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气象因素与不同季节维生素 D 状态的相关性。

Correlation between meteorological factors and vitamin D status under different season.

机构信息

Department of Biostatistics, School of Public Health, Medical College of Soochow University, Suzhou, 215123, China.

Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Diseases, Medical College of Soochow University, Suzhou, 215123, China.

出版信息

Sci Rep. 2023 Mar 23;13(1):4762. doi: 10.1038/s41598-023-31698-2.

Abstract

Pregnant women with low vitamin D levels tend to have poor clinical outcomes. Meteorological factors were associated with vitamin D. Here, we aimed to study the current status of 25-Hydroxy vitamin D (25(OH)D) concentrations in pregnant women in Kunshan city and investigate the meteorological factors associated with 25(OH)D levels under different seasons. The correlation between meteorological factors and 25(OH)D levels was estimated by cross-correlation analysis and multivariate logistic regression. A restrictive cubic spline method was used to estimate the non-linear relationship. From 2015 to 2020, a total of 22,090 pregnant women were enrolled in this study. Pregnant women with 25(OH)D concentrations below 50 nmol/l represent 65.85% of the total study population. There is a positive correlation between temperature and 25(OH)D. And there is a protective effect of the higher temperature on vitamin D deficiency. However, in the subgroup analysis, we found that in autumn, high temperatures above 30 °C may lead to a decrease in 25(OH)D levels. This study shows that vitamin D deficiency in pregnant women may widespread in eastern China. There is a potential inverted U-shaped relationship between temperature and 25(OH)D levels, which has implications for understanding of vitamin D changes under different seasons.

摘要

孕妇维生素 D 水平低往往临床结局较差。气象因素与维生素 D 有关。本研究旨在调查昆山市孕妇 25-羟维生素 D(25(OH)D)浓度的现状,并探讨不同季节气象因素与 25(OH)D 水平的关系。采用交叉相关分析和多因素 logistic 回归估计气象因素与 25(OH)D 水平的相关性。采用限制性立方样条方法估计非线性关系。2015 年至 2020 年,共纳入 22090 名孕妇。25(OH)D 浓度低于 50 nmol/L 的孕妇占总研究人群的 65.85%。温度与 25(OH)D 呈正相关。高温对维生素 D 缺乏有保护作用。然而,在亚组分析中,我们发现秋季 30°C 以上的高温可能导致 25(OH)D 水平下降。本研究表明,中国东部地区孕妇维生素 D 缺乏可能较为普遍。温度与 25(OH)D 水平之间存在潜在的倒 U 形关系,这对理解不同季节维生素 D 变化具有启示意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13d0/10036626/7a8cd4b6783b/41598_2023_31698_Fig1_HTML.jpg

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