女性维生素D缺乏及其与炎症标志物的关系

D. Gupta, Neelima Singh
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摘要

目的:目前,“阳光维生素”因其抗炎作用而备受关注,其作用远远超出了其在骨代谢中的作用。维生素D缺乏是影响所有年龄段人群的主要健康问题,尤其是老年妇女。随着年龄的增长,妇女患几种代谢性疾病的风险很高。本研究旨在确定绝经前和绝经后妇女血清维生素D和炎症标志物的水平。方法:共纳入500名女性受试者,其中400名绝经前和绝经后妇女为病例,100名健康妇女为对照。用化学发光微粒免疫分析法测定血清维生素D。采用标准免疫分析法检测血清炎症标志物、白细胞介素-6 (IL-6)、高敏c反应蛋白(hs-CRP)。采用竞争性免疫分析法测定所有女性受试者血清雌二醇(E2)水平。采用SPSS 22.0软件对数据进行分析。结果:与对照组健康妇女相比,绝经前和绝经后妇女血清维生素D水平显著降低,炎症标志物显著升高(p<0.001)。绝经后妇女血清雌二醇也显著降低。我们还发现,在绝经前和绝经后妇女中,维生素D缺乏与炎症标志物之间存在显著的负相关。结论:维生素D缺乏症在绝经后妇女中比在绝经前妇女中更常见。在绝经后妇女中,轻度全身性炎症与心血管疾病、糖尿病和代谢综合征的风险增加有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Vitamin D deficiency and Its Link with Inflammatory Markers in Women
Aim: Nowadays the ‘‘sunshine’’ vitamin attracts full attention toward its anti-inflammatory role that is much beyond its classical role in bone metabolism. Vitamin D deficiency is a major health issue that affects people of all ages, especially elderly women. With increasing age, women are at high risk of several metabolic diseases. This study aims to determine the levels of serum vitamin D and inflammatory markers in premenopausal and postmenopausal women. Methods: A total of 500 female subjects were included in the study, with 400 pre- & postmenopausal women were considered as cases while 100 subjects were considered as control healthy women. Serum Vitamin D was estimated by chemiluminescent microparticle immunoassay method. Inflammatory markers, Interleukin-6 (IL-6), and highly sensitive C-reactive protein (hs-CRP) were assayed in serum by using standard immunoassay method. Serum Estradiol (E2) was estimated by the competitive immunoassay method in all studied female subjects. Data were analyzed by using SPSS software, version 22.0. Result: Serum Vitamin D levels were significantly decreased while inflammatory markers were significantly increased (p<0.001) in pre-and postmenopausal women as compared with control healthy women. Serum estradiol was also significantly decreased in postmenopausal women. We also found a significant negative correlation between vitamin D deficiency and inflammatory markers in both pre-and postmenopausal women. Conclusion: Vitamin D deficiency is more common in postmenopausal women than in premenopausal women. In postmenopausal women, low-grade systemic inflammation is linked to an increased risk of cardiovascular disease, diabetes, and metabolic syndrome.
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