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维生素 D 对老年中国人群代谢综合征的有益切点因性别而异:一项横断面研究。

The beneficial cutoffs of vitamin D for metabolic syndrome varies by sex among the elderly Chinese population: A cross-sectional study.

机构信息

Department of Epidemiology and Biostatistics, School of Public Health, and Tianjin Key Laboratory of Environment, Nutrition & Public Health, Tianjin Medical University, Tianjin 300070, China.

Department of Internal Medicine-Cardiovascular, Tianjin Medical University General Hospital, Tianjin 300070, China.

出版信息

Nutr Res. 2022 Aug;104:91-100. doi: 10.1016/j.nutres.2022.05.002. Epub 2022 May 15.

Abstract

Metabolic syndrome (MetS) is a risk factor for various diseases with a high prevalence globally. We aimed to investigate the association of serum vitamin D levels with MetS, and we hypothesized that the beneficial cutoffs of vitamin D for MetS might vary by sex among urban people aged ≥60 years in Tianjin, China. This community-based cross-sectional study was conducted in 2 community health centers. We collected lifestyle and anthropometric information and measured serum 25(OH)D concentrations by high-performance liquid chromatography. MetS was diagnosed based on the 2009 International Diabetes Federation/American Heart Association/National Heart, Lung, and Blood Institute criterion. Binary logistic regression and stratification analysis were performed to determine the association between MetS and 25(OH)D levels. Among 840 eligible participants (347 males and 493 females), 439 (52.3%) were diagnosed with MetS. The prevalence rates of MetS in men and women were 52.7% and 51.9%, respectively (P = .82). In the whole population, no significant association was found between 25(OH)D and MetS, regardless of which 25(OH)D cutoff was used. After stratification by sex, men with serum 25(OH)D ≥40 ng/mL had a significantly lower risk of MetS before and after adjustment, with odds ratios (ORs) and 95% confidence intervals (CIs) of 0.55 (0.31-0.98) and 0.53 (0.29-0.96), respectively. For women, serum 25(OH)D ≥20 ng/mL was associated with a lower MetS risk, with unadjusted and adjusted ORs (95% CI) of 0.64 (0.43-0.95) and 0.61 (0.41-0.91), respectively. This association was more significant among females with respect to diastolic pressure and triglycerides. The beneficial cutoffs of serum 25(OH)D levels for MetS among men and women might be different.

摘要

代谢综合征(MetS)是一种具有全球高流行率的多种疾病的危险因素。我们旨在研究血清维生素 D 水平与 MetS 的关系,并假设在中国天津≥60 岁的城市人群中,维生素 D 对 MetS 的有益切点可能因性别而异。这是一项基于社区的横断面研究,在 2 个社区卫生中心进行。我们收集生活方式和人体测量信息,并通过高效液相色谱法测量血清 25(OH)D 浓度。MetS 根据 2009 年国际糖尿病联合会/美国心脏协会/美国国立心肺血液研究所标准进行诊断。进行二项逻辑回归和分层分析以确定 MetS 与 25(OH)D 水平之间的关系。在 840 名合格参与者(347 名男性和 493 名女性)中,439 名(52.3%)被诊断为 MetS。男性和女性 MetS 的患病率分别为 52.7%和 51.9%(P =.82)。在整个人群中,无论使用哪种 25(OH)D 切点,都未发现 25(OH)D 与 MetS 之间存在显著关联。按性别分层后,血清 25(OH)D≥40ng/mL 的男性在调整前后患 MetS 的风险显著降低,优势比(OR)及其 95%置信区间(CI)分别为 0.55(0.31-0.98)和 0.53(0.29-0.96)。对于女性,血清 25(OH)D≥20ng/mL 与较低的 MetS 风险相关,未经调整和调整后的 OR(95%CI)分别为 0.64(0.43-0.95)和 0.61(0.41-0.91)。这种关联在舒张压和甘油三酯方面对于女性更为显著。男性和女性血清 25(OH)D 水平对 MetS 的有益切点可能不同。

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