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不同 BMI 类别中维生素 D 状态的性别差异:一项观察性前瞻性队列研究。

Sex Differences of Vitamin D Status across BMI Classes: An Observational Prospective Cohort Study.

机构信息

Dipartimento di Medicina Clinica e Chirurgia, Unit of Endocrinology, Federico II University Medical School of Naples, Via Sergio Pansini 5, 80131 Naples, Italy.

出版信息

Nutrients. 2019 Dec 12;11(12):3034. doi: 10.3390/nu11123034.

Abstract

Growing evidence reported that vitamin D deficiency is a common finding in obesity. Vitamin D status also seems to be sex-related, although little is known regarding this association. Therefore, the aim of this study was to investigate the sex-related differences of serum 25OH vitamin D (25OHD) concentrations across body mass index (BMI) classes and, if there were any differences, whether they could be explained by sex-related differences in body composition. We enrolled 500 subjects (250 males, age 37.4 ± 11.8 years; 250 females, age 36.6 ± 11.8 years). Body composition was assessed by bioelectrical impedance analysis (BIA) phase-sensitive system. Serum 25OHD concentration was quantified by a direct, competitive chemiluminescence immunoassay. Vitamin D deficiency was defined as a serum 25OHD concentrations < 20 ng/mL (50 nmol/L). Stratifying the sample population according to sex and BMI categories, 25OHD concentrations were significantly higher in males compared to females in all BMI classes and decreased along with the increase of BMI values. Females with vitamin D deficiency had higher fat mass (FM) % compared to males with vitamin D deficiency. The 25OHD concentrations inversely correlated with FM % in both sexes. In a multiple regression analysis model, sex, FM %, and BMI were predictive factors of 25OHD concentration. In conclusion, our study suggests that 25OHD concentrations were lower in females than males across all BMI categories. Given the tight correlation between 25OHD concentrations and FM %, it can be hypothesized that the lower 25OHD concentrations in females than males can be explained by the fact that females have a higher amount of fat than males.

摘要

越来越多的证据表明,维生素 D 缺乏症在肥胖症中很常见。维生素 D 状况似乎也与性别有关,尽管对此关联知之甚少。因此,本研究旨在调查血清 25-羟维生素 D(25OHD)浓度在不同体质指数(BMI)类别中的性别差异,如果存在差异,这些差异是否可以用与性别相关的身体成分差异来解释。我们招募了 500 名受试者(250 名男性,年龄 37.4 ± 11.8 岁;250 名女性,年龄 36.6 ± 11.8 岁)。身体成分通过生物电阻抗分析(BIA)相敏系统进行评估。血清 25OHD 浓度通过直接、竞争化学发光免疫测定法进行定量。维生素 D 缺乏症定义为血清 25OHD 浓度<20ng/mL(50nmol/L)。根据性别和 BMI 类别对样本人群进行分层,在所有 BMI 类别中,男性的 25OHD 浓度均显著高于女性,并随着 BMI 值的增加而降低。维生素 D 缺乏的女性与维生素 D 缺乏的男性相比,脂肪量(FM)%更高。25OHD 浓度与两性的 FM %呈负相关。在多元回归分析模型中,性别、FM %和 BMI 是 25OHD 浓度的预测因素。总之,我们的研究表明,在所有 BMI 类别中,女性的 25OHD 浓度均低于男性。鉴于 25OHD 浓度与 FM %之间的紧密相关性,可以假设女性的 25OHD 浓度低于男性,这可以用女性比男性脂肪量多这一事实来解释。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c82/6950363/d861172334a2/nutrients-11-03034-g001.jpg

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