伊朗设拉子地区2型糖尿病患者和健康人血清25-羟基维生素D水平及甲状腺相关参数的评价

E. Rostami, Vajiheh Najafi, Vahideh Behmard, Mohammad Panji, Fatemeh Sadat Moravej, Sina Dalvand, A. Namdari, Negar Yavari, Zakieh Sadat Sheikhalishahi
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Photometric methods measured serum levels of fasting blood glucose (FBG), calcium, phosphorous, total Cholesterol (TC), triacylglyceride (TG), high-density lipoprotein (HDL). Low-density lipoprotein (LDL) and VLDL levels were estimated from the Friedewald equation (LDL-C=TC–HDL-C–(TG/5)). The Elisa kit measured serum T4 and TSH. \nResults: 80% of Patients with T2DM and 71% of healthy individuals were suffering from vitamin D insufficiency. 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引用次数: 0

摘要

背景与目的:2型糖尿病(T2DM)的患病率在全球范围内呈上升趋势。越来越多的证据表明维生素D水平改变、甲状腺功能障碍和2型糖尿病之间存在相关性。本研究的目的是评估T2DM和非糖尿病患者血清25-羟基维生素D (25(OH) D)、血脂、血糖和甲状腺相关参数之间的关系。方法:对228例患者进行病例对照研究,其中2型糖尿病患者110例,健康对照118例。化学发光法测定血清25(OH) D浓度。光度法测定空腹血糖(FBG)、钙、磷、总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白(HDL)的血清水平。根据Friedewald方程(LDL- c = TC-HDL-C - (TG/5))估算低密度脂蛋白(LDL)和VLDL水平。Elisa试剂盒检测血清T4和TSH。结果:80%的T2DM患者和71%的健康人存在维生素D不足。对照组与糖尿病组TG (P=0.36)、HDL (P=0.33)、VLDL (P=0.36)、T4 (P=0.56)、钙(P=0.39)、磷(P=0.41)水平无显著相关。T2DM组FBG (P=0.000)、TC (P=0.001)、LDL (P=0.004)、TSH (P=0.000)水平显著高于非糖尿病组,25 (OH) D水平显著低于非糖尿病组(P=0.001)。结论:我们发现T2DM患者血清25 (OH) D水平较低,TSH水平明显高于非糖尿病组。甲状腺功能障碍和低水平的25 (OH) D与T2DM的高风险相关。*通讯作者:Zakieh Sadat Sheikhalishahi;Rostami E, Najafi V, Behmard V, Panji M, Moravej FS, Dalvand S, Namdari A, Yavari N, Sheikhalishahi ZS。伊朗设拉子地区2型糖尿病患者和健康人血清25-羟基维生素D水平及甲状腺相关参数的评价中华医学杂志,2020;6:1-6 (e22)。https://doi.org/10.22037/amls.v6.31301
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of 25-hydroxy Vitamin D Serum Levels and Thyroid-related Parameters in Patients with Type 2 Diabetes Mellitus and Healthy People in Shiraz, Iran
Background and Aim: The prevalence of type 2 diabetes mellitus (T2DM) is increasing globally. There is increasing evidence in the correlation between altered vitamin D levels, thyroid dysfunction, and T2DM. The goal of this study was to evaluate the association between serum 25-hydroxy vitamin D (25(OH) D), lipid profile, glucose and thyroid-related parameters among patients with T2DM and non-diabetic individuals. Methods: This case-control study was conducted on 228 individuals (110 type two diabetics and 118 healthy controls). The serum concentration of 25(OH) D was determined by chemiluminescence assay. Photometric methods measured serum levels of fasting blood glucose (FBG), calcium, phosphorous, total Cholesterol (TC), triacylglyceride (TG), high-density lipoprotein (HDL). Low-density lipoprotein (LDL) and VLDL levels were estimated from the Friedewald equation (LDL-C=TC–HDL-C–(TG/5)). The Elisa kit measured serum T4 and TSH. Results: 80% of Patients with T2DM and 71% of healthy individuals were suffering from vitamin D insufficiency. A non-significant relationship between TG (P=0.36), HDL (P=0.33), VLDL (P=0.36), T4 (P=0.56) calcium (P=0.39) and phosphorus (P=0.41) levels were showed in control and diabetic groups.  The levels of FBG (P=0.000), TC (P=0.001), LDL (P=0.004), TSH (P=0.000) were significantly higher, and the levels of 25 (OH) D (P=0.001) was significantly lower in the T2DM group compared to the non-diabetic group. Conclusion: We revealed that the serum level of 25 (OH) D is lower in patients with T2DM, and the TSH level is significantly higher compared to the non-diabetic group. Thyroid dysfunction and a low level of 25 (OH) D are associated with a high risk of T2DM. *Corresponding Author: Zakieh Sadat Sheikhalishahi; Email: z.sheikhalishahi@gmail.com Please cite this article as: Rostami E, Najafi V, Behmard V, Panji M, Moravej FS, Dalvand S, Namdari A, Yavari N, Sheikhalishahi ZS. Evaluation of 25-hydroxy Vitamin D Serum Levels and Thyroid-related Parameters in Patients with Type 2 Diabetes Mellitus and Healthy People in Shiraz, Iran. Arch Med Lab Sci. 2020;6:1-6 (e22). https://doi.org/10.22037/amls.v6.31301
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