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Plasma 25-Hydroxyvitamin D Concentration and Metabolic Syndrome Among Middle-Aged and Elderly Chinese Individuals

文献类型:期刊论文

作者Lu, Ling; Yu, Zhijie; Pan, An; Hu, Frank B.; Franco, Oscar H.; Li, Huaixing(黎怀星); Li, Xiaoying; Yang, Xilin; Chen, Yan(陈雁); Lin, Xu(林旭)
刊名DIABETES CARE
出版日期2009
卷号32期号:7页码:1278-1283
英文摘要OBJECTIVE - To evaluate the association between 25-hydroxyvitamin D [25(OH)D] and metabolic syndrome in the Chinese population. RESEARCH DESIGN AND METHODS - Plasma 25(OH)D was measured in a cross sectional sample of 1,443 men and 1,819 women aged 50-70 years from Beijing and Shanghai. Metabolic syndrome was defined according to the updated National Cholesterol Education Program Adult Treatment Panel III criteria for Asian Americans. Fasting plasma glucose, insulin, lipid profile, A1C, and inflammatory markers were measured. RESULTS - The geometric mean of plasma 25(OH)D was 40.4 nmol/l, and percentages of vitamin D deficiency [25(OH)D <50 nmol/l] and insufficiency [50 <= 25(OH)D <75 nmol/l] were 69.2 and 24.4%, respectively. Compared with the highest 25(OH)D quintile (>= 57.7 nmol/l), the odds ratio for metabolic syndrome in the lowest quintile (<= 28.7 nmol/l) was 1.52 (95% CI 1.17-1.98, P(trend) = 0.0002) after multiple adjustment. Significant inverse associations also existed between 25(OH)D and individual metabolic syndrome components plus A1C. Moreover, we observed significant inverse associations of 25(OH)D with Fasting insulin and the insulin resistance index (homeostasis model assessment of insulin resistance [HOMA-IR]) in overweight and obese individuals (BMI >= 24 kg/m(2)) but not in their normal-weight counterparts (test for interaction: P = 0.0363 and 0.0187 for insulin and HOMA-IR, respectively). CONCLUSIONS - Vitamin D deficiency is common in the middle-aged and elderly Chinese population, and a low 25(OH)D level is significantly associated with an increased risk of having metabolic syndrome and insulin resistance. Prospective studies and randomized clinical trials are warranted to determine the role of 25(OH)D in the development of metabolic syndrome and related metabolic diseases.
类目[WOS]Endocrinology & Metabolism
关键词[WOS]PARATHYROID-HORMONE LEVELS ; DWELLING OLDER-ADULTS ; VITAMIN-D DEFICIENCY ; INSULIN-RESISTANCE ; SERUM 25-HYDROXYVITAMIN-D ; US ADULTS ; ASSOCIATION ; POLYMORPHISM ; OBESITY ; PEOPLE
收录类别SCI
语种英语
WOS记录号WOS:000267878300031
版本出版稿
源URL[http://202.127.25.144/handle/331004/85]  
专题中国科学院上海生命科学研究院营养科学研究所_信号转导与营养相关疾病研究组
中国科学院上海生命科学研究院营养科学研究所_人类营养与疾病研究组
推荐引用方式
GB/T 7714
Lu, Ling,Yu, Zhijie,Pan, An,et al. Plasma 25-Hydroxyvitamin D Concentration and Metabolic Syndrome Among Middle-Aged and Elderly Chinese Individuals[J]. DIABETES CARE,2009,32(7):1278-1283.
APA Lu, Ling.,Yu, Zhijie.,Pan, An.,Hu, Frank B..,Franco, Oscar H..,...&Lin, Xu.(2009).Plasma 25-Hydroxyvitamin D Concentration and Metabolic Syndrome Among Middle-Aged and Elderly Chinese Individuals.DIABETES CARE,32(7),1278-1283.
MLA Lu, Ling,et al."Plasma 25-Hydroxyvitamin D Concentration and Metabolic Syndrome Among Middle-Aged and Elderly Chinese Individuals".DIABETES CARE 32.7(2009):1278-1283.

入库方式: OAI收割

来源:上海营养与健康研究所

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