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血浆钒浓度与妊娠期糖尿病呈负相关。

Inverse Association of Plasma Vanadium Concentrations with Gestational Diabetes Mellitus.

机构信息

Hubei Key Laboratory of Food Nutrition and Safety, Department of Nutrition and Food Hygiene, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Road, Wuhan 430030, China.

Ministry of Education Key Lab of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Road, Wuhan 430030, China.

出版信息

Nutrients. 2022 Mar 29;14(7):1415. doi: 10.3390/nu14071415.

Abstract

Vanadium compounds were identified to be beneficial for the control of glucose homeostasis. We aimed to explore the association of plasma vanadium (V) with gestational diabetes mellitus (GDM). We performed a case-control study including 252 newly diagnosed GDM cases and 252 controls matched by age, parity, and gestational age. Fasting blood samples were collected from each participant at GDM screening (≥24 weeks of gestation). The plasma concentrations of V were determined utilizing inductively coupled plasma mass spectrometry. Plasma V levels were significantly lower in the GDM group than those in the control group (p < 0.001). The adjusted OR (95% CI) of GDM comparing the highest V tertile with the lowest tertile was 0.35 (0.20−0.61). According to the cubic spline model, the relation between plasma V and odds of GDM was potentially nonlinear (p < 0.001). Moreover, plasma V was negatively correlated with 1-h post-glucose load, 2-h post-glucose load, and lipid metabolism indices (all p < 0.05). The present study indicates an inverse association of plasma V with GDM. Further prospective cohort studies are required to validate our results.

摘要

钒化合物被认为有益于控制葡萄糖稳态。我们旨在探讨血浆钒(V)与妊娠糖尿病(GDM)之间的关系。我们进行了一项病例对照研究,纳入了 252 例新诊断的 GDM 病例和 252 例年龄、产次和孕龄相匹配的对照。在 GDM 筛查(≥24 周妊娠)时,从每位参与者采集空腹血样。利用电感耦合等离子体质谱法测定血浆 V 浓度。GDM 组的血浆 V 水平明显低于对照组(p<0.001)。与最低三分位相比,最高三分位的 GDM 调整比值比(95%CI)为 0.35(0.20-0.61)。根据三次样条模型,血浆 V 与 GDM 患病几率之间的关系呈潜在非线性(p<0.001)。此外,血浆 V 与 1 小时葡萄糖负荷后、2 小时葡萄糖负荷后和脂代谢指标呈负相关(均 p<0.05)。本研究表明血浆 V 与 GDM 呈负相关。需要进一步的前瞻性队列研究来验证我们的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f386/9002363/7b83843f8e86/nutrients-14-01415-g001.jpg

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