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Persistent hyperparathyroidism after kidney transplantation; updates on the risk factors and its complications 肾移植术后持续性甲状旁腺功能亢进;危险因素及其并发症的最新情况
Pub Date : 2017-09-15 DOI: 10.15171/JPD.2018.09
C. Thongprayoon, W. Cheungpasitporn
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引用次数: 3
Therapeutic impact of cholecalciferol in patients with psychiatric disorders receiving olanzapine 胆钙化醇对接受奥氮平治疗的精神疾病患者的治疗作用
Pub Date : 2017-09-11 DOI: 10.15171/JPD.2018.07
Somayeh Kaviyani, M. Bahadoram, G. Houshmand, Samaneh Bahadoram
Introduction: Psychiatric disorders such as schizophrenia require appropriate treatment. Second-generation antipsychotics, including olanzapine, are administered as an appropriated treatment for these disorders. However, this drug has several complications, such as obesity and increased waist circumference which reduces the acceptance of the treatment. Objectives: The aim of this study was to investigate the effects of vitamin D3 therapy on waist circumference caused by olanzapine. Patients and Methods: In this randomized clinical trial, 50 hospitalized women with psychiatric disorders receiving olanzapine were divided into two groups of intervention and control groups. Before the intervention, the waist circumference, hip circumference, and waist-hip ratio were measured. Then, for 12 weeks, the intervention group received vitamin D3 and the control group received paraffin as the placebo, one pearl every 2 weeks. Waist circumference, hip circumference, and waist-hip ratio were re-measured and the collected data were analyzed by pair t test. Results: Our findings showed that there is a significant decrease in waist circumference and waist-hip ratio in intervention group (P<0.001). However, these changes were not significant in the placebo group. Hip circumference was not changed significantly in both groups. Conclusion: Vitamin D can be administered concomitant with 0lanzapine to improve side effects of olanzapine such as increasing waist circumference.
精神疾病如精神分裂症需要适当的治疗。第二代抗精神病药物,包括奥氮平,是这些疾病的适当治疗。然而,这种药物有一些并发症,如肥胖和腰围增加,这降低了治疗的接受度。目的:探讨维生素D3治疗对奥氮平所致腰围的影响。患者与方法:本随机临床试验将50例接受奥氮平治疗的住院精神障碍女性患者分为干预组和对照组。干预前测量腰围、臀围、腰臀比。12周后,干预组给予维生素D3,对照组给予石蜡作为安慰剂,每2周服用一颗珍珠。重新测量腰围、臀围、腰臀比,收集数据采用配对t检验分析。结果:干预组患者的腰围和腰臀比明显降低(P<0.001)。然而,这些变化在安慰剂组中并不显著。两组患者的臀围无明显变化。结论:维生素D与奥氮平合用可改善奥氮平的腰围增加等副作用。
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引用次数: 2
Iatrogenic vitamin D overdose resulting in acute pancreatitis with acute kidney injury 医源性维生素D过量导致急性胰腺炎伴急性肾损伤
Pub Date : 2017-08-25 DOI: 10.15171/JPD.2018.10
Rajesh Singh, M. Balwani, U. Godhani, Pravin Ghule, P. Tolani, V. Kute
Vitamin D deficiency is prevalent worldwide. Most of patients with mild vitamin D deficiency are often over-treated with higher dose of vitamin D supplementation than required resulting in toxic levels of vitamin D. While correcting, one should regularly look for adverse effects of overcorrection resulting in hypervitaminosis D. We discuss here a similar case of 34-year-old woman who presented to us with persistent acute abdominal pain since 48 hours and oliguria since 24 hours. She was found to have hypercalcemia induced pancreatitis with acute kidney injury. Cause of hypercalcemia was found to be hypervitaminosis D. Thereafter, she was treated with aggressive hydration and diuretics, and required calcitonin for control of hypercalcemia to which she responded. Thus we suggest that in any patient who presents with hypercalcemia with low parathyroid levels, hypervitaminosis D should be suspected. Primary care physicians should be alerted of such cases, to avoid overcorrection of vitamin D. Mild vitamin D deficiency should be initially corrected with adequate sunlight exposure and fortified/enriched vitamin D food supplements.
