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25-Hydroxyvitamin D Is Associated with Islet Homeostasis in Type-2 Diabetic Patients with Abdominal Obesity
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作者 Qing LI Wen ZHANG +5 位作者 Bing HAN Yu-ying WANG Heng WAN Min ZHANG Ning-jian WANG Ying-li LU 《Current Medical Science》 SCIE CAS 2023年第5期919-926,共8页
Objective Isletαcells input is essential for insulin secretion fromβcells.The present study aims to investigate the association between 25-hydroxyvitamin D[25(OH)D]and islet function homeostasis in type-2 diabetes(T... Objective Isletαcells input is essential for insulin secretion fromβcells.The present study aims to investigate the association between 25-hydroxyvitamin D[25(OH)D]and islet function homeostasis in type-2 diabetes(T2D)patients.Methods A total of 4670 T2D patients from seven communities in Shanghai,China were enrolled.The anthropometric indices,biochemical parameters,serum 25(OH)D,and islet function[including C-peptide(C-p)and glucagon]were measured.Results The fasting plasma glucose(FPG),glycated hemoglobin(HbA1c),glucagon,and C-p levels exhibited a significantly decreasing trend in T2D patients as the 25(OH)D levels increased.Next,the population was divided into two groups:abdominal obesity and non-abdominal obesity groups.After adjustment,the 25(OH)D level was found to be associated with HbA1c,glucagon,and homeostasis model assessment ofβ(HOMA-β)in the non-abdominal obesity group.There was a significant relationship between 25(OH)D and HbA1c,glucagon,HOMA-IR,baseline insulin or C-p in the abdominal obesity group.In the abdominal obesity group,the ordinary least squares(OLS)regression and quantile regression revealed that 25(OH)D was obviously associated with glucagon and fasting C-p levels.In the abdominal obesity group,the moderate analysis revealed a significant interaction effect of 25(OH)D and glucagon on C-p(P=0.0124).Furthermore,the conditional indirect effect of 25(OH)D on the glucagon/C-p ratio was significantly lower at 1 standard deviation(SD)below the mean(P=0.0002),and lower at the mean of the course of diabetes(P=0.0007).Conclusion 25(OH)D was found to be negatively correlated to glucagon and C-p in T2D patients with abdominal obesity.The 25(OH)D influenced C-p in part by influencing glucagon.The effect of 25(OH)D on the glucagon/C-p ratio in T2D patients with abdominal obesity,in terms of islet homeostasis,is influenced by the course of diabetes. 展开更多
关键词 25-hydroxyvitamin d GLUCAGON C-PEPTIdE isletαcells isletβcells type-2 diabetes
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Serum 1, 25-Hydroxyvitamin D: A Useful Index of Cognitive and Physical Functional Impairment in Healthy Older Adults in Japan: A Pilot Study 被引量:2
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作者 Noboru Hasegawa Miyako Mochizuki +3 位作者 Mayumi Kato Takako Yamada Nobuko Shimizu Akihisa Torii 《Health》 CAS 2016年第15期1679-1686,共9页
We enrolled 23 Japanese men (age: 76.0 ± 8.7) and 17 women (age: 78.3 ± 9.3) in this study. The physical function of even a person getting on a wheelchair could be tested in all subjects. Blood was collected... We enrolled 23 Japanese men (age: 76.0 ± 8.7) and 17 women (age: 78.3 ± 9.3) in this study. The physical function of even a person getting on a wheelchair could be tested in all subjects. Blood was collected by venipuncture and the serum 1, 25-hydroxy vitamin D (1, 25OHD) concentration was measured. The Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment-Japanese version (MoCA-J) was used for the cognitive function test. Physical function was measured objectively using the Timed UP and Go (TUG) and 4-m walking test (4MWS). A significant positive correlation was found between serum 1, 25OHD and MMSE or MoCA-J. It is expected that an elderly person can maintain a mean serum 1, 25OHD level of about 100 pg/mL for preventing early cognitive disorder. In the present study, a significant positive correlation was found between urinary 25-hydroxy vitamin D (25OHD)/creatinine and MMSE or MoCA-J. Our results showed that urinary 25OHD might be a useful biomarker for predicting cognitive disorder. There was a significant negative correlation between serum 1, 25OHD and TUG or 4MWS. These findings suggest that serum 1, 25OHD levels might serve as a useful index to improve cognitive and physical functional impairment. 展开更多
