Observational study between level of vitamin D, anthropometric status and metabolic profiles in patients with type 2 diabetes mellitus

R. D. Dănciulescu Miulescu, Diana Loreta Paun, I. Gherlan, Radu Ilinca
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Abstract

Introduction. Type 2 diabetes mellitus (T2DM) is currently an important global health disease. At the same time vitamin D deficiency is considered the other public health problem around the world. Some studies suggest involving insufficient or deficiency of vitamin Din the etiopathogenesis of T2DM. Materials and methods. 58 patients, 33 women (56.89%) and 25 men (43.10%) were included in the observational study. Demographics (age, gender), personal anamnestic data (duration of diabetes, micro-and macrovascular complications, therapy with vitamin D supplements), anthropometric and biochemical parameters were assessed. The anthropometric measurement included height (meters), weight (kg) and body mass index (BMI) defined as a ratio of weight to the square of height (kg/m2). Biochemical parameters included the fasting blood glucose, glycated hemoglobin (HbA1c), serum total cholesterol (TC), high-density lipoprotein (HDL) cholesterol, low-density lipoprotein (LDL) cholesterol, very-low density lipoprotein (VLDL) cholesterol, triglycerides (TG), as well the level 25(OH)D. We followed the correlation between vitamin D levels and the duration of diabetes, BMI, blood glucose levels, HbA1c, TC, LDL-cholesterol, HDL-cholesterol, VLDL-cholesterol, TG. Results. The average values recorded were 11.72 years for the duration of T2DM, 31.77 kg/m2 for BMI, 169.00 mg/dL for blood glucose levels, 8.01% for HbA1c, 200.40 mg/dL for TC, 129.04 mg/dL for LDL-cholesterol, 47.67 mg/dL for HDL-cholesterol, 26.69 mg/dL for VLDL-cholesterol and 160.34 mg/dL for TG. Conclusion. Following statistical analysis, the observational study highlight statistically negative correlation recorded between the level of vitamin D and BMI, glycemic balance (highlighted by the level of fasting blood glucose and HbA1c). The results found nonsignificant correlation between the levels of vitamin D: duration of diabetes and lipid profile.
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2 型糖尿病患者维生素 D 水平、人体测量状况和代谢概况之间的观察研究
导言2 型糖尿病(T2DM)是目前全球重要的健康疾病。与此同时,维生素 D 缺乏也被认为是全球另一个公共卫生问题。一些研究表明,维生素 Din 不足或缺乏与 T2DM 的发病机制有关。材料和方法观察性研究共纳入 58 名患者,其中女性 33 名(56.89%),男性 25 名(43.10%)。研究人员对患者的人口统计学特征(年龄、性别)、个人健康数据(糖尿病病程、微血管和大血管并发症、维生素 D 补充剂治疗情况)、人体测量和生化指标进行了评估。人体测量包括身高(米)、体重(千克)和体重指数(BMI),BMI 的定义是体重与身高的平方之比(千克/平方米)。生化指标包括空腹血糖、糖化血红蛋白(HbA1c)、血清总胆固醇(TC)、高密度脂蛋白(HDL)胆固醇、低密度脂蛋白(LDL)胆固醇、极低密度脂蛋白(VLDL)胆固醇、甘油三酯(TG)以及 25(OH)D 水平。我们跟踪了维生素 D 水平与糖尿病病程、体重指数、血糖水平、HbA1c、总胆固醇、低密度脂蛋白胆固醇、高密度脂蛋白胆固醇、极低密度脂蛋白胆固醇、甘油三酯(TG)之间的相关性。结果显示所记录的平均值分别为:T2DM 病程 11.72 年;BMI 31.77 kg/m2;血糖水平 169.00 mg/dL;HbA1c 8.01%;TC 200.40 mg/dL;LDL-胆固醇 129.04 mg/dL;HDL-胆固醇 47.67 mg/dL;VLDL-胆固醇 26.69 mg/dL;TG 160.34 mg/dL。结论经过统计分析,该观察性研究突出显示了维生素 D 水平与体重指数、血糖平衡(通过空腹血糖和 HbA1c 水平突出显示)之间的负相关。结果发现,维生素 D 水平与糖尿病病程和血脂状况之间的相关性并不显著。
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