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1,25-二羟维生素 D 与健康久坐成年人的代谢风险:FIT-AGEING 研究。

1,25-dihydroxyvitamin D and cardiometabolic risk in healthy sedentary adults: The FIT-AGEING study.

机构信息

EFFECTS-262 Research Group, Department of Physiology, Faculty of Medicine, University of Granada, Spain.

Department of Cardiovascular Diseases, John Ochsner Heart and Vascular Institute, Ochsner Clinical School, The University of Queensland School of Medicine, New Orleans, LA, United States of America.

出版信息

Int J Cardiol. 2021 Dec 1;344:192-198. doi: 10.1016/j.ijcard.2021.10.015. Epub 2021 Oct 14.

Abstract

BACKGROUND

A growing body of scientific works investigating the physio-pathological mechanisms behind cardiovascular disease has suggested that vitamin D deficiency could play a key role on its development. However, it remains unclear whether its active form (1,25-dihydroxyvitamin D [1,25(OH)D] is associated with cardiometabolic risk factors in healthy individuals. The aim of the present study was to investigate the relationships of 1,25(OH)D plasma levels with cardiometabolic risk factors in a sample of healthy sedentary adults.

METHODS

A total of 73 adults (~53% women; 54 ± 5 years old) were included in the current cross-sectional study. A sex-specific cardiometabolic risk score (MetScore) was calculated for each subject based on clinical parameters (i.e., waist circumference, systolic and diastolic blood pressure, plasma glucose, high-density lipoprotein cholesterol, and triglycerides) according to the International Diabetes Federation's clinical criteria. Plasma levels of 1,25(OH)D were measured using a DiaSorin Liaison® immunochemiluminometric analyzer.

RESULTS

No significant association was detected between 1,25(OH)D and MetScore (β = 0.037, R = 0.001, p = 0.77), independently of age, sex and fat body mass index. A significant inverse association were observed between 1,25(OH)D and waist circumference (β = -0,303, R = 0.092, p = 0.01). These results were consistent after controlling by potential confounders.

CONCLUSION

In summary, the present results suggest that 1,25(OH)D plasma levels are not associated with either cardiometabolic risk factors or insulin resistance in healthy sedentary adults. However, an inverse association of 1,25(OH)D plasma levels with central adiposity was observed in our study sample.

摘要

背景

越来越多的科学研究调查了心血管疾病背后的生理病理机制,表明维生素 D 缺乏可能在其发展中起关键作用。然而,其活性形式(1,25-二羟维生素 D [1,25(OH)D])是否与健康个体的心血管代谢危险因素相关仍不清楚。本研究旨在调查健康久坐成年人中 1,25(OH)D 血浆水平与心血管代谢危险因素的关系。

方法

本横断面研究共纳入 73 名成年人(~53%为女性;54±5 岁)。根据国际糖尿病联合会的临床标准,根据临床参数(即腰围、收缩压和舒张压、血糖、高密度脂蛋白胆固醇和甘油三酯),为每位受试者计算了特定性别的心血管代谢风险评分(MetScore)。使用 DiaSorin Liaison®免疫化学发光分析仪测量 1,25(OH)D 血浆水平。

结果

1,25(OH)D 与 MetScore 之间未检测到显著相关性(β=0.037,R=0.001,p=0.77),独立于年龄、性别和体脂体重指数。1,25(OH)D 与腰围呈显著负相关(β=-0.303,R=0.092,p=0.01)。在控制潜在混杂因素后,这些结果仍然一致。

结论

综上所述,本研究结果表明,1,25(OH)D 血浆水平与健康久坐成年人的心血管代谢危险因素或胰岛素抵抗无关。然而,在我们的研究样本中观察到 1,25(OH)D 血浆水平与中心性肥胖呈负相关。

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