维生素D缺乏症在全世界都很普遍。大多数轻度维生素D缺乏症患者经常过量服用维生素D,导致维生素D中毒。在纠正时,应定期寻找过度纠正导致维生素D过多的不良影响。我们在这里讨论一个类似的病例,34岁的女性,她向我们提出了持续48小时的急性腹痛和24小时的少尿。她被发现患有高钙血症引起的胰腺炎并急性肾损伤。高钙血症的原因被发现是维生素d过多症。此后,她接受了积极的水合和利尿剂治疗,并需要降钙素来控制高钙血症,她对此有反应。因此,我们建议在任何出现高钙血症并甲状旁腺水平低的患者中,应怀疑维生素D过多症。初级保健医生应该警惕这种情况,以避免维生素D的过度矫正。轻度维生素D缺乏最初应该通过充足的阳光照射和强化/强化维生素D食物补充剂来矫正。
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引用次数: 1
Vitamin D deficiency in healthy people and its relationship with gender and age 健康人群维生素D缺乏及其与性别和年龄的关系
Pub Date : 2017-08-10 DOI: 10.15171/JPD.2018.06
Z. Khazaei, S. Khazaei, S. Beigrezaei, H. Nasri
Introduction: Vitamin D is a fat-soluble steroid prohormone. Vitamin D is an important regulator of calcium absorption and bone growth. Objectives: There is considerable controversy and conflicting studies on relationship between serum vitamin D in healthy individuals and ageing. The aim of this study is to test the relationship between serum 25-hydroxyvitamin vitamin D with age groups and gender in a group of Iranian healthy individuals. Patients and Methods: In this current cross-sectional study, 102 healthy individuals were selected. Serum vitamin D levels were measured using ELISA kit. According to the history and laboratory tests, patients with the history of diabetes, any active or chronic infections, liver disease, diabetes or malignancy were excluded from the study. Any history of administration of vitamin D was also an exclusion criterion. All participants had normal renal function detected by normal serum creatinine and blood urea nitrogen (BUN). To determine the relationship between gender (two categories) and age group (three categories) with vitamin D levels, Mann-Whitney U and Kruskal-Wallis tests were used respectively. Results: The average age of the participants was 42.97±15.54 years. The mean vitamin D level was 17.32±12.16 ng/mL. In this study, 73% of individuals had vitamin D deficiency, 18 % had marginal deficiency and 9% had a normal vitamin D levels. This study showed a significant relationship between vitamin D and age of subjects(r=0.23, P=0.02). Conclusion: High percentage of vitamin D deficiency in the participants of our study requires more attention to this public health entity. A direct relationship between serum vitamin D level and the age of healthy individuals requires further investigation.
维生素D是一种脂溶性类固醇原激素。维生素D是钙吸收和骨骼生长的重要调节剂。目的:健康个体血清维生素D与衰老关系的研究存在相当大的争议和矛盾。本研究的目的是测试伊朗健康人群血清25-羟基维生素D与年龄和性别之间的关系。患者和方法:在当前的横断面研究中,选择了102名健康个体。采用ELISA试剂盒检测血清维生素D水平。根据病史和实验室检查,有糖尿病病史、任何活动性或慢性感染、肝脏疾病、糖尿病或恶性肿瘤的患者被排除在研究之外。任何服用维生素D的历史也是一个排除标准。所有受试者均通过正常血清肌酐和尿素氮(BUN)检测肾功能。为了确定性别(两类)和年龄组(三类)与维生素D水平之间的关系,分别使用了Mann-Whitney U和Kruskal-Wallis检验。结果:患者平均年龄42.97±15.54岁。平均维生素D水平为17.32±12.16 ng/mL。在这项研究中,73%的人缺乏维生素D, 18%的人缺乏维生素D, 9%的人维生素D水平正常。本研究显示维生素D与受试者年龄之间存在显著相关性(r=0.23, P=0.02)。结论:在我们的研究参与者中,维生素D缺乏症的高比例需要更多地关注这一公共卫生实体。血清维生素D水平与健康人群年龄之间的直接关系有待进一步研究。
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引用次数: 9
Serum magnesium in association with parathyroid hormone levels in routine hemodialysis patients 常规血液透析患者血清镁与甲状旁腺激素水平的关系
Pub Date : 2017-08-05 DOI: 10.15171/JPD.2018.05
Milad Fooladgar, A. Malekpour, Shahin Asgari-Savadjani, Saeed Mardani
