Yu Xinyi, Zhu Jian, Xu Zhaonv
Department of Endocrinology, Wenzhou Central Hospital, Wenzhou, People's Republic of China.
Metab Syndr Relat Disord. 2025 Apr;23(3):146-154. doi: 10.1089/met.2024.0149. Epub 2024 Oct 28.
There has been discussion over the association between vitamin C intake and the risk of metabolic syndrome (MetS). This study examined the relationship between dietary vitamin C intake and the risk of MetS in a sizable adult American population. We examined the relationship between dietary vitamin C intake and the risk of MetS in 12,943 persons from the 2007 to 2018 National Health and Nutrition Examination Survey (NHANES). This association was then evaluated using logistic regression and restricted cubic spline models. Sex and age-based subgroup analyses were carried out. According to the results of the multiple regression model, the risk of MetS was inversely correlated with dietary vitamin C intake, vitamin C intake derived from fruits and vegetables. The adjusted results (odds ratios with 95% confidence intervals) for the highest versus lowest tertile were 0.80 (0.68-0.93), 0.86 (0.75-0.98), and 0.80 (0.69-0.93). Subgroup analyses further showed that the negative correlation of dietary vitamin C intake with the risk of MetS was particularly pronounced among females, those in the 20-39 age group, and those in the ≥60 age group. The dose-response relationship's findings indicated that vitamin C from diet and fruits had a nonlinear correlation with the risk of MetS, whereas vitamin C from vegetables had a linear correlation. The risk of MetS in adult Americans was found to be negatively correlated with dietary vitamin C intake, particularly from fruits and vegetables.
关于维生素C摄入量与代谢综合征(MetS)风险之间的关联一直存在讨论。本研究调查了美国大量成年人群中膳食维生素C摄入量与MetS风险之间的关系。我们在2007年至2018年的美国国家健康与营养检查调查(NHANES)中的12943人中研究了膳食维生素C摄入量与MetS风险之间的关系。然后使用逻辑回归和受限立方样条模型评估这种关联。进行了基于性别和年龄的亚组分析。根据多元回归模型的结果,MetS风险与膳食维生素C摄入量、来自水果和蔬菜的维生素C摄入量呈负相关。最高三分位数与最低三分位数的校正结果(95%置信区间的比值比)分别为0.80(0.68 - 0.93)、0.86(0.75 - 0.98)和0.80(0.69 - 0.93)。亚组分析进一步表明,膳食维生素C摄入量与MetS风险之间的负相关在女性、20 - 39岁年龄组以及≥60岁年龄组中尤为明显。剂量反应关系的研究结果表明,来自饮食和水果的维生素C与MetS风险呈非线性相关,而来自蔬菜的维生素C与MetS风险呈线性相关。发现美国成年人的MetS风险与膳食维生素C摄入量呈负相关,尤其是来自水果和蔬菜的维生素C摄入量。