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维生素 D 与中国成都医务人员的单核细胞与高密度脂蛋白胆固醇比值呈负相关。

Vitamin D is inversely associated with Monocyte to HDL-C ratio among medical staff in Chengdu, China.

机构信息

Department of Health Management Center, Affiliated Hospital of Chengdu University, Chengdu, Sichuan, China.

出版信息

BMC Endocr Disord. 2023 Jul 12;23(1):149. doi: 10.1186/s12902-023-01406-2.

Abstract

PURPOSE

The primary objective of this study was to explore the association of vitamin D with the monocyte to HDL-C ratio (MHR) among medical staff in Chengdu, China.

MATERIALS AND METHODS

This cross-sectional study involved 538 medical staff, including 393 females and 145 males, and included data on gender, age, body mass index, and laboratory parameters (including complete blood count, vitamin D levels, lipid, etc.). According to serum 25 (OH)D < 20 ng/ml as vitamin D deficiency, subjects were divided into two groups based on serum 25 (OH)D levels: a vitamin D deficiency group with serum 25 (OH)D < 20 ng/ml and a vitamin D sufficiency group with serum 25 (OH)D ≥ 20 ng/ml. When considering vitamin D as a categorical variable, a multivariable logistic regression analysis was conducted to assess the risk factors associated with vitamin D deficiency. On the other hand, when examining the factors influencing vitamin D levels as a continuous variable, a multiple linear regression model was utilized.

RESULTS

The prevalence of vitamin D deficiency was 86.25% among all the participants. Males exhibited a higher risk of vitamin D deficiency compared to females (β=0.383, P = 0.026). Vitamin D deficiency risk decreased with age (β = 0.910, P < 0.001). Additionally, elevated values of MHR were associated with an increased risk of vitamin D deficiency (β = 1.530, P = 0.019). When treating vitamin D as a continuous variable, the results of multiple linear regression revealed that age (β = 0.342, P < 0.001), and TG (β=-1.327, P = 0.010) were independent influencing factors for vitamin D levels, indicating that vitamin D levels increase with age. A reverse association between MHR and vitamin D levels demonstrated a marginal trend toward significance (β=-0.581, P = 0.052).

CONCLUSIONS

Vitamin D is inversely associated with MHR among young medical staff in Chengdu, China.

摘要

目的

本研究的主要目的是探讨维生素 D 与中国成都医务人员单核细胞与高密度脂蛋白胆固醇比值(MHR)之间的关系。

材料与方法

本横断面研究纳入了 538 名医务人员,其中 393 名为女性,145 名为男性,研究内容包括性别、年龄、体重指数和实验室参数(包括全血细胞计数、维生素 D 水平、血脂等)。根据血清 25(OH)D<20ng/ml 为维生素 D 缺乏,将研究对象根据血清 25(OH)D 水平分为两组:血清 25(OH)D<20ng/ml 的维生素 D 缺乏组和血清 25(OH)D≥20ng/ml 的维生素 D 充足组。当考虑维生素 D 为分类变量时,采用多变量逻辑回归分析评估与维生素 D 缺乏相关的危险因素。另一方面,当作为连续变量检验影响维生素 D 水平的因素时,采用多元线性回归模型。

结果

所有参与者中维生素 D 缺乏的患病率为 86.25%。男性患维生素 D 缺乏的风险高于女性(β=0.383,P=0.026)。维生素 D 缺乏的风险随年龄增长而降低(β=0.910,P<0.001)。此外,MHR 值升高与维生素 D 缺乏的风险增加相关(β=1.530,P=0.019)。将维生素 D 作为连续变量处理时,多元线性回归的结果表明,年龄(β=0.342,P<0.001)和甘油三酯(β=-1.327,P=0.010)是维生素 D 水平的独立影响因素,表明维生素 D 水平随年龄增长而增加。MHR 与维生素 D 水平之间呈负相关,具有显著趋势(β=-0.581,P=0.052)。

结论

在中国成都的年轻医务人员中,维生素 D 与 MHR 呈负相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77ea/10339643/264802901ca7/12902_2023_1406_Fig1_HTML.jpg

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