Abstract Introduction: The homeostasis of magnesium (Mg) is perturbed in chronic kidney disease. It has been supposed that plasma Mg has a principal role to regulate the secretion of parathyroid hormone (PTH). Plasma Mg is capable of modulating secretion of PTH. Recent investigations showed that low serum Mg levels in patients with kidney disease have been linked to increased mortality. Objectives: The aim of this study was to determine the relationship between serum Mg and PTH levels in hemodialysis patients. Patients and Methods: This cross-sectional study was conducted on 56 hemodialysis patients in hemodialysis center of Hajar hospital of Shahrekord in 2015. Regular hemodialysis patients who had at least three months history of dialysis were enrolled to the study. The serum levels of Mg, calcium, phosphorus, intact PTH (iPTH), alkaline phosphatase, albumin and bicarbonate were measured. Results: In this study, 61.5% of the 52 patients were male. Mean ± standard deviation (SD) of patients’ age was 60.5 ± 17.7 years with median of 63 years old. The average duration of dialysis was 44±39.5 months (median 36 months). Additionally the dialysis dose was 517 ± 479 weeks (median; 414 weeks). Mean ± SD of serum iPTH and Mg were 360.1 ± 238.2 pg/mL and 2.2 ± 0.2 mg/mL respectively. In this study we found a significantly positive correlation of iPTH with serum Mg levels (r=0.28, P=0.04). Conclusion: This study shows impact of Mg on parathormone secretion. Our findings require further investigations with larger and multicentric studies. Please cite this paper as: Fooladgar M, Malekpour A, Asgari-Savadjani S, Mardani S. Serum magnesium in association with parathyroid hormone levels in routine hemodialysis patients. J Parathyr Dis. 2018;6(1):13-15. DOI: 10.15171/jpd.2018.05. Copyright © 2018 The Author(s); Published by Nickan Research Institute. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is
摘要简介:慢性肾脏疾病患者体内镁(Mg)的稳态受到干扰。血浆Mg被认为在调节甲状旁腺激素(PTH)的分泌中起主要作用。血浆Mg能够调节甲状旁腺激素的分泌。最近的调查显示,肾脏疾病患者血清Mg水平低与死亡率增加有关。目的:本研究的目的是确定血液透析患者血清Mg和甲状旁腺激素水平之间的关系。患者与方法:对2015年在Shahrekord市Hajar医院血液透析中心进行的56例血液透析患者进行横断面研究。有至少三个月透析史的定期血液透析患者被纳入研究。测定血清Mg、钙、磷、完整甲状旁腺素(iPTH)、碱性磷酸酶、白蛋白和碳酸氢盐水平。结果:本组52例患者中男性占61.5%。患者年龄的平均±标准差(SD)为60.5±17.7岁,中位年龄为63岁。平均透析时间为44±39.5个月(中位36个月)。此外,透析剂量为517±479周(中位;414周)。血清iPTH和Mg的平均值±SD分别为360.1±238.2 pg/mL和2.2±0.2 Mg /mL。本研究发现iPTH与血清Mg水平呈显著正相关(r=0.28, P=0.04)。结论:本研究显示Mg对甲状旁激素分泌的影响。我们的发现需要更大规模的多中心研究来进一步调查。请引用本文:Fooladgar M, Malekpour A, Asgari-Savadjani S, Mardani S.血镁与常规血液透析患者甲状旁腺激素水平的关系。植物病理学杂志,2018;6(1):13-15。DOI: 10.15171 / jpd.2018.05。版权所有©2018作者;由尼克研究所出版。这是一篇根据知识共享署名许可协议发布的开放获取文章,该协议允许在任何媒体上不受限制地使用、分发和复制,前提是原创作品是
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引用次数: 4
Vitamin D deficiency and autism; a review on recent findings 维生素D缺乏与自闭症;回顾最近的发现
Pub Date : 2017-07-20 DOI: 10.15171/JPD.2018.04
N. Sotodehasl, M. Tamadon, F. Malek
Autism is a group of lifelong developmental disabilities with various genetic and environmental risk factors which is generally not curable. The proportion of children with autism spectrum disorders (ASDs) has risen over the past decade. Few studies have focused on vitamin D status of patients with autism. Therefore, this study was aimed to further investigate the relationship between vitamin D deficiency and autism. In this short review, we discuss the relationship between vitamin D deficiency and ASDs. Our literature review yielded over 80 articles published since 2006 in the electronic databases of the Web of Knowledge, EBSCO, OVID and PubMed. As the results showed, no significant difference between children with and without autism regarding vitamin D serum levels was obtained. According to the controversial results on the correlation of vitamin D serum value and autism in children with ASD, it is necessary to conduct further studies in this field.
