在60岁以上的人群中,维生素D水平与炎症以及预后营养指数(PNI)之间的关系。

Nurgül Arslan, B. Yaprak
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引用次数: 0

摘要

目的:老年人通常缺乏维生素D(维生素D),这可能导致自身免疫性疾病和炎症。很少有研究检查了人体的维生素d水平和免疫功能。这项研究观察了老年人的维生素d水平和炎症标志物。材料与方法:回顾性研究。研究人员在医院的记录中搜索了这项研究的数据。参与者是65岁的人,他们在2020年5月至2022年5月期间申请了内科门诊。测量每个人的维生素d、CRP、淋巴细胞/单核细胞、中性粒细胞/淋巴细胞、血小板/淋巴细胞、铁蛋白和预后营养指数(PNI)水平。结果:来自2118名患者的信息被分析作为研究的一部分。其中324例患者符合参与研究的条件,参与者的平均年龄为73.21岁,标准差为5.24岁。人体中维生素d的平均水平为14.18 nmol/L,标准差为6.14 nmol/L。发现个体的维生素d水平与CRP / MPV比值呈负相关,有统计学意义(p < 0.05)。vitd与PNI的相关性r=0.205,呈显著正相关(p <0.05)。PNI每增加0.721个单位,就会增加1个单位的25(OH)维生素d。发现CRP (mg/L)变量对模型有显著贡献,并且发现每降低0.202单位,25(OH)维生素d的存在增加1单位(p <0.05)。结论:老年人群存在维生素25(OH)D不足。25(OH) vitd与CRP (mg/L)、MPV (fL)呈负相关,与营养状况指标PNI呈正相关。该研究表明,如果老年人残疾,应该提供营养补充剂。
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The correlation between vitamin D levels and inflammation, as well as the Prognostic Nutritional Index (PNI), in people who are over the age of 60.
Aim: Elderly populations often have insufficient vitamin D (vit-D), which may contribute to autoimmune diseases and inflammation. Few studies have examined vit-D levels and immune function in humans. The study looked at vit-D levels and inflammatory markers in older adults. Material and Methods: Retrospective research was done. The hospital's records were searched for the study's data. Participants were 65-year-olds who applied to the internal medicine outpatient clinic between May 2020 and May 2022. Each person's vit-D, CRP, Lymphocyte/Monocyte, Neutrophil/Lymphocyte, Platelet/Lymphocyte, Ferritin, and Prognostic nutritional index (PNI) levels were measured. Results: The information from 2118 patients was analyzed as part of the study. Of those patients, 324 met the requirements for participation in the research, and the participants' average age was 73.21 years, with a standard deviation of 5.24 years. The average level of vit-D found in people was 14.18 nmol/L, with a standard deviation of 6.14 nmol/L. It was discovered that there was a negative correlation that was statistically significant between the individuals' levels of vit-D and the ratio of CRP to MPV (p less than 0.05). Vit-D and PNI were found to have a correlation of r=0.205, which was found to be positive and significant (p <0.05). Every 0.721-unit increase in PNI will result in an additional 1 unit of 25(OH) vit-D. It was found that the CRP (mg/L) variable contributed significantly to the model, and it was discovered that the presence of 1 unit of 25(OH) vit-D was increased for every 0.202 unit decrease (p <0.05). Conclusion: Insufficient vitamin 25(OH)D is found in the elderly population. 25(OH) vit-D has a negative relationship with CRP (mg/L) and MPV (fL), but a positive relationship with PNI, an indicator of nutritional status. The study suggests that if an elderly person is disabled, nutritional supplements should be provided.
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