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血清25(OH)D水平状况与乳腺癌相关。

The status of serum 25(OH)D levels is related to breast cancer.

作者信息

Momivand Mohammad, Razaghi Mahta, Mohammadi Farshid, Hoseinzadeh Edris, Najafi-Vosough Roya

机构信息

Clinical Research Development Unit of Shahid Beheshti Hospital, Hamadan University of Medical Sciences, Hamadan, Iran.

Clinical Research Development Unit of Besat Hospital, Hamadan University of Medical Sciences, Hamadan, Iran.

出版信息

Cancer Treat Res Commun. 2024;42:100870. doi: 10.1016/j.ctarc.2025.100870. Epub 2025 Jan 17.

Abstract

AIM

Breast cancer is the second most common cancer among women and the leading cause of cancer-related mortality in this population. Numerous factors have been identified as either risk factors or protective factors for breast cancer. However, the role of Vitamin D (Vit. D) in breast cancer remains contentious, with conflicting findings in the literature. The present study aimed to compare serum Vit. D levels between women with and without breast cancer.

METHODS

This cross-sectional study included 40 women diagnosed with breast cancer, referred to the Mahdia Hamadan Radiotherapy Center in 2022. These participants were matched with 40 age- and Vit. D serum level-matched women without breast cancer. Serum Vit. D levels were measured using the ELISA method. Statistical analysis was performed using SPSS version 26, with a significance threshold set at a 95% confidence level.

RESULTS

The mean ± standard deviation of serum Vit. D levels in women with and without breast cancer were 31.9 ± 28.27 ng/mL and 37.98 ± 15.89 ng/mL, respectively (P = 0.024). The prevalence of Vit. D insufficiency was 50% in the breast cancer group and 27.5% in the control group, while 50% of the breast cancer group and 72.5% of the control group had sufficient Vit. D levels (P = 0.008). In women with breast cancer, lower Vit. D levels were significantly associated with lower educational (P < 0.001), economic (P < 0.001), and social status (P < 0.001). A weak positive correlation was observed between serum Vit. D levels and patient age (r = 0.162, P = 0.152).

CONCLUSION

The significant difference in serum Vit. D levels between women with and without breast cancer suggests that Vit. D deficiency may be associated with breast cancer risk. These findings support the hypothesis that improving Vit. D status in women could potentially reduce the incidence of breast cancer.

摘要

目的

乳腺癌是女性中第二常见的癌症,也是该人群癌症相关死亡的主要原因。众多因素已被确定为乳腺癌的危险因素或保护因素。然而,维生素D(Vit.D)在乳腺癌中的作用仍存在争议,文献中的研究结果相互矛盾。本研究旨在比较患乳腺癌和未患乳腺癌女性的血清Vit.D水平。

方法

这项横断面研究纳入了2022年转诊至马赫迪耶·哈马丹放射治疗中心的40名被诊断为乳腺癌的女性。这些参与者与40名年龄和Vit.D血清水平相匹配的未患乳腺癌的女性进行对照。采用酶联免疫吸附测定(ELISA)法测量血清Vit.D水平。使用SPSS 26版进行统计分析,显著性阈值设定为95%置信水平。

结果

患乳腺癌和未患乳腺癌女性的血清Vit.D水平的平均值±标准差分别为31.9±28.27 ng/mL和37.98±15.89 ng/mL(P = 0.024)。Vit.D不足在乳腺癌组中的患病率为50%,在对照组中为27.5%,而乳腺癌组中有50%、对照组中有72.5%的人Vit.D水平充足(P = 0.008)。在患乳腺癌的女性中,较低的Vit.D水平与较低的教育程度(P < 0.001)、经济状况(P < 0.001)和社会地位(P < 0.001)显著相关。血清Vit.D水平与患者年龄之间存在弱正相关(r = 0.162,P = 0.152)。

结论

患乳腺癌和未患乳腺癌女性的血清Vit.D水平存在显著差异,这表明Vit.D缺乏可能与乳腺癌风险相关。这些发现支持了改善女性Vit.D状况可能会降低乳腺癌发病率这一假设。

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