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高尿酸血症和非高尿酸血症人群中维生素D3与糖尿病之间的关联。

The association between vitamin D3 and diabetes in both hyperuricemia and non-hyperuricemia populations.

作者信息

Gong Rongpeng, Xu Zixin, Wei Xiaoxing

机构信息

Medical College of Qinghai University, Xining, Qinghai, 810016, P. R. China.

Shaanxi University of Chinese Medicine, Xi'an, Shaanxi, 712046, P. R. China.

出版信息

Endocrine. 2021 Oct;74(1):90-99. doi: 10.1007/s12020-021-02778-y. Epub 2021 Jun 21.

Abstract

BACKGROUND

Previous studies have shown that hyperuricemia is involved in diabetes, obesity, hypertension, chronic kidney disease, and other diseases. At the same time, studies have shown that vitamin D3 levels in the body are linked to the onset of diabetes. However, there is currently no sufficient evidence to prove whether this connection is affected by the uric acid level. Therefore, we attempted to investigate the association between vitamin D3 content and the occurrence of diabetes in populations with different uric acid levels though the data of NHANES database from 2009 to 2018.

METHOD

Using the NHANES database, we performed a cross-sectional analysis. The participants were chosen based on stringent inclusion and exclusion requirements. This study finally included a total number of 16,735 individuals. Multivariate logistic regression analysis was used to investigate the association between vitamin D3 and diabetes mellitus in hyperuricemia and non-hyperuricemia patients after complete adjustment, and multivariate linear regression analysis was used to illustrate the association between vitamin D3 and uric acid.

RESULT

The results showed that the association between vitamin D3 and diabetes was weakened in hyperuricemia patients (OR 0.95 (0.92,0.98)). An independent association was discovered between vitamin D3 and uric acid (β -0.12 (-0.16, -0.07)) in all groups of population.

CONCLUSIONS

This study shows that vitamin D3 content is associated with the incidence of diabetes in people with high level of uric acid. This study offers a fresh perspective on the elements that influence the etiology of diabetes in hyperuricemia patients.

摘要

背景

先前的研究表明,高尿酸血症与糖尿病、肥胖症、高血压、慢性肾脏病及其他疾病有关。同时,研究表明体内维生素D3水平与糖尿病的发病有关。然而,目前尚无充分证据证明这种关联是否受尿酸水平影响。因此,我们试图通过2009年至2018年美国国家健康与营养检查调查(NHANES)数据库的数据,研究不同尿酸水平人群中维生素D3含量与糖尿病发生之间的关联。

方法

利用NHANES数据库进行横断面分析。根据严格的纳入和排除标准选择参与者。本研究最终共纳入16735名个体。采用多因素logistic回归分析在完全调整后研究高尿酸血症和非高尿酸血症患者中维生素D3与糖尿病之间的关联,采用多因素线性回归分析说明维生素D3与尿酸之间的关联。

结果

结果显示,高尿酸血症患者中维生素D3与糖尿病之间的关联减弱(比值比0.95(0.92,0.98))。在所有人群组中发现维生素D3与尿酸之间存在独立关联(β -0.12(-0.16,-0.07))。

结论

本研究表明,高尿酸水平人群中维生素D3含量与糖尿病发病率相关。本研究为影响高尿酸血症患者糖尿病病因的因素提供了新的视角。

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