关键词 Serum 1 25-hydroxyvitamin d Cognitive Function Physical Function AGING Urinary 25-hydroxyvitamin d
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Study on the correlation and predictive value of serum pregnancyassociated plasma protein A, triglyceride and serum 25-hydroxyvitamin D levels with gestational diabetes mellitus 被引量:6
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作者 Zhuo Ren Dong Zhe +3 位作者 Zhi Li Xin-Ping Sun Kai Yang Li Lin 《World Journal of Clinical Cases》 SCIE 2020年第5期864-873,共10页
BACKGROUND Gestational diabetes mellitus(GDM)is a concern due to its rapid increase in incidence in recent years.AIM To investigate the correlation and predictive value of serum pregnancyassociated plasma protein A(PA... BACKGROUND Gestational diabetes mellitus(GDM)is a concern due to its rapid increase in incidence in recent years.AIM To investigate the correlation and predictive value of serum pregnancyassociated plasma protein A(PAPP-A),triglyceride(TG),and 25-hydroxyvitamin D[25-(OH)D]with GDM in early pregnancy.METHODS A total of 99 patients in early pregnancy admitted to Peking University International Hospital from November 2015 to September 2017 were included,and underwent a fasting glucose test and oral glucose tolerance test screening at 24-28 wk of pregnancy.Of these cases with GDM,51 were assigned to group A and the remaining 48 cases without GDM were enrolled in group B.Serum PAPP-A,TG and 25-(OH)D in the two groups were compared and their correlation with blood sugar was analyzed.In addition,their diagnostic value in GDM was determined using receiver operating characteristic(ROC)curve analysis.RESULTS Group A had markedly lower serum PAPP-A and 25-(OH)D levels and a significantly higher serum TG level than group B,with statistical significance(P<0.05).Furthermore,Pearson analysis identified that PAPP-A and 25-(OH)D levels were negatively correlated with fasting blood glucose(FBG)levels(r=-0.605,P<0.001),(r=-0.597,P<0.001),while TG and FBG levels were positively correlated(r=0.628,P<0.001).The sensitivity,specificity,area under the curve(AUC)and optimal cut-off value of serum PAPP-A level in the diagnosis of GDM were 72.55%,82.35%,0.861 and 16.340,respectively,while the sensitivity of TG in diagnosing GDM was 86.27%,the specificity was 66.67%,the AUC was 0.813,with an optimal cut-off value of 1.796.The corresponding sensitivity,specificity,AUC and optimal cut-off value of serum 25-(OH)D were 64.71%,70.59%,0.721 and 23.140,respectively.Moreover,multivariate logistic regression analysis revealed that FBG,vascular endothelial growth factor,Flt-1,serum PAPP-A,TG,and 25-(OH)D were related risk factors leading to GDM in patients.CONCLUSION Serum PAPP-A,TG,and 25-(OH)D levels are all correlated with blood glucose changes in GDM,and are independent factors affecting the occurrence of GDM and have certain value in the diagnosis of GDM. 展开更多
关键词 Early pregnancy Serum pregnancy-associated plasma protein A level TRIGLYCERIdE Serum 25-hydroxyvitamin d Gestational diabetes mellitus Oral glucose tolerance test
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The Relationship between Serum 25-Hydroxyvitamin D and Resistin Levels in Saudi Diabetic Patients
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作者 Ahmed El-Tahir Abdulaziz F. AL-Kaabbab +5 位作者 Muaawia Ahmed Hamza Abdullah A. Saeed Abdulshakour Abdalla May F. AlMohareb Hana S. Alfaleh Gwiria M. H. Satti 《Open Journal of Endocrine and Metabolic Diseases》 2016年第2期102-108,共7页
