A Comparative Study of 25 (OH) Vitamin D Serum Levels in Patients with metabolic syndrome and healthy individuals

E. Rostami, F. Amiri, Z. Mohammadi, Parisa Khanicheragh, Fahimeh Safizadeh, Fariba Mohammadi Tahroodi, H. Javar, H. Aram, Negar Yavari
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Abstract

Background: The incidence of metabolic syndrome has been rising in the Iran population. In parallel, vitamin D deficiency has also been increasing in Iran. This study aims to explore the association of vitamin D serum concentrations with metabolic syndrome and its components in the Iranian population.  Materials and Methods: A case-control study was managed. We enrolled 110 metabolic syndrome patients, according to the National Cholesterol Education Program Adult Treatment Panel III (ATP III) criteria as a case group and 130 healthy individuals as a control group. The serum level of 25-hydroxy vitamin D (25 (OH)D), lipid profile, and fasting blood glucose(FBS) status were determined using a commercially available ELISA method. Enzymatic methods determined total cholesterol (Chol), high-density lipoprotein (HDL) cholesterol, low-density lipoprotein (LDL), and triglyceride (TG) levels.  Results: In case group, the prevalence rate of 25 (OH)D deficiency ( 30 ng/mL) was 19.0%. A non-significant association between Chol level and age was noted (p=0.46, p=0.124). The levels of FBS and TG were significantly higher, and the levels of 25 (OH)D, LDL, and HDL were significantly lower in the case of the group compared to the control group. Conclusion: We found that the serum level of 25 (OH)D in patients with metabolic syndrome is lower than in the healthy group, and a low level of 25 (OH)D is related to increased risk of metabolic syndrome and its components.
代谢综合征患者与健康人血清25 (OH)维生素D水平的比较研究
背景:伊朗人群中代谢综合征的发病率呈上升趋势。与此同时,伊朗的维生素D缺乏症也在增加。本研究旨在探讨维生素D血清浓度与伊朗人群代谢综合征及其组成部分的关系。材料与方法:采用病例-对照研究。根据国家胆固醇教育计划成人治疗小组III (ATP III)标准,我们招募了110名代谢综合征患者作为病例组,130名健康个体作为对照组。采用市售ELISA法测定血清25-羟基维生素D (25 (OH)D)水平、血脂和空腹血糖(FBS)状态。酶法测定总胆固醇(Chol)、高密度脂蛋白(HDL)、低密度脂蛋白(LDL)和甘油三酯(TG)水平。结果:病例组25 (OH)D缺乏症(30 ng/mL)发生率为19.0%。Chol水平与年龄无显著相关性(p=0.46, p=0.124)。与对照组相比,实验组FBS、TG水平显著升高,25 (OH)D、LDL、HDL水平显著降低。结论:我们发现代谢综合征患者血清25 (OH)D水平低于健康组,且25 (OH)D水平低与代谢综合征及其组成成分的风险增加有关。
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