新疆维吾尔族成人维生素D水平及其与血压的关系

Vitamin D status and its relationship with blood pressure in Xinjiang Uyghur adults

  • 摘要: 目的探讨新疆维吾尔族成人维生素D营养状况及维生素D水平与血压之间的关系。方法该研究为横断面现况调查。共纳入945名维吾尔族成人,其中男性581名,女性364名。调查对象均完成问卷调查、体格检查、25羟基维生素D25(OH)D和血脂、血糖的检测。分别按照年龄、体质量指数、25(OH)D营养状态、是否患有高血压及血压指标进行分组,比较组间差异;进行多元线性回归分析25(OH)D水平的影响因素。结果维吾尔族成人25(OH)D水平P50(P25,P75)为10.4(6.5,15.2)μg/L;其中91.2%25(OH)D缺乏,5.8%25(OH)D不足,3.0%25(OH)D充足。男性25(OH)D水平高于女性(H=11.77,P<0.01)。按照年龄分为30~<40、40~<50、50~<60、≥60岁4组,不同年龄组之间的收缩压(H=50.13,P<0.01)、舒张压(H=24.45,P<0.01)及高血压患病率(χ2=98.15,P<0.01)差异有统计学意义。25(OH)D缺乏组、不足组和充足组之间的收缩压(H=11.71,P<0.01)、低密度脂蛋白胆固醇(H=8.72,P<0.01)、餐后2h血糖(H=11.00,P<0.01)及三酰甘油(H=3.91,P<0.05)差异有统计学意义。高血压组和非高血压组25(OH)D水平差异无统计学意义(P>0.05)。将非高血压人群分别按照收缩压和舒张压水平分为正常值组和正常高值组,收缩压正常高值组25(OH)D缺乏检出率高于正常值组(94.5%比90.0%,P<0.01)。多元回归分析显示,25(OH)D水平与年龄(B=-0.005,P=0.004)、女性(B=-0.353,P<0.001)、收缩压(B=-0.004,P=0.001)和餐后2h血糖(B=-0.041,P=0.007)相关。结论新疆维吾尔族成人>95%存在25(OH)D缺乏/不足;25(OH)D水平与女性、年龄、收缩压和餐后2h血糖呈负相关。

     

    Abstract: Objective To examine the vitamin D status in Uyghur adults residing in Xinjiang,and to investigate the relationship between serum 25-hydroxy vitamin D25(OH)Dand blood pressure. Methods This was a cross-sectional study involving 945 Uyghur adults(581males and 364females). For each participant,anthropometric indexes were recorded and the concentrations of serum 25(OH)D,glucose and lipid profiles were measured. All participants were stratified according to age,body mass index,vitamin D status,the presence or absence of hypertension,systolic and diastolic blood pressure,respectively. Multiple linear regression analysis was used to identify risk factors for serum 25(OH)D. Results The median concentration of serum 25(OH)D was 10.4(interquartile range:6.5to 15.2)μg/L. The morbidity of 25(OH)D deficiency and insufficiency was 91.2% and 5.8%,respectively.Only 3.0% of participants had abundant 25(OH)D. Women had a lower 25(OH)D concentration than men(H=11.77,P<0.01). All participants were classified into four groups(30to <40,40 to <50,50 to <60and ≥60years-old)according to age. There were significant differences in systolic blood pressure(H=50.13,P<0.01)and diastolic blood pressure(H=24.45,P<0.01),as well as the rate of hypertension(χ2=98.15,P<0.01)among four groups. Based on 25(OH)D status,all participants were classified into the deficiency,insufficiency and abundance groups,and there were significant differences in systolic blood pressure(H=11.71,P<0.01),low-density lipoprotein cholesterol(H=8.72,P<0.01),2-hour postprandial glucose(H=11.00,P<0.01)and triglyceride(H=3.91,P<0.05)among three groups. In contrast,there was no significant difference in 25(OH)D concentration between participants with and without hypertension(P>0.05). According to systolic blood pressure and diastolic blood pressure levels,all participants without hypertension were classified into the normal group and the normal high value group,and the detection rate of 25(OH)D deficiency was higher in the normal high value group than in the normal group(94.5% vs 90.0%,P <0.01). A multifactor-regression analysis revealed that age(B =-0.005,P=0.004),female gender(B=-0.353,P<0.001),systolic blood pressure(B=-0.004,P=0.001)and 2-hour postprandial glucose(B=-0.041,P=0.007)were independently associated with 25(OH)D status.Conclusions More than 95% Uyghur adults in Xinjiang suffered from 25(OH)D insufficiency or deficiency.Serum 25(OH)D concentration is negatively associated with age,female gender,systolic blood pressure and 2-hour postprandial glucose.

     

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