维生素D缺乏和炎症对糖尿病风险的相互作用:来自336,500名英国生物库成年人的数据
Jatupol Kositsawat1, Shangshu Zhao2, George A Kuchel1
1Center on Aging, University of Connecticut, Farmington, CT.
The journal of nutrition, health & aging
|December 11, 2024
概括
炎症水平显著影响维生素D缺乏如何影响糖尿病风险. 更高的炎症可能会降低与低维生素D相关的风险,特别是在脆弱的个体中.
科学领域:
- 内分泌学 在内分泌学.
- 营养科学 营养科学
- 流行病学 流行病学
背景情况:
- 维生素D缺乏是很常见的,其与糖尿病风险的联系是有争议的.
- 通过C反应蛋白 (CRP) 测量的炎症与代谢疾病有关.
- 维生素D,炎症和糖尿病风险之间的相互作用需要进一步调查.
研究的目的:
- 调查炎症水平缓和维生素D缺乏和发病糖尿病之间的关联的假设.
- 研究C反应蛋白 (CRP) 对维生素D缺乏和新发糖尿病之间的关系的影响.
主要方法:
- 对没有基线糖尿病的英国生物库参与者的分析 (N=336,500).
- 维生素D,CRP和发生糖尿病的长度评估超过13.5年.
- 考克斯的比例危害回归模型具有限制的立方线,以评估CRP的适度,分层按年龄和脆弱性.
主要成果:
- 较低的维生素D和较高的CRP独立地与糖尿病风险增加有关.
- 在发生糖尿病的维生素D缺乏和CRP之间观察到显著的相互作用 (p<0.001).
- CRP的缓解作用在脆弱或脆弱前的老年人中更为明显.
结论:
- 炎症 (CRP) 显著改变了与维生素D缺乏相关的糖尿病发病风险.
- 这种相互作用可能解释了以前的维生素D补充研究中不一致的发现.
- 在评估维生素D在预防糖尿病中的作用时,未来的干预措施应考虑炎症状态.
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