Objectives: The aim of this study was to investigate the relationship between the levels of 25-hydroxyvitamin D and the adipokine resistin in Saudi diabetic patients and those at high risk to develop atherosclerotic c... Objectives: The aim of this study was to investigate the relationship between the levels of 25-hydroxyvitamin D and the adipokine resistin in Saudi diabetic patients and those at high risk to develop atherosclerotic cardiovascular diseases. Methodology: One hundred and sixty seven subjects were recruited for the cross-sectional study at King Fahad Medical City, Saudi Arabia. Blood samples were analyzed for biochemical parameters. Serum 25-hydroxyvitamin D and resistin levels were measured for all the participants. Result: Fifty six type-1, 55 type-2 diabetic patients and 56 healthy controls were recruited. Serum 25-hydroxyvitamin D level in the control group was 44.21 ± 41.80 μg/ml compared to 50.67 ± 35.60 μg/ml in the diabetic group (P = 0.427) with no significant different between type-2 diabetes mellitus and type-1 diabetes mellitus (P = 0.628). Resistin level in the control group was 14.00 ± 7.39μg/ml compared to 20.21 ± 16.94 μg/ml in the diabetic group (P ≤ 0.01), no significant difference between type-2 diabetes mellitus and type-1 diabetes mellitus (P = 0.817). Resistin in those taking vitamin D supplementation was 21.34 ± 18.27 μg/ml;and in those not taking vitamin D supplementation, it was 17.4 ± 11.19 μg/ml;(P = 0.237). There was significant negative correlation between 25-hydroxyvitamin D and resistin in type-2 diabetes mellitus (P ≤ 0.043) and no significant correlation was found between vitamin 25 (OH) D and resistin level in type-1 diabetes mellitus (P = 0.538). Blood urea and creatinine showed significant positive correlation with vitamin 25 (OH) D in one hand and resistin level on the other hand. Discussion and Conclusions: Several in vitro and in vivo studies have confirmed that the vitamin 25 (OH) D have numerous important functions in the body. The circulating vitamin 25 (OH) D and resistin levels were associated with general inflammation in renal diseases. This study showed significant negative correlation between resistin level and vitamin 25 (OH) D in type 2 diabetes mellitus reflecting their roles in glucose homeostasis. The positive correlation of resistin and vitamin D with urea may reflect their involvement in kidney dysfunction. The level of serum resistin showed slight increase in diabetic patients compared to control group and it was higher in type-2 diabetes mellitus. More efforts are needed to explore the physiological mechanism of vitamin 25 (OH) D and resistin action in metabolic disorders. 展开更多
关键词 25-hydroxyvitamin d RESISTIN diabetes Mellitus Kingdom of Saudi Arabia
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Visfatin and 25-Hydroxyvitamin D_(3) Levels Affect Coronary Collateral Circulation Development in Patients with Chronic Coronary Total Occlusion
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作者 Xiaoling Ji Shuqi Jin +2 位作者 Yuxia wang Yumiao Chen Jing Zhang 《Cardiovascular Innovations and Applications》 2022年第1期161-169,共9页
Background:Coronary collateral circulation(CCC)plays a vital role in the myocardial blood supply,especially for ischemic myocardium.Evidence suggests that the visfatin and 25-hydroxyvitamin D_(3)[25(OH)D_(3)]levels ar... Background:Coronary collateral circulation(CCC)plays a vital role in the myocardial blood supply,especially for ischemic myocardium.Evidence suggests that the visfatin and 25-hydroxyvitamin D_(3)[25(OH)D_(3)]levels are related to the degree and incidence of vascular stenosis associated with coronary artery disease;however,few studies have evaluated the effect of visfatin and 25(OH)D_(3) on CCC development in patients with chronic total occlusion(CTO).This study aimed to evaluate the relationship between the serum visfatin and 25(OH)D_(3) levels and CCC in patients with CTO.Methods:A total of 189 patients with CTO confirmed by coronary angiography were included.CCC was graded from 0 to 3 according to the Rentrop-Cohen classification.Patients with grade 0 or grade 1 collateral development were in-cluded in the poor CCC group(n=82),whereas patients with grade 2 or grade 3 collateral development were included in the good CCC group(n=107).The serum visfatin and 25(OH)D_(3) levels were measured by ELISA.Results:The