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社区 2 型糖尿病患者 25-羟维生素 D 与血清 asporsin 的关系。

The relationship between 25-hydroxy vitamin D and serum asprosin in patients with type 2 diabetes in the community.

机构信息

Department of Endocrinology, First Hospital of Shanxi Medical University, Shanxi Medical University, Taiyuan, Shanxi, China.

First Clinical Medical College, Shanxi Medical University, Taiyuan, Shanxi, China.

出版信息

Front Endocrinol (Lausanne). 2024 Jul 31;15:1409156. doi: 10.3389/fendo.2024.1409156. eCollection 2024.

Abstract

OBJECTIVES

This study aimed to investigate the link between 25-hydroxy vitamin D and serum asprosin in individuals with type 2 diabetes within the community. The goal was to provide a foundation for clinical interventions.

METHODS

Between November 2019 and July 2021, data from 463 patients with type 2 diabetes were consistently gathered at a community health service station in Southeast Shanxi Province. General information and laboratory metrics were compiled, including serum asprosin levels. The participants were categorized based on three serum asprosin quantiles, allowing for a comparison of various factors among the groups. The correlation between serum asprosin levels and other factors was analyzed. Employing a general linear model, the connection between 25-hydroxy vitamin D and serum asprosin levels was studied. Utilizing three quantiles of 25-hydroxy vitamin D, serum asprosin was treated as the dependent variable, while 25-hydroxy vitamin D served as the independent variable for linear regression analysis.

RESULTS

As serum asprosin increased, there were gradual increments in age, disease duration, SBP, BMI, WC, creatinine, and SUA levels (P<0.05). Conversely, HbA1c, HDL-C, GFR, and 25-hydroxy vitamin D levels exhibited gradual declines (P<0.05). Age, 25-hydroxy vitamin D, SUA, creatinine, and LDL-C emerged as independent influencing factors for serum asprosin. Across the 1st to 3rd 25-hydroxy vitamin D quantiles, elevated 25-hydroxy vitamin D levels correlated with a gradual reduction in mean serum asprosin (P<0.05).

CONCLUSION

Serum asprosin levels demonstrate an inverse correlation with 25-hydroxy vitamin D levels in community-dwelling individuals with type 2 diabetes. Serum asprosin levels might independently contribute to 25-hydroxy vitamin D levels.

摘要

目的

本研究旨在探讨社区 2 型糖尿病患者 25-羟维生素 D 与血清 asporsin 之间的关系。目的是为临床干预提供基础。

方法

2019 年 11 月至 2021 年 7 月,连续收集山西省东南部某社区卫生服务站 463 例 2 型糖尿病患者的数据。汇总一般信息和实验室指标,包括血清 asporsin 水平。根据血清 asporsin 的三个三分位数对患者进行分组,比较各组间的各项因素。分析血清 asporsin 水平与其他因素的相关性。采用一般线性模型研究 25-羟维生素 D 与血清 asporsin 水平之间的关系。采用血清 25-羟维生素 D 的三个三分位数,将血清 asporsin 作为因变量,25-羟维生素 D 作为自变量进行线性回归分析。

结果

随着血清 asporsin 水平的升高,年龄、病程、SBP、BMI、WC、肌酐和 SUA 水平逐渐升高(P<0.05)。相反,HbA1c、HDL-C、GFR 和 25-羟维生素 D 水平逐渐下降(P<0.05)。年龄、25-羟维生素 D、SUA、肌酐和 LDL-C 是血清 asporsin 的独立影响因素。在第 1 至第 3 个 25-羟维生素 D 三分位数中,随着 25-羟维生素 D 水平的升高,平均血清 asporsin 逐渐降低(P<0.05)。

结论

社区 2 型糖尿病患者血清 asporsin 水平与 25-羟维生素 D 水平呈负相关。血清 asporsin 水平可能独立影响 25-羟维生素 D 水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/511a/11322110/a1295c9d1427/fendo-15-1409156-g001.jpg

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