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无他汀类药物使用者或低剂量他汀类药物使用者的成年人血清维生素D浓度与肥胖的人体测量指标:一项横断面研究

Serum vitamin D concentration and anthropometric indicators of adiposity in adults without or with low dose statin users: a cross-sectional study.

作者信息

Ashraf Haleh, Maghbouli Nastaran, Abolhasani Maryam, Zandi Nadia, Nematizadeh Mehran, Omidi Negar, Davoodi Gholamreza, Boroumand Mohammad Ali, Ali Jemal Haidar

机构信息

Cardiac Primary Prevention Research Center (CPPRC), Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.

Physical Medicine and Rehabilitation Department, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

J Health Popul Nutr. 2024 Dec 2;43(1):206. doi: 10.1186/s41043-024-00668-3.

Abstract

BACKGROUND

This study sought to determine the accuracy of several anthropometric parameters in association with serum Vit. D concentrations and to compare the novel indices with the conventional ones.

METHODS

A total of 947 individuals referred to the cardiology clinic who have not used statin or take low-dose statin were evaluated through a cross-sectional study. Data on demographic information, anthropometric indices, and biochemical measurements were gathered using a checklist. Both the multivariable regression modeling and the area under the receiver-operating characteristic (ROC) were employed for the analysis.

RESULTS

Considering novel indices, BRI (Body Roundness Index) showed the most powerful correlation with serum Vit. D levels among both genders. Among conventional ancient indices, WC (Waist Circumference) had the strongest association in both men and women groups. Based on the confounding factors-adjusted model, the highest odds ratio (OR) for the presence of Vit. D deficiency belonged to WHtR (Waist to Height Ratio) in women (OR, 0.347 (0.171-0.704), P = 0.003). None of the indices predicted Vit. D deficiency significantly among men. A Vit. D concentration of 4.55 ng/ml was found as a cutoff based on the metabolic syndrome status.

CONCLUSION

The most powerful association with serum Vit. D levels were detected for BRI in both genders among newly developed indices. In addition, WHtR predicted Vit. D deficiency independent of confounding factors among women.

摘要

背景

本研究旨在确定几种人体测量参数与血清维生素D浓度之间的相关性,并将新指标与传统指标进行比较。

方法

通过横断面研究对947名未使用他汀类药物或服用低剂量他汀类药物的心脏病门诊患者进行评估。使用清单收集人口统计学信息、人体测量指标和生化测量数据。采用多变量回归模型和受试者工作特征曲线(ROC)下面积进行分析。

结果

就新指标而言,身体圆润度指数(BRI)在男女两性中均显示出与血清维生素D水平的最强相关性。在传统的古老指标中,腰围(WC)在男性和女性组中均具有最强的关联性。基于混杂因素调整模型,女性维生素D缺乏的最高比值比(OR)属于腰高比(WHtR)(OR,0.347(0.171 - 0.704),P = 0.003)。在男性中,没有一个指标能显著预测维生素D缺乏。根据代谢综合征状态,发现维生素D浓度为4.55 ng/ml作为临界值。

结论

在新开发的指标中,男女两性的身体圆润度指数(BRI)与血清维生素D水平的关联性最强。此外,腰高比(WHtR)在女性中可独立于混杂因素预测维生素D缺乏。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b92/11613886/b7625a27c171/41043_2024_668_Fig1_HTML.jpg

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