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维生素D与昼夜节律类型:肥胖个体中存在关联吗?

Vitamin D and chronotype: is there any relationship in individuals with obesity?

作者信息

Vetrani C, Barrea L, Verde L, Docimo A, Aprano S, Savastano S, Colao A, Muscogiuri G

机构信息

Endocrinology Unit, Department of Clinical Medicine and Surgery, University of Naples "Federico II", 5, Sergio Pansini, 80131, Naples, Italy.

Centro Italiano Per La Cura E Il Benessere del Paziente Con Obesità (C.I.B.O), University of Naples "Federico II", Naples, Italy.

出版信息

J Endocrinol Invest. 2023 May;46(5):1001-1008. doi: 10.1007/s40618-022-01973-6. Epub 2022 Dec 1.

Abstract

PURPOSE

Chronotype is the attitude to perform most of the daily activities in the morning ("morning chronotype", MC) or in the evening ("evening chronotype", EC). The latter, as well as vitamin D deficiency, has been associated with an increased risk of obesity-related complications, likely through the promotion of insulin resistance. Therefore, we aimed to investigate whether there is any relationship between vitamin D (25-OH-D) and chronotype in individuals with obesity.

METHODS

In this cross-sectional study, we enrolled 59 individuals (43.1 ± 13 years; 17M/42F) with obesity. Anthropometric parameters, lifestyle habits, personal medical history, chronotype, insulin resistance, and 25-OH-D were assessed.

RESULTS

Individuals with EC presented significantly higher BMI than MC (p < 0.001), greater waist (p = 0.012), and hip circumferences (p = 0.001). Individuals with EC showed significantly lower insulin sensitivity (p = 0.017) and 25-OH-D than MC. In addition, the prevalence of vitamin D deficiency and impaired fasting glucose was significantly higher in EC than in MC. 25-OH-D directly correlated with chronotype score (r = 0.351; p = 0.019) whereas inversely with BMI (r = - 0.363; p = 0.016). The regression analysis showed that BMI was most tightly associated with 25-OH-D concentrations (β = - 0.323, p = 0.032), followed by chronotype score (β = 0.340, p = 0.042). Using chronotype score as the dependent variable, BMI significantly predicted a lower chronotype score (β = - 0.586, p < 0.001).

CONCLUSION

The present study showed that 25-OH-D, as well as chronotype, correlate independently with obesity.

摘要

目的

昼夜节律类型是指在早晨(“晨型人”,MC)或晚上(“夜型人”,EC)进行大部分日常活动的倾向。后者以及维生素D缺乏与肥胖相关并发症风险增加有关,可能是通过促进胰岛素抵抗实现的。因此,我们旨在研究肥胖个体中维生素D(25-羟基维生素D)与昼夜节律类型之间是否存在任何关系。

方法

在这项横断面研究中,我们纳入了59名肥胖个体(43.1±13岁;17名男性/42名女性)。评估了人体测量参数、生活习惯、个人病史、昼夜节律类型、胰岛素抵抗和25-羟基维生素D。

结果

夜型人个体的BMI显著高于晨型人(p<0.001),腰围(p=0.012)和臀围(p=0.001)更大。夜型人个体的胰岛素敏感性(p=0.017)和25-羟基维生素D水平显著低于晨型人。此外,夜型人中维生素D缺乏和空腹血糖受损的患病率显著高于晨型人。25-羟基维生素D与昼夜节律类型评分直接相关(r=0.351;p=0.019),而与BMI呈负相关(r=-0.363;p=0.016)。回归分析表明,BMI与25-羟基维生素D浓度关系最为紧密(β=-0.323,p=0.032),其次是昼夜节律类型评分(β=0.340,p=0.042)。以昼夜节律类型评分为因变量,BMI显著预测较低的昼夜节律类型评分(β=-0.586,p<0.001)。

结论

本研究表明,25-羟基维生素D以及昼夜节律类型均与肥胖独立相关。

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