visfatin level was significantly higher in the poor CCC group than in the good CCC group,and the 25(OH)D_(3) level was significantly lower in the poor CCC group than in the good CCC group(P=0.000).Correlation analysis showed that the Rentrop grade was negatively correlated with the visfatin level(r=−0.692,P=0.000)but positively correlated with the 25(OH)D_(3) level(r=0.635,P=0.000).Logistic regression analysis showed that the vis-fatin and 25(OH)D_(3) levels were independent risk factors for CCC(odds ratio 1.597,95%confidence interval 1.300-1.961,P=0.000 and odds ratio 0.566,95%confidence interval 0.444-0.722,P=0.000,respectively).The visfatin and 25(OH)D_(3) levels can effectively predict the CCC status.Conclusion:Serum visfatin and 25(OH)D_(3) levels are related to CCC development and are independent predictors of poor CCC. 展开更多
关键词 25-hydroxyvitamin d_(3) coronary collateral circulation chronic total occlusion
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Upregulation of 25-hydroxyvitamin D_3-1α-hydroxylase by butyrate in Caco-2 cells
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作者 Oliver Schr(o|¨)der Sinan Turak +2 位作者 Carolin Daniel Tanja Gaschott Jürgen Stein 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第45期7136-7141,共6页
AIM: To investigate the possible involvement of 25-hydroxyvitamin D3-1α-hydroxylase [1α-25(OH)2D3] in butyrate-induced differentiation in human intestinal cell line Caco-2 cells.METHODS: Caco-2 cells were incubated ... AIM: To investigate the possible involvement of 25-hydroxyvitamin D3-1α-hydroxylase [1α-25(OH)2D3] in butyrate-induced differentiation in human intestinal cell line Caco-2 cells.METHODS: Caco-2 cells were incubated either with 3 mmol/L butyrate and 1 μmol/L 25(OH)2D3 or with 1μmol/L 1α-25(OH)2D3 for various time intervals ranging from 0 to 72 h. Additionally, cells were co-incubated with butyrate and either 25(OH)2D3 or 1α-25(OH)2D3.1α-25(OH)2D3 mRNA was determined semi-quantitatively using the fluorescent dye PicoGreen. Immunoblotting was used for the detection of 1α-25(OH)2D3 protein.Finally, enzymatic activity was measured by ELISA.RESULTS: Both butyrate and 1α-25(OH)2D3 stimulated differentiation of Caco-2 cells after a 48 h incubation period, while 25(OH)2D3 had no impact on cell differentiation. Synergistic effects on differentiation were observed when cells were co-incubated with butyrate and vitamin D metabolite. Butyrate transiently upregulated 1α-25(OH)2D3 mRNA followed by a timely delayed protein upregulation. Coincidently, enzymatic activity was enhanced significantly. The induction of the enzyme allowed for comparable differentiating effects of both vitamin D metabolites.CONCLUSION: Our experimental data pr ovide a further mechanism for the involvement of the vitamin D signaling pathway in colonic epithelial cell differentiation by butyrate. The enhancement of 1α-25(OH)2D3 followed by antiproliferative effects of the vitamin D prohormone in the Caco-2 cell line suggest that 25(OH)2D3 in combination with butyrate may offer a new therapeutic approach for the treatment of colon cancer. 展开更多
关键词 25-羟基维生素 d3-1α-羟化酶 丁酸盐 结肠癌 维生素d
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Effect of Postmortem Ageing on Quality Parameters,Contents of Proteins,Lipids and 25-Hydroxyvitamin D and Oxidative Stability in the Camel Meat during Cold Storage
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作者 Rabab Tabite Kaoutar Barka +6 位作者 Mohamed Farh Fouad Riad Najia El Abbadi Elhassane Tahri Abderrahmane Belhouari Bernard Faye Mohammed El Khasmi 《Journal of Agricultural Science and Technology(A)》 2018年第5期323-332,共10页
