沙特II型糖尿病患者维生素D缺乏与心血管疾病风险之间的关联
The Association between Vitamin D Hypovitaminosis and Cardiovascular Disease Risk in Saudi Diabetic Patients Type II.
作者信息
Alrefai Abeer Ahmed, Elsalamony Elsayed, Fatani Sameer H, Kasemy Zeinab A, Fatani Abdulaziz, Mohamed Kamel Hala Fawzy
机构信息
Department of Medical Biochemistry and Molecular Biology, Faculty of Medicine, Menoufia University, Shebin El-kom 32511, Egypt.
Department of Biochemistry, Faculty of Medicine, Umm Al-Qura University, Makkah 21955, Saudi Arabia.
出版信息
Biochem Res Int. 2022 Sep 23;2022:6097864. doi: 10.1155/2022/6097864. eCollection 2022.
We evaluated the prevalence and association of Vitamin D deficiency with glycemic control and CVD risk in T2DM patients. Serum 25 (OH)D, lipid profile, glucose panel, HbA1c, serum insulin, and HOMA-IR were assessed in 93 T2DM patients and 69 controls. 10 years and lifetime ASCVD risk scores were calculated. The levels of 25(OH)D were significantly low in T2DM patients compared to the control. T2DM patients with hypovitaminosis D displayed significantly increased FBG, insulin, and HOMA-IR compared to normovitaminosis. Their lifetime and 10-year ASCVD risk scores were significantly higher regardless of vitamin D deficiency levels (=0.006; =0.023) in comparison to patients with sufficient levels of vitamin D. Among patients, the lifetime and 10 years of ASCVD risk showed a significant negative correlation with serum 25(OH)D and HDLc (=0.037; 0.018) (=0.0001), respectively, and significant positive correlation with T2DM duration, serum insulin, and HOMA-IR (=0.018; 0.0001) (=0.002; 0.001) (=0.005; 0.001), respectively. The 10-year ASCVD risk exhibited a significant positive correlation with FBG (=0.003) and HbA1c (=0.009). T2DM duration was a predictor of vitamin D deficiency among T2DM patients ( = 0.22; CI = 0.002-0.04). There is a considerable association between lifetime and 10 years of ASCVD risk with hypovitaminosis D in T2DM, regardless of the deficiency levels which could be predicted by the diabetes duration.
我们评估了2型糖尿病(T2DM)患者维生素D缺乏症的患病率及其与血糖控制和心血管疾病(CVD)风险的关联。对93例T2DM患者和69例对照者进行了血清25(OH)D、血脂谱、血糖指标、糖化血红蛋白(HbA1c)、血清胰岛素和稳态模型胰岛素抵抗指数(HOMA-IR)的评估。计算了10年和终生动脉粥样硬化性心血管疾病(ASCVD)风险评分。与对照组相比,T2DM患者的25(OH)D水平显著降低。与维生素D水平正常的T2DM患者相比,维生素D缺乏的T2DM患者空腹血糖(FBG)、胰岛素和HOMA-IR显著升高。与维生素D水平充足的患者相比,无论维生素D缺乏程度如何,他们的终生和10年ASCVD风险评分均显著更高(P=0.006;P=0.023)。在患者中,终生和10年的ASCVD风险分别与血清25(OH)D和高密度脂蛋白胆固醇(HDLc)呈显著负相关(P=0.037;P=0.018)(P=0.0001),与T2DM病程、血清胰岛素和HOMA-IR呈显著正相关(P=0.018;P=0.0001)(P=0.002;P=0.001)(P=0.005;P=0.001)。10年ASCVD风险与FBG(P=0.003)和HbA1c(P=0.009)呈显著正相关。T2DM病程是T2DM患者维生素D缺乏的一个预测因素(β=0.22;95%置信区间CI=0.002-0.04)。在T2DM中,无论缺乏程度如何,终生和10年的ASCVD风险与维生素D缺乏症之间存在相当大的关联,而维生素D缺乏程度可由糖尿病病程预测。