has many effects apart from its role in calcium metabolism and bone health. Vitamin D is derived from endogenous ultraviolet-B induced vitamin D synthesis in the skin, and the current high prevalence of vitamin D deficiency in India, can be attributed to lifestyle related low sunlight exposure. Identification of the vitamin D receptor (VDR) in almost all human cells, suggests a role in extra skeletal diseases. Studies have shown that vitamin D deficiency is an independent risk factor for hypertension.

AIM

To evaluate the association between vitamin D and hypertension in people coming for health check up to a tertiary care center in South India.

MATERIALS AND METHODS

Study was carried out as a cross sectional study in a tertiary care hospital in South India. Participants (520) were both males and females (337 males and 183 females), between the age group of 20-60 years attending the comprehensive health check up clinic of our hospital.

STATISTICAL ANALYSIS

Statistical analysis was done using IBM SPSS statistics 20.0.

RESULTS

Severe vitamin D deficiency was highly prevalent in people with hypertension than in people without hypertension ( value <0.001).

CONCLUSION

Since India is a tropical country, till recently it was believed that vitamin D deficiency and its ill effects are uncommon. But it was found that, vitamin D deficiency was highly prevalent in people with hypertension in South India, emphasizing the need of early vitamin D supplementation. Therefore, to reduce cardiovascular morbidity, early identification of vitamin D deficiency and appropriate vitamin D supplementation may be of primary importance in population, especially like ours, having high prevalence.

摘要

引言

维生素D除了在钙代谢和骨骼健康方面发挥作用外,还有许多其他作用。维生素D来源于皮肤内源性紫外线B诱导的维生素D合成,而目前印度维生素D缺乏的高患病率可归因于与生活方式相关的低日照暴露。几乎在所有人类细胞中都发现了维生素D受体(VDR),这表明其在骨骼外疾病中也发挥作用。研究表明,维生素D缺乏是高血压的一个独立危险因素。

目的

评估在印度南部一家三级医疗中心进行健康检查的人群中维生素D与高血压之间的关联。

材料与方法

本研究在印度南部的一家三级医疗医院进行,为横断面研究。参与者(共520人)包括男性和女性(男性337人,女性183人),年龄在20至60岁之间,均前往我院综合健康检查门诊就诊。

统计分析

使用IBM SPSS statistics 20.0进行统计分析。

结果

高血压患者中严重维生素D缺乏的患病率高于非高血压患者( 值<0.001)。

结论

由于印度是一个热带国家,直到最近人们一直认为维生素D缺乏及其不良影响并不常见。但研究发现,印度南部高血压患者中维生素D缺乏的患病率很高,这凸显了早期补充维生素D的必要性。因此,为降低心血管疾病发病率,对于像我们这样患病率高的人群,早期识别维生素D缺乏并进行适当的维生素D补充可能至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fe2/6618207/80bb1f84510d/JFMPC-8-2061-g001.jpg

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