揭示维生素D和结石之间的微妙关系:一个基于NHANES的横截面研究
Fan Zhang1,2,3, Wenjian Li4,5
1Department of Endocrinology, Changzhou Third People's Hospital, Changzhou, 213001, China.
European journal of medical research
|March 25, 2025
概括
血清维生素D水平不能独立预测结石风险. 混因素显著影响这种关系,表明维生素D.
科学领域:
- 脏病学和泌尿病学 医学
- 内分泌学和新陈代谢学
- 营养科学 营养科学
背景情况:
- 维生素D在和酸盐平衡中起着至关重要的作用.
- 以前的研究表明,维生素D与结石形成之间存在潜在联系.
- 了解这些关联对于公共卫生和临床实践至关重要.
研究的目的:
- 调查血清维生素D水平与石风险之间的相关性.
- 评估人口,生活方式和慢性疾病因素对这种关系的影响.
主要方法:
- 利用了2007-2018年国家健康和营养检查调查 (NHANES) 的数据.
- 包括24,323名参与者,提供完整的数据进行分析.
- 使用后勤回归,限制立方线 (RCS) 建模和子组分析来评估关联和剂量反应关系,控制混因素.
主要成果:
- 初步分析显示,维生素D与结石风险之间存在正相关性 (OR=1.01,P<0.001).
- 在调整了混因素 (年龄,性别,种族,生活方式,慢性疾病) 后,这种关联变得无意义 (OR=1.00,P=0.186).
- 经过混因子调整后,RCS和子组分析证实没有显著的非线性或一致的关联.
结论:
- 血清维生素D水平不是结石风险的独立预测指标.
- 观察到的关联可能受到多种混因素的影响.
- 需要进一步的研究来澄清维生素D在结石形成中的作用因素的复杂相互作用.
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