自闭症是一组具有各种遗传和环境风险因素的终身发育障碍,通常是不可治愈的。自闭症谱系障碍儿童的比例在过去十年中有所上升。很少有研究关注自闭症患者的维生素D状况。因此,本研究旨在进一步探讨维生素D缺乏与自闭症的关系。在这篇简短的综述中,我们讨论了维生素D缺乏与自闭症之间的关系。我们的文献综述获得了自2006年以来在Web of Knowledge、EBSCO、OVID和PubMed等电子数据库中发表的80多篇文章。结果显示,自闭症儿童和非自闭症儿童的血清维生素D水平没有显著差异。鉴于维生素D血清值与ASD患儿自闭症相关性的研究结果存在争议,有必要在该领域开展进一步的研究。
{"title":"Vitamin D deficiency and autism; a review on recent findings","authors":"N. Sotodehasl, M. Tamadon, F. Malek","doi":"10.15171/JPD.2018.04","DOIUrl":"https://doi.org/10.15171/JPD.2018.04","url":null,"abstract":"Autism is a group of lifelong developmental disabilities with various genetic and environmental risk factors which is generally not curable. The proportion of children with autism spectrum disorders (ASDs) has risen over the past decade. Few studies have focused on vitamin D status of patients with autism. Therefore, this study was aimed to further investigate the relationship between vitamin D deficiency and autism. In this short review, we discuss the relationship between vitamin D deficiency and ASDs. Our literature review yielded over 80 articles published since 2006 in the electronic databases of the Web of Knowledge, EBSCO, OVID and PubMed. As the results showed, no significant difference between children with and without autism regarding vitamin D serum levels was obtained. According to the controversial results on the correlation of vitamin D serum value and autism in children with ASD, it is necessary to conduct further studies in this field.","PeriodicalId":16657,"journal":{"name":"Journal of Parathyroid Disease","volume":"1 1","pages":"7-12"},"PeriodicalIF":0.0,"publicationDate":"2017-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89712368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Fibroblast growth factor 23 and cardiovascular disease in chronic kidney disease; new trends 成纤维细胞生长因子23与慢性肾病心血管疾病的关系新趋势
Pub Date : 2017-07-20 DOI: 10.15171/JPD.2018.01
A. Baradaran
{"title":"Fibroblast growth factor 23 and cardiovascular disease in chronic kidney disease; new trends","authors":"A. Baradaran","doi":"10.15171/JPD.2018.01","DOIUrl":"https://doi.org/10.15171/JPD.2018.01","url":null,"abstract":"","PeriodicalId":16657,"journal":{"name":"Journal of Parathyroid Disease","volume":"19 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2017-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85102129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Excessive production of parathyroid hormone in association with left ventricular dysfunction in regular hemodialysis patients 常规血液透析患者甲状旁腺激素过量产生与左心室功能障碍相关
Pub Date : 2017-06-10 DOI: 10.15171/JPD.2018.02
H. Nasri
Parathyroid hormone (parathormone) is a main regulator of calcium and is a principal regulator of bone and mineral homeostasis (1). Heart and vessel disease starts early during the progression of chronic renal failure and is the mainly common cause of death in these individuals (1). Parathyroid hormone is a polypeptide containing 84 amino acids secreted by parathyroid glands (1,2). Mechanisms of extension of heart and vessel disease are ill-understood. However, dysregulated