The effect of ageing was evaluated on quality parameters(pH,electrical conductivity(EC),osmolality,drip loss(DL)and cooking loss(CL)),proteins,fat and 25-hydroxyvitamin D(25-OH-D)total levels and antioxidant status(ma... The effect of ageing was evaluated on quality parameters(pH,electrical conductivity(EC),osmolality,drip loss(DL)and cooking loss(CL)),proteins,fat and 25-hydroxyvitamin D(25-OH-D)total levels and antioxidant status(malondialdehyde(MDA)and catalase(CAT)activity)in meat of camels during storage at 4±1°C.Samples were taken from the brachial triceps muscle(triceps barchii)and were stored at 4±1°C for 10 d.Quality parameters,chemical composition and antioxidant status were assessed at 3 h and 24 h postslaughter and 5,7 and 10 d postmortem during cold storage.CAT activity significantly decreased while osmolality,EC,DL,CL and MDA contents significantly increased,from the 5th or 7th postmortem day of cold storage of the camel meat.However,proteins,lipids and 25-OH-D total contents showed no significant differences during all period of ageing.In conclusion,in the dromedary camel,ageing time of triceps muscle influenced significantly its quality characteristics and antioxidant status from the 5th or 7th postmortem day of refrigerated storage,without any variation of proteins,fat and 25-OH-D contents. 展开更多
关键词 CAMEL cold storage chemical composition quality 25-hydroxyvitamin d lipid oxidation CATALASE activity MEAT
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Causal relationship between circulating vitamin C and 25-hydroxyvitamin D concentrations and common mental disorders-a Mendelian randomization study
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作者 Yuanyuan Wang Lirong Dong +8 位作者 Meng Zhao Shiyu Yin Pan Da Dengfeng Xu Yifei Lu Jiayue Xia Niannian Wang Shaokang Wang Guiju Sun 《Food Science and Human Wellness》 SCIE CAS 2024年第4期1877-1885,共9页
Mental disorders seriously affect people’s health and social stability.This Mendelian randomization(MR)study was designed to investigate the causal relationship between circulating vitamin C(VC)or 25-hydroxyvitamin D... Mental disorders seriously affect people’s health and social stability.This Mendelian randomization(MR)study was designed to investigate the causal relationship between circulating vitamin C(VC)or 25-hydroxyvitamin D(25(OH)D)levels and mental disorders.The data used for the MR analysis were derived from the summary genome-wide association studies(GWAS)database for VC and 25(OH)D and from the Finn Gen consortium for fourteen mental disorders.Based on the inverse variance weighted(IVW)method,we found a potential causal association between circulating VC and anxiety disorders(IVW:OR=1.139,95%CI:1.023-1.269,P=0.018).However,no causal association was found between VC or 25(OH)D and other mental disorders(P>0.05).In the reverse MR analysis,individuals with Alzheimer’s disease was causally associated with higher concentrations of circulating VC(P=0.012),while individuals with anxiety disorders had a negative association between the concentrations of 25(OH)D(P=0.012).However,the current evidence does not support a causal relationship between VC or 25(OH)D and other mental disorders.In addition,there was no causal association between circulating VC and 25(OH)D(P>0.05).Future studies are needed to confirm these findings and to elucidate the mechanisms of potential causality. 展开更多
关键词 Circulating vitamin C 25-hydroxyvitamin d Mental disorder Mendelian randomization
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糖调节受损患者血清25(OH)D和免疫相关因子对亚临床动脉粥样硬化影响的研究
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作者 王晓梅 金涛 +2 位作者 王霞 俞淑静 费大东 《中国免疫学杂志》 CAS CSCD 2024年第3期604-609,共6页
目的:研究糖调节受损患者血清25(OH)D和免疫相关因子对亚临床动脉粥样硬化(AS)的影响。方法:选取2019年12月至2021年4月枣庄市立医院收治的142例糖调节受损患者,根据经颈动脉超声检查和臂踝脉搏波传导速度分组,仅糖调节受损患者为对照组... 目的:研究糖调节受损患者血清25(OH)D和免疫相关因子对亚临床动脉粥样硬化(AS)的影响。方法:选取2019年12月至2021年4月枣庄市立医院收治的142例糖调节受损患者,根据经颈动脉超声检查和臂踝脉搏波传导速度分组,仅糖调节受损患者为对照组(n=86),并发亚临床AS为观察组(n=56)。比较两组患者血清25(OH)D和免疫因子,应用颈动脉超声检测测定颈动脉内中膜厚度,Pearson法测定血清颈动脉内中膜厚度与血清25(OH)D和免疫因子的相关性。采集基线资料和血液学指标,单因素和多因素Logistic回归分析确定亚临床AS的影响因素,应用ROC曲线评估血清25(OH)D和免疫因子对亚临床AS的诊断效能。结果:观察组患者血清25(OH)D[(24.01±4.87)mmol/L vs 3(0.74±5.01)mmol/L,t=7.909,P=0.000)明显低于对照组,观察组患者TNF-α[(48.32±8.02)ng/L vs(33.21±9.00)ng/L,t=10.199,P=0.000)和IL-6[(41.22±9.43)ng/L vs(30.21±7.01)ng/L,t=7.492,P=0.000)明显高于对照组。颈动脉内中膜厚度与血清25(OH)D呈负相关(r=-0.428,P<0.001),颈动脉内中膜厚度与血清TNF-α和IL-6呈正相关(r=0.574,0.577,P<0.001)。Logistic回归分析结果表明,血清25(OH)D(OR=0.520,95%CI:0.401~0.675)、血清TNF-α(OR=1.667,95%CI:1.131~2.457)和血清IL-6(OR=1.478,95%CI:1.213~1.802)等是亚临床AS发生的影响因素。ROC曲线结果显示,血清25(OH)D最佳截断值为28.32 mmol/L,其对应的敏感度为69.64%,特异度为70.93%,AUC为0.803(95%CI:0.749~0.855);血清TNF-α临界值为40.56 ng/L,其对应的敏感度为71.43%,特异度为72.09%,AUC为0.761(95%CI:0.717~0.823);血清IL-6截断值为36.13 ng/L,其对应的敏感度为60.71%,特异度为60.47%,AUC为0.627(95%CI:0.566~0.702);回归分析对应的敏感度为85.71%,特异度为81.40%,AUC为0.889(95%CI:0.830~0.915)。结论:血清25(OH)D与免疫相关因子单独和联合回归检测可有效预测亚临床AS的发生,上述指标与颈动脉内中膜厚度相关,且血清25(OH)D和免疫相关因子是亚临床AS发生的预测指标,临床宜根据指标进行针对性干预,值得进一步研究。 展开更多
