血清中克洛托度,维生素D度和心血管疾病风险:来自NHANES数据库2007-2016年的证据
Rong Chen1, Yongwei Yao1, Jie Yu1
1Department of Cardiology, Zhenjiang First People's Hospital/The Affiliated People's Hospital of Jiangsu University, Zhenjiang, Jiangsu, 212002, PR China.
概括
维生素D (VD) 水平较低会增加心血管疾病 (CVD) 的风险. 高血清Klotho可能会缓解这种关联,特别是在超重,高血压或脂质失调症患者中.
科学领域:
- 内分泌学 在内分泌学.
- 心脏病学 心脏病学
- 老年学是一门学科.
背景情况:
- 流行病学研究将维生素D (VD) 缺乏与心血管疾病 (CVD) 和死亡率的增加联系起来.
- 克洛托 (Klotho) 是一种抗衰老蛋白,其在VD-CVD关系中的作用尚不清楚.
研究的目的:
- 为了研究血清Klotho对血清VD水平和心血管疾病风险之间的关联的缓和作用.
主要方法:
- 分析了来自NHANES (2007-2016) 的12634名受试者.
- 血清VD缺陷定义为<50nmol/L;用ELISA测量的Klotho.
- 用权重单变量和多变量回归分析来评估关联.
主要成果:
- 维生素D缺乏与56%的心血管疾病风险增加有关 (OR=1.56).
- 低静脉疾病和心血管疾病风险之间的关联主要在血清Klotho (OR=1.74) 低的人群中观察到.
- 克洛托的缓解作用在超重/肥胖,高血压和脂质不良症的子组中更为明显.
结论:
- 低血清VD与心血管疾病风险增加有关.
- 血清Klotho可能在VD状态和心血管疾病风险之间的关系中起到调节作用.
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