Zhuo Yafen, Ling Lin, Sun Zhichun, Huang Wensen, Hong Zhenzhen, Zhang Yaping, Peng Xuefeng, Liu Xiaoyu, Yuan Weilan, Xu Wang-Yang, Zhang Yi
Department of Endocrinology, Quanzhou First Hospital Affiliated to Fujian Medical University, No. 250, East Street, Licheng District, Quanzhou, 362300, Fujian, China.
Department of Internal Medicine, Quanzhou Medical College, Quanzhou, 362300, China.
Open Life Sci. 2021 Feb 18;16(1):150-159. doi: 10.1515/biol-2021-0019. eCollection 2021.
The purpose of this study was to assess the relationship between 25-hydroxyvitamin D (25(OH)D), urinary iodine concentration (UIC), and type 2 diabetes mellitus (T2DM) risk and complications and to establish a model to predict T2DM in the general population. A total of 567 adults (389 T2DM patients and 178 controls) were enrolled, and the levels of 25(OH)D, iodine, and blood biochemical parameters were measured. Pearson's correlation analysis showed an inverse correlation between 25(OH)D level, UIC, and T2DM risk. Low 25(OH)D level was a risk factor for developing T2DM (OR, 0.81; 95% CI, 1.90-2.63; = 0.043) after adjustment for multiple risk factors. 25(OH)D level and UIC were inversely correlated with short-term and long-term glucose levels. 25(OH)D deficiency was also associated with a high incidence of T2DM complicated with thyroid dysfunction. A prediction model based on 25(OH)D, iodine status, and other risk factors was established and recommended to screen high-risk T2DM in the general population and provide early screening and timely treatment for them.
本研究的目的是评估25-羟基维生素D(25(OH)D)、尿碘浓度(UIC)与2型糖尿病(T2DM)风险及并发症之间的关系,并建立一个预测普通人群中T2DM的模型。共纳入567名成年人(389例T2DM患者和178名对照),并测量了25(OH)D、碘和血液生化参数水平。Pearson相关性分析显示25(OH)D水平、UIC与T2DM风险呈负相关。在调整多个风险因素后,低25(OH)D水平是发生T2DM的一个风险因素(OR,0.81;95%CI,1.90 - 2.63; = 0.043)。25(OH)D水平和UIC与短期和长期血糖水平呈负相关。25(OH)D缺乏还与T2DM合并甲状腺功能障碍的高发生率相关。建立了一个基于25(OH)D、碘状态和其他风险因素的预测模型,并推荐用于筛查普通人群中的高危T2DM患者,并为他们提供早期筛查和及时治疗。