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胰岛素抵抗与维生素 D 状态在糖尿病和非糖尿病人群中呈负相关。

Insulin Resistance Is Inversely Associated with the Status of Vitamin D in Both Diabetic and Non-Diabetic Populations.

机构信息

Department of Clinical Medicine, Aarhus University, Aarhus N, 8200 Aarhus, Denmark.

出版信息

Nutrients. 2021 May 21;13(6):1742. doi: 10.3390/nu13061742.

Abstract

Vitamin D has been implicated in the regulation of glucose metabolism and insulin resistance. We designed this study to provide evidence that insulin resistance is dependent on the concentration of vitamin D in the body. Forty observational studies of both type 2 diabetes mellitus patients and healthy subjects were included in this meta-analysis. Related articles were searched from Embase, PubMed, and Medline through January 2021. Filters for search were used to obtain more focused results. We used Comprehensive Meta-Analysis Version 3 for the construction of forest plots. RevMan software version 5.3 was used to build the risk of bias tables and summary plots. The observational studies included in this systematic review and meta-analysis showed an inverse relationship of insulin resistance with the status of vitamin D both in non-diabetic ( = -0.188; 95% CI = -0.141 to -0.234; = 0.000) and diabetic ( = -0.255; 95% CI = -0.392 to -0.107, = 0.001) populations. From the meta-analysis we concluded that hypovitaminosis D is related to increased levels of insulin resistance in both type 2 diabetes patients and the healthy population all over the world.

摘要

维生素 D 被认为参与了葡萄糖代谢和胰岛素抵抗的调节。我们设计这项研究是为了提供证据,证明胰岛素抵抗依赖于体内维生素 D 的浓度。这项荟萃分析纳入了 40 项关于 2 型糖尿病患者和健康受试者的观察性研究。通过 2021 年 1 月的 Embase、PubMed 和 Medline 搜索相关文章。搜索时使用了筛选器以获得更有针对性的结果。我们使用 Comprehensive Meta-Analysis Version 3 构建森林图。RevMan 软件版本 5.3 用于构建偏倚风险表和汇总图。这项系统评价和荟萃分析中纳入的观察性研究表明,无论在非糖尿病患者( = -0.188;95%CI=-0.141 至 -0.234; = 0.000)还是糖尿病患者( = -0.255;95%CI=-0.392 至 -0.107, = 0.001)中,胰岛素抵抗与维生素 D 状态呈负相关。从荟萃分析中我们得出结论,全世界的 2 型糖尿病患者和健康人群中,维生素 D 缺乏症与胰岛素抵抗水平升高有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbdf/8224049/86cfe9e1393b/nutrients-13-01742-g001.jpg

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