homeostasis of parathyroid hormone, vitamin D, calcium and phosphorus are responsible partly in cardiac dysfunction in chronic renal failure patients (2-4). Secretion of parathormone is moderated by alterations in concentration of calcium in the blood. In fact, reduced calcium concentration stimulate PTH secretion by the calcium-sensing receptors located in the parathyroid gland. Parathormone forms a tightly controlled feedback cycle and to response to hypocalcemia, this hormone has various targets to increase serum calcium concentration (35). Parathormone is also a key stimulator of vitamin D production in renal tissue and its major physiologic regulator is circulating ionized calcium. The impact of parathormone on intestinal cells, renal tissue, and also bone leads to maintain serum calcium levels within a narrow range. However, elevated levels of parathyroid hormone have been correlated with increased risks of congestive heart failure, cardiovascular mortality hypertension and hypertrophy of left ventricle (1-4). Indeed, disturbed arterial function due to endothelia cell dysfunction is responsible for the above mentioned organ dysfunctions. Thus, cardiac tissue is one of the target organs of parathyroid hormone. Parathormone has a direct hypertrophic property on heart myocytes. Parathyroid hormone has a direct effect on cardiomyocytes, to activate protein kinase C that further stimulates hypertrophic growth and re-expression of fetal type proteins in heart tissue. Parathyroid hormone is also a potent activator of protein kinase A (6-9). The hypertrophic effect of parathyroid hormone on cardiac cells also is detected by a close association between parathormone levels and proportion of left ventricular mass (5-9). To find the relationship of parathyroid hormone with left ventricular function and structure in hemodialysis (HD) patients, we conducted a study on 73 HD patients. The age of individuals was 46.5 ±16 years. The length of time individuals had been on HD was 21.5 ±23.5 months. We found a significant inverse association of serum alkaline phosphatase with proportion of left ventricular ejection fraction. We also detected a significant inverse association between serum intact parathyroid hormone with proportion of left ventricular ejection fraction in nonImplication for health policy/practice/research/medical education Inappropriate parathyroid hormone secretion is intensely associated with establishment and progression of cardiac diseases in hemodialysis patients. Thus
甲状旁腺激素(Parathyroid hormone, parathorone)是钙的主要调节剂,也是骨和矿物质稳态的主要调节剂(1)。在慢性肾功能衰竭的进展过程中,心脏和血管疾病开始得早,是这些个体死亡的主要常见原因(1)。甲状旁腺激素是一种由甲状旁腺分泌的含有84个氨基酸的多肽(1,2)。心脏和血管疾病扩展的机制尚不清楚。然而,甲状旁腺激素、维生素D、钙和磷的体内平衡失调是慢性肾衰竭患者心功能障碍的部分原因(2-4)。甲状旁腺激素的分泌被血液中钙浓度的改变所调节。事实上,钙浓度的降低刺激甲状旁腺的钙感应受体分泌甲状旁腺。甲状旁腺激素形成一个严格控制的反馈循环,并对低钙血症作出反应,这种激素有多种目标来增加血清钙浓度(35)。甲状旁腺激素也是肾组织中维生素D生成的关键刺激物,其主要生理调节剂是循环电离钙。甲状旁腺激素对肠细胞、肾组织和骨骼的影响导致血清钙水平维持在一个狭窄的范围内。然而,甲状旁腺激素水平升高与充血性心力衰竭、心血管死亡率、高血压和左心室肥厚的风险增加相关(1-4)。事实上,内皮细胞功能障碍引起的动脉功能紊乱是上述器官功能障碍的原因。因此,心脏组织是甲状旁腺激素的靶器官之一。甲状旁腺激素对心肌细胞有直接的肥厚作用。甲状旁腺激素对心肌细胞有直接作用,激活蛋白激酶C,进一步刺激心脏组织中胎儿型蛋白的肥厚生长和再表达。甲状旁腺激素也是蛋白激酶a的有效激活剂(6-9)。甲状旁腺激素对心脏细胞的肥厚作用也可以通过甲状旁腺激素水平与左心室质量比例的密切联系来检测(5-9)。为了了解甲状旁腺激素与血液透析(HD)患者左心室功能及结构的关系,我们对73例HD患者进行了研究。个体年龄46.5±16岁。个体持续HD的时间为21.5±23.5个月。我们发现血清碱性磷酸酶与左心室射血分数的比例呈显著负相关。我们还发现血清完整甲状旁腺激素与非左心室射血分数比例呈显著负相关,对卫生政策/实践/研究/医学教育的意义甲状旁腺激素分泌不当与血液透析患者心脏疾病的发生和发展密切相关。因此,应注意控制过量的甲状旁激素和慢性肾脏疾病-矿物质骨紊乱的管理。
