Bazshahi Elham, Pourreza Sanaz, Ghanbari Mahtab, Khademi Zeinab, Amini Mohammad Reza, Djafarian Kurosh, Shab-Bidar Sakineh
Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran 14167-53955, Iran.
Department of Clinical Nutrition, Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran 19839-63113, Iran.
Clin Nutr Res. 2021 Apr 26;10(2):150-160. doi: 10.7762/cnr.2021.10.2.150. eCollection 2021 Apr.
There is a growing body of evidence linking vitamin D and its antiadipogenic activity with body composition. The aim of this study was to investigate the association between vitamin D levels, visceral adiposity index (VAI), and lipid accumulation product index among a group of Iranian people. This cross-sectional study was conducted with 270 Iranian adults. Body composition was measured via bio-impedance analysis. The 25-hydroxyvitamin D [25(OH)D] was also measured using the enzyme-linked immunosorbent assay method. The VAI and lipid accumulation product index were calculated. Multiple linear and logistic regression after controlling for confounder was used to report the results. Multiple linear regression showed that serum 25(OH)D levels were positively correlated with age (crude: β ± standard error [SE] = 0.23 ± 0.06, p ≤ 0.001; model I: β ± SE = 0.18 ± 0.05, p = 0.002) and percent body fat (crude: β ± SE = 0.10 ± 0.04, p = 0.02). Binary logistic regression analysis showed a higher chance of greater percent body fat and lipid accumulation product index in the crude model (odds ratio [OR], 2.05; 95% confidence interval [CI], 1.13-3.72 for percent body fat and OR, 2.07; 95% CI, 1.14-3.76 for lipid accumulation product index), which disappeared after adjusting for covariates. Adults with higher vitamin D levels had higher scores of percent body fat and lipid accumulation product index. More longitudinal studies are needed to confirm these results.
越来越多的证据表明维生素D及其抗脂肪生成活性与身体成分有关。本研究的目的是调查一组伊朗人群中维生素D水平、内脏脂肪指数(VAI)和脂质蓄积产物指数之间的关联。这项横断面研究对270名伊朗成年人进行。通过生物电阻抗分析测量身体成分。还采用酶联免疫吸附测定法测量25-羟基维生素D[25(OH)D]。计算VAI和脂质蓄积产物指数。在控制混杂因素后,使用多元线性和逻辑回归报告结果。多元线性回归显示,血清25(OH)D水平与年龄呈正相关(粗模型:β±标准误[SE]=0.23±0.06,p≤0.001;模型I:β±SE=0.18±0.05,p=0.002)以及与体脂百分比呈正相关(粗模型:β±SE=0.10±0.04,p=0.02)。二元逻辑回归分析显示,在粗模型中,体脂百分比和脂质蓄积产物指数较高的可能性更大(比值比[OR],2.05;95%置信区间[CI],体脂百分比为1.13 - 3.72,脂质蓄积产物指数为OR,2.07;95%CI,1.14 - 3.76),在调整协变量后这种情况消失。维生素D水平较高的成年人的体脂百分比和脂质蓄积产物指数得分较高。需要更多的纵向研究来证实这些结果。