关键词 糖调节受损 25-羟基维生素d 免疫因子 动脉粥样硬化
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基于25⁃羟基维生素D、血清学因子等对老年类风湿性关节炎合并间质性肺疾病Nomogram预测模型的构建和评价
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作者 申爽 季忠庶 +1 位作者 张悦 孙伟民 《临床误诊误治》 CAS 2024年第2期63-69,共7页
目的基于25-羟基维生素D[25-(OH)D]、血清学因子等构建老年类风湿性关节炎合并间质性肺疾病(RA-ILD)的Nomogram预测模型,并进行模型评价。方法选取2020年5月—2022年10月收治的老年类风湿性关节炎(RA)220例,根据是否合并间质性肺疾病将... 目的基于25-羟基维生素D[25-(OH)D]、血清学因子等构建老年类风湿性关节炎合并间质性肺疾病(RA-ILD)的Nomogram预测模型,并进行模型评价。方法选取2020年5月—2022年10月收治的老年类风湿性关节炎(RA)220例,根据是否合并间质性肺疾病将其分为RA-ILD组(51例)和单纯RA组(169例)2组,比较2组一般资料和实验室相关指标[类风湿因子(RF)、抗环瓜氨酸抗体(anti-CCP)、抗角蛋白抗体(AKA)、类风湿关节炎活动度评分(DAS28)]、25-(OH)D、血清学因子[白细胞介素-33(IL-33)、白细胞介素-35(IL-35)、赖氨酰氧化酶样蛋白-2(LOXL-2)、涎液化糖链抗原-6(KL-6)、基质金属蛋白酶-8(MMP-8)]水平,分析老年RA患者25-(OH)D与各血清学因子的相关性,探讨老年RA-ILD发生的影响因素,根据影响因素、25-(OH)D及血清学因子构建老年RA-ILD的Nomogram预测模型,并对该模型进行评价。结果RA-ILD组和单纯RA组RF、DAS28比较差异有统计学意义(P<0.01);RA-ILD组25-(OH)D、IL-35、KL-6低于单纯RA组,IL-33、LOXL-2、MMP-8高于单纯RA组(P<0.05,P<0.01)。老年RA患者25-(OH)D与IL-35、KL-6呈正相关,与IL-33、LOXL-2、MMP-8呈负相关(P<0.05)。25-(OH)D、IL-35、KL-6、IL-33、LOXL-2、MMP-8、RF和DAS28均为老年RA-ILD发生的影响因素(P<0.01)。在Nomogram预测模型中直接获取各预测因素对应得分,得分之和对应的预测概率即为该老年患者RA-ILD发生的风险概率,该模型对老年RA-ILD发生具有良好预测效能,且具有良好校准度。结论基于25-(OH)D、血清学因子等构建老年RA-ILD发生的Nomogram预测模型,预测效能较高、校准度良好。 展开更多
关键词 关节炎 类风湿 合并症 间质性肺疾病 老年人 25-羟基维生素d 类风湿因子 白细胞介素-33 Nomogram预测模型
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25-羟维生素D水平与产后抑郁的相关性分析及其对不良妊娠结局的预测价值
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作者 王兰玲 王执勇 《妇儿健康导刊》 2024年第5期196-198,F0003,共4页
目的分析25-羟维生素D[25(OH)D]水平与产后抑郁的相关性及其对不良妊娠结局的预测价值。方法选择2021年1月至2023年1月于潍坊市妇幼保健院进行孕检的115例妊娠晚期(28~40周)孕妇,根据孕妇血清25(OH)D水平分为缺乏组(n=37,<50nmol/L)... 目的分析25-羟维生素D[25(OH)D]水平与产后抑郁的相关性及其对不良妊娠结局的预测价值。方法选择2021年1月至2023年1月于潍坊市妇幼保健院进行孕检的115例妊娠晚期(28~40周)孕妇,根据孕妇血清25(OH)D水平分为缺乏组(n=37,<50nmol/L)、不足组(n=46,50~75nmol/L)、正常组(n=32,>75nmol/L),比较不同25(OH)D水平孕妇产后抑郁程度(EPDS)、不良妊娠结局发生情况,分析25(OH)D水平与EPDS不良妊娠结局的相关性,并采用受试者工作特征(ROC)曲线分析25(OH)D对不良妊娠结局的预测价值。结果三组EPDS评分比较,差异有统计学意义(P<0.001);25(OH)D水平与EPDS评分呈负相关性(P<0.05);ROC曲线分析结果显示,25(OH)D预测不良妊娠结局的曲线下面积为0.855,敏感度为0.875,特异度为0.768。结论妊娠晚期孕妇血清25(OH)D水平与产后抑郁具有相关性,缺乏25(OH)D会增加产后抑郁发生的可能性,且25(OH)D可以预测不良妊娠结局,建议临床重视并加强对孕妇维生素D的监测及补充。 展开更多
关键词 25-羟维生素d 孕妇 产后抑郁 不良妊娠结局
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血浆Hcy、D-二聚体、Lp(a)、25(OH)D水平与老年冠心病患者病情严重程度及心功能分级的相关性
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作者 贾梅香 《中国民康医学》 2024年第4期130-133,共4页
目的:观察血浆同型半胱氨酸(Hcy)、D-二聚体、脂蛋白a[Lp(a)]及25羟维生素D[25(OH)D]水平与老年冠心病患者病情严重程度及心功能分级的相关性。方法:选取2021年2月至2022年2月该院收治的100例老年冠心病患者进行横断面研究,设为冠心病... 目的:观察血浆同型半胱氨酸(Hcy)、D-二聚体、脂蛋白a[Lp(a)]及25羟维生素D[25(OH)D]水平与老年冠心病患者病情严重程度及心功能分级的相关性。方法:选取2021年2月至2022年2月该院收治的100例老年冠心病患者进行横断面研究,设为冠心病组。另选取同期100名健康体检者进行横断面研究,设为健康组。比较两组血浆Hcy、D-二聚体、Lp(a)及25(OH)D水平;比较冠心病组不同病情严重程度、不同心功能分级患者的血浆Hcy、D-二聚体、Lp(a)及25(OH)D水平;采用Spearman相关性分析,分析血浆Hcy、D-二聚体、Lp(a)及25(OH)D水平与冠心病患者病情程度、心功能分级的相关性。结果:冠心病组血浆Hcy、D-二聚体、Lp(a)水平均高于健康组,血浆25(OH)D水平低于健康组,差异有统计学意义(P<0.05)。重度冠心病患者血浆Hcy、D-二聚体、Lp(a)水平高于中度和轻度患者,且中度患者高于轻度患者;重度冠心病患者血浆25(OH)D水平低于中度和轻度患者,且中度患者低于轻度患者,差异均有统计学意义(P<0.05)。纽约心脏病学会(NYHA)心功能分级Ⅳ级冠心病患者血浆Hcy、D-二聚体、Lp(a)水平高于Ⅲ级、Ⅱ级患者,且Ⅲ级患者高于Ⅱ级患者;NYHA心功能分级Ⅳ级冠心病患者血浆25(OH)D水平低于Ⅲ级、Ⅱ级患者,且Ⅲ级患者低于Ⅱ级患者,差异均有统计学意义(P<0.05)。Spearman相关性分析结果显示,血浆Hcy、D-二聚体、Lp(a)水平与冠心病患者病情严重程度、心功能分级均呈正相关(r>0,P<0.05);血浆25(OH)D水平与冠心病患者病情严重程度、心功能分级均呈负相关(r<0,P<0.05)。结论:血浆Hcy、D-二聚体、Lp(a)水平与老年冠心病患者病情严重程度、心功能分级均呈正相关,血浆25(OH)D水平与老年冠心病患者病情严重程度、心功能分级均呈负相关。 展开更多
关键词 老年 冠心病 病情严重程度 HCY d-二聚体 Lp(a) 25(OH)d 相关性
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0-3岁婴幼儿血清25羟维生素D缺乏的影响因素分析
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作者 孟玉梅 《妇儿健康导刊》 2024年第1期30-33,共4页
