接受冠状动脉旁路移植手术的患者血清维生素 D 与人体测量指标、血脂概况、ICAM-1 和 IL-17 的关系。

Clinical nutrition research Pub Date : 2024-07-23 eCollection Date: 2024-07-01 DOI:10.7762/cnr.2024.13.3.165
Nazanin Tafteh, Shahab Rezaeian, Hadi Abdollahzad, Feridoun Sabzi
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引用次数: 0

摘要

本研究旨在评估冠状动脉旁路移植术(CABG)候选患者血清中维生素 D 水平与人体测量指数、血脂状况和血管炎症因子之间的关系。这项分析性横断面研究的对象是冠状动脉旁路移植术的候选患者。研究收集了 150 名患者的人口统计学信息、医疗记录、人体测量指标、血液样本和体力活动。146名参与者的平均年龄为(61.8±10.0)岁,体重指数为(26.9±3.7)千克:体重指数为 26.9 ± 3.7 kg/m2。根据血清维生素 D 水平,患者被分为两组:维生素 D 充足组(≥ 30 纳克/毫升)和维生素 D 不足组(< 30 纳克/毫升)。30.14%的患者血清维生素 D 缺乏。两组患者的射血分数(EF)有显著差异。意外的是,维生素 D 水平不足的患者 EF% 增加了 7%(几率比 [OR],1.07;95% 置信区间 [CI],1.03-1.11;P = 0.001)。维生素 D 状态与体重呈显著的反向关系。体重每增加一公斤,维生素 D 缺乏的几率就会明显增加 4%(OR,1.04;95% 置信区间 [CI],1-1.08;P = 0.044)。血清维生素 D 水平与细胞内粘附分子-1、白细胞介素-17、空腹血糖和血脂谱之间无明显关联(P > 0.05)。考虑到在血清维生素 D 与 EF% 和体重之间观察到的反向关系,维生素 D 可能在调节这些指数方面发挥作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Association of Serum Vitamin D With Anthropometric Indices, Lipid Profile, ICAM-1, and IL-17 in Patients Undergoing Coronary Artery Bypass Graft Surgery.

This study aimed to assess the relationship between serum levels of vitamin D with anthropometric indices, lipid profile and vascular inflammatory factors, in patients who candidate for coronary artery bypass grafting (CABG). This analytical cross-sectional study was conducted in patients who were candidate for CABG. Demographic information, medical records, anthropometric indicators, blood samples, and physical activity of 150 patients were collected. 146 participants with mean ± standard deviation of age: 61.8 ± 10.0 years and body mass index: 26.9 ± 3.7 kg/m2 completed the study. Based on serum levels of vitamin D, patients were divided into 2 groups; groups with sufficient (≥ 30 ng/mL) and insufficient amount of vitamin D (< 30 ng/mL). The 30.14% of the patients had serum vitamin D deficiency. Ejection fraction (EF) % between the 2 groups had significant difference. Unexpectedly the EF% increased 7% in patients with insufficient level of vitamin D (odds ratio [OR], 1.07; 95% confidence interval [CI], 1.03-1.11; p = 0.001). Vitamin D status had a significant inverse association with body weight. The odds of vitamin D deficiency significantly increased by 4% with increasing one kg in weight (OR, 1.04; 95% CI, 1-1.08; p = 0.044). There were no significant association between serum vitamin D level and intra cellular adhesion molecule-1, interleukin-17, fasting blood glucose, and lipid profile (p > 0.05). Considering the inverse association observed between serum vitamin D with EF% and body weight, vitamin D may play a role in modulating of these indices.

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