在健康人群中,血清25-基维生素D水平与亚临床动脉样硬化之间的关联
Vida Mohammadzadeh1,2, Masoud Mehrpour3,4, Abdoreza Ghoreishi1,2
1Department of Neurology, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran.
维生素D水平较低与亚临床动脉样硬化有关,由心动脉内心介质厚度 (CIMT) 的增加表明. 这项研究发现,在没有心血管风险因素的个体中,血清25-基维生素D3水平较低和CIMT水平较高之间存在显著的关联.
科学领域:
- 心血管科学 心血管科学
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 亚临床动脉样硬化,心动脉动脉样硬化的无症状阶段,对于预防脑血管疾病至关重要.
- 维生素D在血管健康中的作用是公认的,但其与亚临床动脉样硬化症的关联需要进一步研究.
- 早期发现亚临床动脉样硬化对于及时干预和预防疾病至关重要.
研究的目的:
- 为了研究血清维生素D水平与动脉内心介质厚度 (CIMT) 之间的关联.
- 在伊朗人群中探索血清25-基维生素D3 [25(OH) D3]和CIMT之间的关系.
- 评估与维生素D状况相关的亚临床动脉样硬化的患病率.
主要方法:
- 分析了一组100名年龄在20-50岁之间,没有心血管风险因素的个人.
- 测量了血清中25-氧维生素D3 [25(OH) D3] 度和动脉内心介质厚度 (CIMT).
- 包括糖尿病,高血压,吸烟,失脂症和药物史在内的混因素被排除在外.
主要成果:
- 55%的受试者表现出亚临床动脉样硬化 (IMT ≥0.75毫米).
- 与整体平均值 (0.74 ± 0.12 mm) 相比,严重维生素D缺乏组的IMT平均值更高 (0.86 ± 0.30 mm).
- 在血清25(OH) D3水平和CIMT (P = 0.002) 之间发现了显著的关联,并观察到反向相关性.
结论:
- 在没有心血管风险因素的个体中,血清25(OH) D3水平与CIMT相反相关.
- 在患有亚临床动脉样硬化症的参与者中,严重的维生素D缺乏更为普遍.
- 这些发现表明,维生素D在早期动脉样硬化的发展或进展中可能发挥作用.
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