Centro Obesità e Lavoro, Unità di Salute Occupazionale, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, 20122 Milan, Italy.
Laboratorio di Statistica Medica, Dipartimento di Scienze Cliniche e di Comunità, Biometria ed Epidemiologia "G.A. Maccacaro", Università degli Studi di Milano, 20133 Milan, Italy.
Nutrients. 2023 Oct 12;15(20):4354. doi: 10.3390/nu15204354.
Serum vitamin D (VitD) levels have been inversely related with metabolic syndrome (MetS), although the direct impact of VitD is still debated. This study examined 879 subjects of working age from an obesity and occupational clinic in Milan, Italy. Among these participants, 316 had MetS, while 563 did not. A multiple logistic regression analysis was conducted to determine the odds ratios (ORs) and the corresponding 95% confidence intervals (CIs) for MetS in relation to serum VitD levels. After controlling for age, sex, leisure time physical activity, and body mass index (BMI), individuals with VitD levels between 20 and 29.9 ng/dL, or at least 30 ng/dL, had approximately half the risk of developing MetS (OR: 0.52, 95% CI: 0.32-0.86 and OR: 0.50, 95% CI: 0.25-0.99, respectively) compared to those with VitD levels below 10 ng/dL. This study presents further evidence of the beneficial effect of adequate VitD levels on the risk of MetS in a population of overweight/obese workers, even after adjusting for BMI. This study supports the importance of testing for and-if required-supplementing VitD in individuals with metabolic risk factors.
血清维生素 D(VitD)水平与代谢综合征(MetS)呈负相关,尽管 VitD 的直接影响仍存在争议。本研究调查了意大利米兰一家肥胖和职业诊所的 879 名工作年龄的参与者。其中 316 人患有 MetS,而 563 人没有。进行了多因素逻辑回归分析,以确定血清 VitD 水平与 MetS 之间的比值比(OR)和相应的 95%置信区间(CI)。在控制年龄、性别、休闲时间体力活动和体重指数(BMI)后,VitD 水平在 20 至 29.9ng/dL 之间或至少 30ng/dL 的个体发生 MetS 的风险大约是 VitD 水平低于 10ng/dL 的个体的一半(OR:0.52,95%CI:0.32-0.86 和 OR:0.50,95%CI:0.25-0.99)。本研究进一步证明了在超重/肥胖工人人群中,适当的 VitD 水平对 MetS 风险的有益影响,即使在调整 BMI 后也是如此。本研究支持对有代谢危险因素的个体进行 VitD 检测和(如有需要)补充的重要性。