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血清维生素 D 与黎巴嫩成年人代谢综合征的关系。

Association between Serum Vitamin D and Metabolic Syndrome in a Sample of Adults in Lebanon.

机构信息

Department of Health, Zayed University, Abu Dhabi P.O. Box 144534, United Arab Emirates.

Department of Natural Sciences, School of Arts and Sciences, Lebanese American University, Byblos P.O. Box 36, Lebanon.

出版信息

Nutrients. 2023 Feb 23;15(5):1129. doi: 10.3390/nu15051129.

Abstract

The evidence on the association between vitamin D and metabolic syndrome (MetS) is inconclusive. This was a cross-sectional study to explore the relationship between vitamin D serum levels and MetS in a sample of Lebanese adults ( = 230), free of diseases that affect vitamin D metabolism, recruited from an urban large university and neighboring community. MetS was diagnosed according to the International Diabetes Federation criteria. A logistic regression analysis was performed taking MetS as the dependent variable, and vitamin D was forced into the model as an independent variable. The covariates included sociodemographic, dietary, and lifestyle variables. The mean (SD) serum vitamin D was 17.53 (12.40) ng/mL, and the prevalence of MetS was 44.3%. Serum vitamin D was not associated with MetS (OR = 0.99 (95% CI: 0.96, 1.02), < 0.757), whereas the male sex, compared with the female sex and older age, was associated with higher odds of having MetS (OR = 5.92 (95% CI: 2.44, 14.33), < 0.001 and OR = 1.08 (95% CI: 1.04, 1.11), < 0.001, respectively). This result adds to the controversy in this field. Future interventional studies are warranted to better understand the relationship between vitamin D and MetS and metabolic abnormalities.

摘要

维生素 D 与代谢综合征(MetS)之间的关联的证据尚无定论。这是一项横断面研究,旨在探索黎巴嫩成年人样本中维生素 D 血清水平与 MetS 之间的关系(n=230),这些成年人没有影响维生素 D 代谢的疾病,他们是从一所城市大型大学及其周边社区招募的。MetS 根据国际糖尿病联合会的标准进行诊断。采用逻辑回归分析,将 MetS 作为因变量,将维生素 D 作为自变量纳入模型。协变量包括社会人口统计学、饮食和生活方式变量。血清维生素 D 的平均值(标准差)为 17.53(12.40)ng/mL,MetS 的患病率为 44.3%。血清维生素 D 与 MetS 无关(OR=0.99(95%CI:0.96,1.02), <0.757),而男性与女性相比,以及与年龄较大的人相比,患有 MetS 的几率更高(OR=5.92(95%CI:2.44,14.33), <0.001 和 OR=1.08(95%CI:1.04,1.11), <0.001)。这一结果增加了该领域的争议。需要进行未来的干预性研究,以更好地了解维生素 D 与 MetS 和代谢异常之间的关系。

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