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肥胖儿童中与维生素D缺乏相关的血液学指标

HEMATOLOGICAL INDICES RELATED TO VITAMIN D DEFICIENCY IN OBESE CHILDREN.

作者信息

Virgolici B, Mohora M, Virgolici H M, Posea M, Martin R E

机构信息

"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.

"Diet4life" Nutrition and Diabetes Clinic, Bucharest, Romania.

出版信息

Acta Endocrinol (Buchar). 2022 Oct-Dec;18(4):488-493. doi: 10.4183/aeb.2022.488.

Abstract

INTRODUCTION

Vitamin D is involved in differentiation and induction of erythropoiesis in bone marrow cells.

AIM

We compared the serum 25(OH) vitamin D level in obese children control and found correlations between vitamin D level and hematological indices in obese children.

MATERIALS AND METHODS

25 overweight and obese patients and 15 normal weight children were enrolled in an observational study .

RESULTS

In obese children, the serum level of 25(OH) vitamin D was significantly (p<0.04) lower (20.60 ng/mL) compared with the value from normal weight ones (25.63 ng/mL) and the body fat percentage BFP was higher. We found a positive correlation (r=0.44, p<0.05) between serum vitamin D and hemoglobin level and a negative one between serum vitamin D and the number of platelets (r= -0.43, p<0.05). Also, the serum iron was at the lower normal limit in the obese children and negatively correlated with the percent of the body fat (r= -0,62, p<0.05).

CONCLUSION

Obese children have vitamin D deficiency. The hemoglobin level and the number of platelets are correlated with the serum level of 25(OH) vitamin D. Supplements with vitamin D may have pleiotropic effects, including those on bone marrow activity.

摘要

引言

维生素D参与骨髓细胞中红细胞生成的分化和诱导过程。

目的

我们比较了肥胖儿童与对照组儿童的血清25(OH)维生素D水平,并发现肥胖儿童的维生素D水平与血液学指标之间存在相关性。

材料与方法

25名超重和肥胖患者以及15名体重正常的儿童参与了一项观察性研究。

结果

肥胖儿童的血清25(OH)维生素D水平(20.60 ng/mL)显著低于(p<0.04)体重正常儿童(25.63 ng/mL),且体脂百分比更高。我们发现血清维生素D与血红蛋白水平呈正相关(r=0.44,p<0.05),与血小板数量呈负相关(r=-0.43,p<0.05)。此外,肥胖儿童的血清铁处于正常下限,且与体脂百分比呈负相关(r=-0.62,p<0.05)。

结论

肥胖儿童存在维生素D缺乏。血红蛋白水平和血小板数量与血清25(OH)维生素D水平相关。补充维生素D可能具有多效性作用,包括对骨髓活性的作用。

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