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引用次数: 0
Challenging look at therapeutic trend of chronic kidney disease–mineral bone disorder in children 儿童慢性肾病-矿物质骨紊乱治疗趋势的挑战
Pub Date : 2017-05-20 DOI: 10.15171/JPD.2018.03
Afshin Safaei-Asl
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引用次数: 0
Vitamin D status and its relationship with age in type 2 diabetic patients 2型糖尿病患者维生素D水平及其与年龄的关系
Pub Date : 2017-05-13 DOI: 10.15171/JPD.2017.05
Leila Mahmodnia, M. Tamadon, M. Sadoughi, S. Beigrezaei
Introduction: Type 2 diabetes has become a chronic worldwide epidemic with advancing complications and has caused many premature deaths. Its global prevalence is about 9.7%, with 92.4 million suffering from the disease. Vitamin D level has been recently considered as an adjustable risk factor of cardiovascular diseases in individuals with type 2 diabetes. Objectives: The aim of the current study is to investigate the frequency of vitamin D deficiency and the relationship between vitamin D serum levels and age in type 2 diabetes patients. Patients and Methods: In this descriptive-analytic study, 101 type 2 diabetes patients of Imam Ali clinic in Shahrekord were investigated. Serum vitamin D levels of the participants were measured by DRG (USA) Elisa kits. The results were analyzed using SPSS software with a 95% confidence level. Results: Of 101 studied patients, 32 were male and 69 were female. The average age of the subjects was 61.25 ± 11.75 years. The average age of the males was 63.09 ± 11.15 years and the average age of the females was 60.39 ± 12 years. Around 72 subjects were vitamin D deficient. No significant difference of vitamin D levels between males and females (P = 0.985) was detected. Serum vitamin D levels of type 2 diabetes patients were significantly positive correlated with their ages (r = 0.282, P = 0.004). Conclusion: In the present study the prevalence of vitamin D deficiency in type 2 diabetes patients was 71.3 %. We found a positive significant relationship between the vitamin D level and age. It is possible that ageing process is not one of the causes of vitamin D deficiency.
导言:2型糖尿病已成为一种慢性的世界性流行病,其并发症日益严重,并已导致许多人过早死亡。其全球患病率约为9.7%,有9240万人患有该疾病。维生素D水平最近被认为是2型糖尿病患者心血管疾病的可调节危险因素。目的:本研究旨在探讨2型糖尿病患者维生素D缺乏的频率以及维生素D血清水平与年龄的关系。患者和方法:在本描述性分析研究中,调查了101例在Shahrekord伊玛目阿里诊所就诊的2型糖尿病患者。采用DRG (USA) Elisa试剂盒检测受试者血清维生素D水平。结果采用SPSS软件进行分析,置信水平为95%。结果:101例患者中,男性32例,女性69例。受试者平均年龄为61.25±11.75岁。男性平均年龄63.09±11.15岁,女性平均年龄60.39±12岁。大约72名研究对象缺乏维生素D。男女之间维生素D水平无显著差异(P = 0.985)。2型糖尿病患者血清维生素D水平与年龄呈显著正相关(r = 0.282, P = 0.004)。结论:2型糖尿病患者维生素D缺乏症发生率为71.3%。我们发现维生素D水平和年龄之间有显著的正相关。衰老过程可能不是导致维生素D缺乏的原因之一。
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引用次数: 6
期刊
Journal of Parathyroid Disease
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