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Published on: December 27, 2017
Inverse relationship between vitamin D levels and platelet indices in Korean adults
Yon Chul Park1, Jin Kim1, Min Seok Seo2
1a Department of Family Medicine , Yonsei University Wonju College of Medicine , Wonju , Korea.
Insights
Vitamin D deficiency is linked to higher platelet count and mean platelet volume in adults. Lower vitamin D levels correlate with increased platelet indices, suggesting a potential connection to disease risk.
Area of Science:
- Endocrinology
- Hematology
- Public Health
Background:
- Vitamin D deficiency is a global health concern linked to various diseases.
- Elevated platelet indices, such as platelet count (PC) and mean platelet volume (MPV), are associated with increased risk for cardiovascular and metabolic diseases.
Purpose of the Study:
- To investigate the association between vitamin D deficiency and platelet count (PC) and mean platelet volume (MPV) in adults.
Main Methods:
- Cross-sectional study of 3190 adults categorized into vitamin D deficiency, insufficiency, and sufficiency groups.
- Statistical analyses included Pearson's correlation, t-tests, ANOVA, and multivariate linear regression, adjusting for confounding factors.
Main Results:
- A significant inverse correlation was observed between vitamin D levels and both PC and MPV.
- After adjusting for multiple covariates, lower vitamin D levels remained significantly associated with higher PC and MPV.
Conclusions:
- Vitamin D levels are inversely associated with platelet count and mean platelet volume in adults.
- These findings suggest a potential link between vitamin D status and platelet activation, which may have implications for cardiovascular and metabolic health.
Background And Aims:
Vitamin D deficiency and increased platelet indices are associated with increased rate or risk of several diseases such as cardiovascular disease and metabolic syndrome, respectively. We investigated whether vitamin D deficiency is associated with increased platelet count (PC) and mean platelet volume (MPV).
Methods And Results:
The study included 3190 subjects older than 20 years. Subjects were divided into three groups based on their vitamin D levels: vitamin D deficiency (<10.0 ng/ml); insufficiency (10-20 ng/ml); and sufficiency (>20.0 ng/ml). The associations between platelet indices and various parameters were analyzed by Pearson's correlation analysis and t-tests. Then, multivariate linear regression analyses were done correcting for associated parameters. PC and MPV showed a negative correlation with vitamin D groups by ANOVA and multiple linear regression. PC was inversely related with vitamin D group after adjusting for sex, age, regular exercise, white blood cell count, total cholesterol, hemoglobin, and creatinine levels (β ± SE = -3.461 ± 1.512, P = 0.022). MPV was also inversely related with vitamin D group after adjusting for regular exercise, hemoglobin level, and total cholesterol level (β ± SE = -0.080 ± 0.026, P = 0.002), and this relationship remained statistically significant after adjusting for regular exercise, hemoglobin level, total cholesterol level, diabetes, hypertension, and body mass index (β ± SE=-0.082 ± 0.026, P = 0.002).
Conclusion:
PC and MPV are inversely associated with vitamin D levels in adults.
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