肥胖女性甘油三酯/高密度脂蛋白胆固醇比值及内脏脂肪指数与25(OH)D的相关性

M. Monica, M. Hendrianingtyas
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摘要

肥胖是一种身体脂肪过多并伴有心脏代谢并发症的情况。肥胖患者血清25-羟基维生素D (25(OH)D)水平降低,因为它储存在脂肪组织间室中,与血脂异常有关。肥胖患者的高甘油三酯/高密度脂蛋白胆固醇(TG/HDL-C)比值与血脂异常有关。内脏脂肪指数(VAI)是血脂异常情况下与内脏脂肪分布相关的中心性肥胖指标之一。本研究旨在证明肥胖女性TG/HDL-C比值和VAI与25(OH)D水平之间的相关性。66例女性患者横断面设计观察性研究。用酶比色法检测HDL-C和甘油三酯。TG/HDL- c比值由TG除以HDL计算。公式得到内脏脂肪指数(WC/(36.58+(1.89xBMI)) x (TG/0.81) x (1.52/HDL)。25(OH)D检测采用酶联荧光免疫分析法(ELFA)。关系状态采用spearman秩检验(p<0.05)。中位25(OH)水平为9.75 (8-18.6)ng/mL。肥胖女性TG/HDL-C比值与25(OH)D水平呈弱负相关(p=0.020;r= -0.287)和肥胖女性VAI与25(OH)D (p=0.019;r = 0.287)。肥胖女性患者TG/HDL比值与VAI与25(OH)D呈弱负相关。
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Correlation of Triglyceride/HDL-Cholesterol Ratio and Visceral Adiposity Index with 25(OH)D in Obese Female
Obesity is a condition of excess body fat mass with cardiometabolic complications. The levels of serum 25-hydroxyvitamin D (25(OH)D) decrease in obesity because it is stored in adipose tissue compartments and is related to dyslipidemia conditions. A high triglyceride/HDL-cholesterol (TG/HDL-C) ratio in obesity is related to dyslipidemia. Visceral Adiposity Index (VAI) is one of the parameters indicating central obesity related to visceral fat distribution in dyslipidemia conditions. This study aimed to prove a correlation between TG/HDL-C ratio and VAI with 25(OH)D levels in obese females. Observational study with cross-sectional design in 66 female patients. HDL-C examinations and triglyceride using the enzymatic colorimetry method. The TG/HDL-C ratio was calculated by dividing TG by HDL. The equation obtained visceral adiposity index (WC/(36.58+(1.89xBMI)) x (TG/0.81) x (1.52/HDL). 25(OH)D examinations used the Enzyme Linked Fluorescent Immunoassay (ELFA) method. Relationship status used the spearman rank test (p<0.05). Median 25(OH) levels were 9.75 (8-18.6)ng/mL. There was a weak negative correlation between TG/HDL-C ratio with 25(OH)D levels in obese females (p=0.020; r= -0.287) and VAI with 25(OH)D in obese females (p=0.019; r= 0.287). There was a weak negative correlation between TG/HDL ratio and VAI with 25(OH)D in obese female patients.
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