正常人血清25-羟基维生素D水平:季节性变化及其与甲状旁腺激素和骨钙素的关系

A Benucci, M Tommasi, B Fantappié, S Scardigli, S Ottanelli, E Pratesi, S Romano
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摘要

人类25-羟基维生素D (25-OH-D)血清水平的测量在评估钙和骨代谢紊乱中具有潜在的作用。为了确定正常范围,对年龄在18-69岁的健康男性和女性进行了为期12个月的横断面研究。研究人群中25-OH-D水平的变化符合一个数学模型,该模型显示了与时间的高度显著周期性关系。性别对平均25-OH-D浓度有显著影响(p < 0.03),但年龄与男女25-OH-D浓度无显著相关。计算了95%的容差带,以获得具有周期性的时间限定的“正态范围”。在甲状旁腺激素(PTH)和骨钙素(OST)中观察到有趣的周期性变化。25-OH-D与甲状旁腺激素在两性中均呈中等负相关,在男性中更为明显。25-OH-D与OST无相关性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Serum 25-hydroxyvitamin D levels in normal subjects: seasonal variations and relationships with parathyroid hormone and osteocalcin.

The measurement of human 25-hydroxyvitamin D (25-OH-D) serum levels has a potential role in evaluating calcium and bone metabolism disorders. To determine normal ranges were studied, cross-sectionally, a healthy population of men and women, aged 18-69 years, over a 12-month period. Changes in 25-OH-D levels for the examined population fitted a mathematical model that demonstrated a highly significant periodic relationship to time. Gender had a significant (p < 0.03) effect on mean 25-OH-D concentration, but age was not significantly correlated with 25-OH-D in either sex. A 95% tolerance band was computed in order to have a time-qualified "range of normality" with circannual periodicity. Interesting periodic variations were seen for the parathyroid hormone (PTH) as well as for osteocalcin (OST). A moderate negative correlation was found between 25-OH-D and PTH in both sexes, with more significant evidence in males. No relationship was observed between 25-OH-D and OST.

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