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癌症患者维生素D的营养状况

[Nutrient Status of Vitamin D among Cancer Patients].

作者信息

Li Zhijun, Shi Jing, Wang Zengliang, Chen Haisheng, Liu Yuguo

机构信息

Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, 
Jinan 250117, China.

出版信息

Zhongguo Fei Ai Za Zhi. 2021 May 20;24(5):345-350. doi: 10.3779/j.issn.1009-3419.2021.101.10.

Abstract

BACKGROUND

There is a certain correlation between vitamin nutritional status and cancer patients. Studies have shown that vitamin deficiency increases the risk of cancer. The purpose of this study is to understand the vitamin D nutritional status of cancer patients and to provide scientific basis for further nutritional intervention.

METHODS

Cancer patients who visited Shandong Cancer Hospital from July 2017 to June 2019 were included in this retrospective study. Serum 25-hydroxyvitamin D [25(OH)D] concentrations were measured. Univariate analysis and multiple linear regression analysis were carried out using SPSS 20.0.

RESULTS

A total of 2,487 cancer patients were evaluable for this analysis. Mean 25(OH)D concentration was (12.70±6.82) ng/mL; the prevalence of vitamin D deficiency [25(OH)D concentration less than 20.00 ng/mL] was of 92.20%. In univariate analysis, age, body mass index (BMI), season and types of cancer were associated with 25(OH)D concentrations. In the multivariate analysis, BMI (β=0.71), age (β=-0.56), season (β=-0.99 for winter; β=-0.76 for autumn vs summer) and types of cancer (β=-1.17 for lung cancer; β=-1.45 for esophageal-gastric cancer; β=-1.05 for colorectal cancer vs other types of cancer) were independently and significantly associated with 25(OH)D levels (P<0.05).

CONCLUSIONS

Vitamin D deficiency was highly prevalent among cancer patients. Age, BMI, season and types of cancer may be associated with 25(OH)D levels, which indicate that monitoring of vitamin D level for cancer survivor should be taken into account.

摘要

背景

维生素营养状况与癌症患者之间存在一定关联。研究表明,维生素缺乏会增加患癌风险。本研究旨在了解癌症患者的维生素D营养状况,为进一步的营养干预提供科学依据。

方法

本回顾性研究纳入了2017年7月至2019年6月期间到山东省肿瘤医院就诊的癌症患者。测量血清25-羟维生素D[25(OH)D]浓度。使用SPSS 20.0进行单因素分析和多元线性回归分析。

结果

共有2487例癌症患者可纳入本分析。25(OH)D平均浓度为(12.70±6.82)ng/mL;维生素D缺乏[25(OH)D浓度低于20.00 ng/mL]的患病率为92.20%。在单因素分析中,年龄、体重指数(BMI)、季节和癌症类型与25(OH)D浓度相关。在多因素分析中,BMI(β=0.71)、年龄(β=-0.56)、季节(冬季β=-0.99;秋季与夏季相比β=-0.76)和癌症类型(肺癌β=-1.17;食管-胃癌β=-1.45;结直肠癌与其他类型癌症相比β=-1.05)与25(OH)D水平独立且显著相关(P<0.05)。

结论

维生素D缺乏在癌症患者中非常普遍。年龄、BMI、季节和癌症类型可能与25(OH)D水平相关,这表明应对癌症幸存者的维生素D水平进行监测。

相似文献

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[Nutrient Status of Vitamin D among Cancer Patients].癌症患者维生素D的营养状况
Zhongguo Fei Ai Za Zhi. 2021 May 20;24(5):345-350. doi: 10.3779/j.issn.1009-3419.2021.101.10.
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Serum 25-hydroxyvitamin D levels in a healthy population from the North of Portugal.葡萄牙北部健康人群的血清25-羟维生素D水平
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