目的分析0~3岁婴幼儿血清25羟维生素D缺乏的影响因素。方法选取2016年8月至2022年12月苏州市立医院儿童保健门诊的862例0~3岁婴幼儿,根据血清25羟维生素D水平分为观察组(血清25羟维生素D<10~30 ng/ml)和对照组(血清25羟维生素D>30... 目的分析0~3岁婴幼儿血清25羟维生素D缺乏的影响因素。方法选取2016年8月至2022年12月苏州市立医院儿童保健门诊的862例0~3岁婴幼儿,根据血清25羟维生素D水平分为观察组(血清25羟维生素D<10~30 ng/ml)和对照组(血清25羟维生素D>30~100 ng/ml)。采用logistic回归分析0~3岁婴幼儿血清25羟维生素D缺乏的影响因素。结果两组年龄、喂养方式、户外活动时间、婴幼儿维生素D补充情况、母亲孕期维生素D补充情况比较,差异有统计学意义(P<0.05)。多因素分析发现,年龄<1岁、纯母乳喂养、户外活动时间<1 h/d、婴幼儿未额外补充维生素D、母亲孕期未补充维生素D是0~3岁婴幼儿血清25羟维生素D缺乏的危险因素(P<0.05)。结论年龄<1岁、纯母乳喂养、户外活动时间<1 h/d、婴幼儿未额外补充维生素D、母亲孕期未补充维生素D是0~3岁婴幼儿血清25羟维生素D缺乏的危险因素。 展开更多
关键词 婴幼儿 血清25羟维生素d 影响因素
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外周血25(OH)D水平与血液透析导管相关性血流感染的相关性研究
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作者 甘艳 《医学理论与实践》 2024年第7期1191-1193,共3页
目的:探究外周血25-羟维生素D[25(OH)D]水平与血液透析导管相关性血流感染(CRBSI)的相关性。方法:选取2017年3月—2021年3月本院收治的血液透析患者80例为研究对象。收集患者外周血25(OH)D水平,同时收集患者一般资料和实验室指标。按患... 目的:探究外周血25-羟维生素D[25(OH)D]水平与血液透析导管相关性血流感染(CRBSI)的相关性。方法:选取2017年3月—2021年3月本院收治的血液透析患者80例为研究对象。收集患者外周血25(OH)D水平,同时收集患者一般资料和实验室指标。按患者是否发生CRBSI将其分为感染组和非感染组。比较两组临床资料差异,采用Logistic回归模型分析25(OH)D水平与血液透析相关感染的关系,并利用受试者工作特征曲线(ROC)评价其对CRBSI的预测价值。结果:80例患者中,11例发生感染(13.75%),69例未发生感染(86.25%)。与非感染组相比,感染组平均透析时间更长,Hb、Alb、K^(+)水平均明显更低(P<0.05)。感染组血清25(OH)D水平分级明显差于非感染组(P<0.05);且感染组血清25(OH)D水平显著较非感染组低(P<0.05)。Logistic回归分析显示,25(OH)D缺乏是血液透析患者发生CRBSI的独立危险因素(P<0.05)。ROC曲线分析显示,血清25(OH)D水平预测CRBSI发生的曲线下面积为0.809,敏感度为72.73%、特异度为85.51%,最佳临界值为<16.36μg/L。结论:25(OH)D缺乏或不足是血液透析患者的常见表现,25(OH)D缺乏是CRBSI发生的独立危险因素,具一定早期预测价值。 展开更多
关键词 25-羟维生素d 血液透析 导管相关性血流感染 肾病
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儿童矮小症与25羟基维生素D,IGF-1,IGFBP-3的相关性
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作者 王辉 栾生林 《贵州医药》 2024年第1期78-79,共2页
目的探讨儿童矮小症与25-(OH)D、IGF-1、IGFBP-3的相关性。方法以60例儿童矮小症作为观察组;另选择同期于本院体检健康的儿童32例作为参照组。采用化学发光免疫分析法测定IGF-1,IGFBP-3表达;采取酶联免疫吸附试验对血清内的25-(OH)D含... 目的探讨儿童矮小症与25-(OH)D、IGF-1、IGFBP-3的相关性。方法以60例儿童矮小症作为观察组;另选择同期于本院体检健康的儿童32例作为参照组。采用化学发光免疫分析法测定IGF-1,IGFBP-3表达;采取酶联免疫吸附试验对血清内的25-(OH)D含量开展检测。比较两组25-(OH)D、IGF-1、IGFBP-3表达阳性率,分析其与儿童矮小症的相关性。结果入组儿童的性别、年龄以及父母身高比较无差异(P>0.05);相比参照组,矮小症三组患儿的25-(OH)D、IGF-1、IGFBP-3均呈下降趋势,其中ISS组、PGHD组的25-(OH)D、IGF-1、IGFBP-3水平高于CGHD组,差异有统计学意义(P<0.05),ISS组、PGHD组的25-(OH)D、IGF-1、IGFBP-3水平比较无差异(P>0.05),25-(OH)D、IGF-1、IGFBP-3水平与矮小症均呈负相关,差异有统计学意义(P<0.05)。结论儿童矮小症与25-(OH)D、IGF-1、IGFBP-3之间关系密切,对矮小症的诊断和综合评价具有重要意义,可作为该病的确诊指标之一。 展开更多
关键词 儿童矮小症 25羟基维生素d 胰岛素样生长因子-1 胰岛素生长因子结合蛋白-3
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常见自身免疫性疾病患者血清25-羟维生素D水平的差异分析
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作者 张彪 曾丽娥 +4 位作者 卢鑫鑫 黄肖利 陈少婷 梅端容 江华 《检验医学与临床》 CAS 2024年第7期895-899,共5页
目的分析常见自身免疫性疾病患者血清25-羟维生素D[25(OH)D]水平差异及25(OH)D水平与其他实验室指标的相关性。方法选取2022年9月至2023年4月于福建省立医院风湿免疫科就诊的自身免疫性疾病患者229例作为试验组,其中系统性红斑狼疮(SLE... 目的分析常见自身免疫性疾病患者血清25-羟维生素D[25(OH)D]水平差异及25(OH)D水平与其他实验室指标的相关性。方法选取2022年9月至2023年4月于福建省立医院风湿免疫科就诊的自身免疫性疾病患者229例作为试验组,其中系统性红斑狼疮(SLE)58例、类风湿关节炎(RA)45例、干燥综合征(SS)37例、强直性脊柱炎(AS)60例、皮肌炎(DM)14例和系统性硬化症(SSc)15例;选择同期体检健康人群29例作为对照组。收集血清标本,采用高效液相色谱-串联质谱法对血清标本中的25(OH)D进行检测,分析25-羟维生素D_(2)[25(OH)D_(2)]、25-羟维生素D_(3)[25(OH)D_(3)]和总25(OH)D水平在常见自身免疫性疾病患者中的差异;分析总25(OH)D水平与其他实验室指标之间的相关性。结果试验组的血清总25(OH)D水平表现为缺乏或不足的比例总体上高于对照组。试验组的25(OH)D_(3)和总25(OH)D水平低于对照组,差异有统计学意义(P<0.05),试验组各疾病亚组25(OH)D_(3)、总25(OH)D水平比较,差异有统计学意义(P<0.05),SLE组25(OH)D_(3)和总25(OH)D水平最低,与SS组比较,差异有统计学意义(P<0.05)。女性患者的血清25(OH)D_(3)和总25(OH)D水平低于男性患者,差异有统计学意义(P<0.05)。SLE组血清总25(OH)D水平与红细胞沉降率(ESR)、肌酐(CREA)和尿素氮(BUN)呈负相关(P<0.05),RA组血清总25(OH)D水平与类风湿因子(RF)呈负相关(P<0.05),DM组总25(OH)D水平与ESR呈负相关(P<0.05)。结论自身免疫性疾病患者通常表现为维生素D缺乏或不足,且存在性别差异。在不同的自身免疫性疾病患者中血清总25(OH)D水平与ESR、CREA、BUN及RF表现出不同的相关性。 展开更多
关键词 自身免疫性疾病 25-羟维生素d 相关性 系统性红斑狼疮 类风湿关节炎 干燥综合征
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25(OH)D、D-D和FDP对类风湿关节炎活动度的鉴别诊断价值
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作者 马继登 吕艳锞 +6 位作者 李子安 阿祥仁 周健武 曹春花 周丹 程鹏 杨博杰 《检验医学与临床》 CAS 2024年第2期161-165,共5页
