Menon A S, Kapoor Ravi, Anayath S, Garg M K
Professor & Head, Department of Internal Medicine, Armed Forces Medical College, Pune 411040, India.
Graded Specialist (Biochemistry), Command Hospital (Central Command), Lucknow, India.
Med J Armed Forces India. 2021 Oct;77(4):485-489. doi: 10.1016/j.mjafi.2020.05.011. Epub 2020 Jul 31.
Studies have linked vitamin D to risk factors for cardiovascular disease. Obesity is a potential confounder in these studies. This study examined the relationship of 25 (OH) cholecalciferol (25[OH] D3) with insulin resistance, blood glucose, and lipid profile in lean male adults.
We enrolled two hundred and thirty four military recruits before beginning of military training. Demographic and anthropometric data were collected from them. The participants underwent body mass composition analysis by dual energy X ray absorptiometry. Fasting samples were collected for measurement of blood glucose, lipid profile, 25(OH) D3, serum parathormone (PTH) and insulin.
Vitamin D deficiency and insufficiency was found in 47.7% (107/224) and 31.6% (71/224) of participants, respectively. Using Pearson's correlation coefficient 25(OH) cholecalciferol and fasting blood glucose (FBG) were inversely correlated (p = 0.023). However, similar relation was not found between 25(OH) D3 and total cholesterol, triglycerides, high-density lipoprotein-cholesterol, low-density lipoprotein-cholesterol, homeostatic model assessment of insulin resistance and levels of PTH. On body composition analysis, there was no correlation of 25(OH) cholecalciferol with body mass index or fat mass index.
This study showed that in lean young male population, 25(OH) cholecalciferol and FBG are inversely correlated but no association of 25(OH) D3 with other cardiometabolic risk factors could be demonstrated.
研究已将维生素D与心血管疾病的风险因素联系起来。肥胖是这些研究中的一个潜在混杂因素。本研究调查了25(羟)胆钙化醇(25[OH]D3)与瘦体重成年男性胰岛素抵抗、血糖和血脂谱之间的关系。
我们在军事训练开始前招募了234名新兵。收集了他们的人口统计学和人体测量数据。参与者通过双能X线吸收法进行身体成分分析。采集空腹样本以测量血糖、血脂谱、25(OH)D3、血清甲状旁腺激素(PTH)和胰岛素。
分别有47.7%(107/224)和31.6%(71/224)的参与者存在维生素D缺乏和不足。使用Pearson相关系数分析发现,25(羟)胆钙化醇与空腹血糖(FBG)呈负相关(p = 0.023)。然而,在25(OH)D3与总胆固醇、甘油三酯、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇、胰岛素抵抗稳态模型评估以及PTH水平之间未发现类似关系。在身体成分分析中,25(羟)胆钙化醇与体重指数或脂肪量指数无相关性。
本研究表明,在瘦体重年轻男性人群中,25(羟)胆钙化醇与空腹血糖呈负相关,但未发现25(OH)D3与其他心血管代谢风险因素之间存在关联。