目的探讨25羟基维生素D[25(OH)D]、D-二聚体(D-D)、纤维蛋白降解产物(FDP)对类风湿关节炎(RA)活动度的鉴别诊断价值。方法选取2022年9月至2023年2月在青海省人民医院就诊的101例活动期RA患者作为RA活动组(RAA组),79例缓解期RA患者作为R... 目的探讨25羟基维生素D[25(OH)D]、D-二聚体(D-D)、纤维蛋白降解产物(FDP)对类风湿关节炎(RA)活动度的鉴别诊断价值。方法选取2022年9月至2023年2月在青海省人民医院就诊的101例活动期RA患者作为RA活动组(RAA组),79例缓解期RA患者作为RA缓解组(RAR组),90例其他自身免疫性疾病(OA)患者作为OA组,90例健康体检者作为HC组。检测所有研究对象空腹外周血25(OH)D、D-D、FDP、红细胞沉降率(ESR)、C反应蛋白(CRP)、类风湿因子(RF)水平;采用Spearman相关评价D-D、FDP、抗环瓜氨酸肽抗体、ESR、RF、CRP、28关节活动度评分与25(OH)D的相关性;采用受试者工作特征(ROC)曲线评价各项指标单独及联合检测对RA活动度的鉴别诊断价值。结果RAA组与RAR组、OA组和HC组25(OH)D、D-D、FDP水平比较,差异均有统计学意义(P<0.05),RAR组与HC组25(OH)D水平比较,差异有统计学意义(P<0.05);OA组与HC组D-D和FDP水平比较,差异均有统计学意义(P<0.05)。25(OH)D与7项指标均呈负相关(P<0.05),但相关性均较弱。ROC曲线分析结果显示,当25(OH)D最佳截断值为16.41 U/mL时AUC为0.708,灵敏度为82.2%,特异度为60.8%;当D-D最佳截断值为1.90 U/mL时AUC为0.670,灵敏度为90.1%,特异度为46.8%;当FDP最佳截断值为6.10 U/mL时AUC为0.665,灵敏度为88.1%,特异度为44.3%;ESR、CRP、D-D、FDP与25(OH)D联合检测的AUC为0.959。结论血清25(OH)D、FDP和D-D对RA疾病活动度有一定的鉴别诊断价值。ESR、CRP、D-D、FDP与25(OH)D联合检测时鉴别诊断价值更高。 展开更多
关键词 类风湿关节炎 25羟基维生素d d-二聚体 纤维蛋白降解产物 疾病活动度
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老年慢性失眠患者认知功能与失眠严重程度和血清25-羟维生素D3及肿瘤坏死因子α水平的相关性研究 被引量:1
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作者 吴子幸 胡欣 +3 位作者 陶诗萌 何友军 蔡传云 江伟 《中国全科医学》 2024年第3期328-334,共7页
背景慢性失眠是老年人群常见的疾病之一,常伴有不同程度的认知功能损害,严重影响老年人生活质量,而关于老年慢性失眠患者认知功能损害的生物学机制尚不明确。目的探讨老年慢性失眠患者认知功能与失眠严重程度、血清25-羟维生素D3[25(OH)... 背景慢性失眠是老年人群常见的疾病之一,常伴有不同程度的认知功能损害,严重影响老年人生活质量,而关于老年慢性失眠患者认知功能损害的生物学机制尚不明确。目的探讨老年慢性失眠患者认知功能与失眠严重程度、血清25-羟维生素D3[25(OH)D3]及肿瘤坏死因子α(TNF-α)水平的相关性。方法选取2020年6月—2022年6月在中国人民解放军联勤保障部队第九〇一医院诊治的老年慢性失眠患者105例为研究对象,入组前进行匹兹堡睡眠质量指数量表(PSQI)、老年抑郁量表(GDS-15)、广泛性焦虑障碍量表(GAD-7)测试,并根据PSQI评分将患者按照失眠严重程度进行分组,其中轻度失眠组32例、中度失眠组38例、重度失眠组35例。运用光电容积脉搏波描记法(PPG)评估患者客观睡眠质量,监测总睡眠时间、睡眠潜伏期、睡眠效率及觉醒次数;采用简易智能精神状态量表(MMSE)和蒙特利尔认知评估量表(MoCA)评估患者的认知功能;运用酶联免疫吸附试验法检测患者血清25(OH)D3、TNF-α水平。结果重度失眠组睡眠潜伏期长于轻度失眠组和中度失眠组,觉醒次数高于轻度失眠组和中度失眠组,总睡眠时间少于轻度失眠组,睡眠效率低于轻度失眠组和中度失眠组;中度失眠组睡眠潜伏期长于轻度失眠组,睡眠效率低于轻度失眠组(P<0.05)。重度失眠组MMSE、MoCA评分均低于轻度失眠组和中度失眠组,中度失眠组MMSE、MoCA评分均低于轻度失眠组(P<0.05)。重度失眠组血清TNF-α水平高于轻度失眠组和中度失眠组,25(OH)D3水平低于轻度失眠组和中度失眠组(P<0.05);中度失眠组血清TNF-α水平高于轻度失眠组,25(OH)D3水平低于轻度失眠组(P<0.05)。Spearman秩相关分析结果显示,MMSE、MoCA评分与总睡眠时间、睡眠效率和25(OH)D3水平呈正相关(P<0.05),与失眠严重程度、睡眠潜伏期、觉醒次数和TNF-α水平呈负相关(P<0.05)。结论老年慢性失眠患者认知功能损害可能与失眠严重程度及血清25(OH)D3水平降低、TNF-α水平升高有关。 展开更多
关键词 入睡和睡眠障碍 老年人 认知 25-羟维生素d3 肿瘤坏死因子Α
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踝肱指数联合血清25-羟维生素D水平对2型糖尿病下肢血管病变的诊断价值
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作者 周换丽 石方方 +2 位作者 甘田 魏滢 孔艳华 《中国医药导报》 CAS 2024年第6期86-89,共4页
目的 探讨踝肱指数(ABI)联合血清25-羟维生素D[25(OH)D]水平对2型糖尿病下肢血管病变的诊断价值。方法 选择2018年7月至2021年1月安徽省亳州市人民医院收治的179例2型糖尿病患者,根据是否发生下肢血管病变将其分为未病变组(106例)与病变... 目的 探讨踝肱指数(ABI)联合血清25-羟维生素D[25(OH)D]水平对2型糖尿病下肢血管病变的诊断价值。方法 选择2018年7月至2021年1月安徽省亳州市人民医院收治的179例2型糖尿病患者,根据是否发生下肢血管病变将其分为未病变组(106例)与病变组(73例)。分析2型糖尿病患者发生下肢血管病变的影响因素,分析ABI联合血清25(OH)D水平对其的诊断价值。结果 病变组年龄、糖化血红蛋白、低密度脂蛋白胆固醇高于非病变组,白蛋白、ABI、血清25(OH)D水平低于非病变组(P<0.05)。多因素分析结果显示,年龄(OR=2.843,95%CI:1.250~6.468)、糖化血红蛋白(OR=3.056,95%CI:1.343~6.951)、ABI (OR=2.724,95%CI:1.197~6.196)、血清25(OH)D水平(OR=3.979,95%CI:1.749~9.051)为2型糖尿病患者发生下肢血管病变的影响因素(P<0.05)。ABI、血清25(OH)D水平联合预测2型糖尿病下肢血管病变的曲线下面积高于二者单独预测(P<0.05)。结论 ABI联合血清25(OH)D水平对2型糖尿病患者发生下肢血管病变具有一定的诊断价值,临床中应予以重视。 展开更多
关键词 踝肱指数 25羟维生素d 2型糖尿病 下肢血管病变 诊断价值
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终末期肾病患者心脏瓣膜钙化特点及其与25-羟维生素D缺乏的相关性
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作者 生玉平 马晓迎 +2 位作者 杨星梦 刘烨 孙福云 《临床内科杂志》 CAS 2024年第3期170-174,共5页
目的探讨终末期肾病(ESRD)患者心脏瓣膜钙化(CVC)特点及其与25-羟维生素D[25(OH)D]缺乏的相关性。方法纳入于我院治疗的ESRD患者,采用超声心动图评估主动脉瓣钙化(AVC)和二尖瓣钙化(MVC)情况,根据是否存在CVC、AVC、MVC,将所有患者分别... 目的探讨终末期肾病(ESRD)患者心脏瓣膜钙化(CVC)特点及其与25-羟维生素D[25(OH)D]缺乏的相关性。方法纳入于我院治疗的ESRD患者,采用超声心动图评估主动脉瓣钙化(AVC)和二尖瓣钙化(MVC)情况,根据是否存在CVC、AVC、MVC,将所有患者分别分为CVC组和非CVC组、AVC组和非AVC组、MVC组和非MVC组,并分别比较其临床资料。采用多因素logistic回归分析评估ESRD患者CVC的影响因素;采用受试者工作特征(ROC)曲线评估25(OH)D对ESRD患者CVC的预测价值。结果共纳入657例ESRD患者,CVC的发生率为55.9%,其中AVC占42.8%,MVC占24.0%;25(OH)D缺乏的发生率为69.6%。CVC组年龄、透析龄、Hb、超敏C反应蛋白(hs-CRP)、血磷、全段甲状旁腺激素(iPTH)水平及高龄、透析治疗、冠心病、糖尿病、AAC、25(OH)D缺乏患者比例均高于非CVC组,Alb及25(OH)D水平均低于非CVC组(P<0.05)。AVC组年龄、透析龄、Hb、hs-CRP、血磷、iPTH水平及高龄、透析治疗、冠心病、糖尿病、AAC、25(OH)D缺乏患者比例均高于非AVC组,Alb及25(OH)D水平均低于非AVC组(P<0.05)。MVC组女性、高龄、透析治疗、冠心病、糖尿病、AAC、25(OH)D缺乏患者比例及年龄、透析龄、hs-CRP、血磷、iPTH、低密度脂蛋白胆固醇(LDL-C)水平均高于非MVC组,Alb及25(OH)D水平均低于非MVC组(P<0.05)。多因素logistic回归分析结果显示,年龄、透析龄、冠心病、糖尿病、hs-CRP、血磷、iPTH、AAC是ESRD患者CVC的独立危险因素,Alb、25(OH)D是其独立保护因素(P<0.05)。ROC曲线分析结果显示,25(OH)D预测ESRD患者CVC的ROC曲线下面积为0.722(95%CI 0.681~0.763,P<0.001),最佳截断值为12.8 ng/ml,敏感度为72.3%,特异度为76.4%。结论ESRD患者AVC与MVC的相关因素各有异同,25(OH)D缺乏是ESRD患者CVC的独立危险因素。 展开更多
关键词 终末期肾病 心脏瓣膜钙化 25-羟维生素d
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