Relationship of vitamin D and parathyroid hormone with obesity and body composition in African Americans.

Relationship of vitamin D and parathyroid hormone with obesity and body composition in African Americans.
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DOI:
10.1111/j.1365-2265.2009.03676.x
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发表时间:
2010-05
影响因子:
3.2
通讯作者:
Flack JM
Flack JM
中科院分区:
医学3区
文献类型:
--
作者:
Valiña-Tóth AL;Lai Z;Yoo W;Abou-Samra A;Gadegbeku CA;Flack JM

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肥胖不成比例地影响非洲裔美国人(AA)(特别是女性),并与抑郁的25-羟基维生素D(25-OH D)和甲状旁腺激素(PTH)升高有关。AA患者25-OH D和PTH与身体组成和体型的关系尚不清楚。目的探讨25-羟维生素D和甲状旁腺素水平与人体成分和人体测量指标的关系。在98名健康、超重、成人AA中进行了一项横断面研究,这些AA参加了NIH/NIEHS赞助的体重减轻/盐敏感性研究。采用多元线性回归分析探讨25-OH D和PTH与身体成分的关系,通过双能X线吸收测定法和人体测量。使用一般线性模型在维生素D/PTH组之间比较身体组成和大小:1)正常(25-OH D> 50 nmol/l,PTH ≤ 65 pg/ml),2)低25-OH D和正常PTH,以及3)低25-OH D和高PTH。年龄、性别和季节调整回归分析显示,PTH与总脂肪量(p = 0.02)、躯干脂肪量(p = 0.03)和四肢脂肪量(p = 0.03)直接相关,而25-OH D与躯干脂肪量(p = 0.02)负相关。第1 - 3组的总脂肪量分别为30.0、34.0至37.4 kg(p = 0.008);躯干脂肪量为13.4、15.9和17.6 kg(p = 0.006),四肢脂肪量为15.8、16.9和19.7 kg(p = 0.02)。3组间的瘦体重没有差异。我们的研究结果表明,较低的25-OH D和升高的PTH都与成人AA的脂肪量,脂肪分布和人体测量指标相关,但方向相反。
Obesity disproportionately affects African Americans (AA) (especially women), and is linked to depressed 25-hydroxyvitamin D (25-OH D) and elevated parathyroid hormone (PTH). The relationship of 25-OH D and PTH to body composition and size in AA is not well known. To determine the relationship of 25-OH D and PTH levels with body composition and anthropometric measures. A cross-sectional study was conducted in 98 healthy, overweight, adult AA enrolled in an NIH/NIEHS-sponsored weight loss/salt sensitivity. Multivariable linear regression analyses were used to explore the relationship of 25-OH D and PTH with body composition, determined by dual-energy X-ray absorptiometry, and anthropometric measures. Body composition and size were contrasted across vitamin D/PTH groups using general linear models: 1) normal (25-OH D > 50 nmol/l, PTH ≤ 65 pg/ml), 2) low 25-OH D and normal PTH, and 3) low 25-OH D and high PTH. Age, sex and season-adjusted regression analyses showed that PTH was directly correlated with total (p=0.02), truncal (p=0.03) and extremity (p=0.03) fat mass while 25-OH D was related inversely to truncal fat mass (p=0.02). Total fat mass in groups 1–3, respectively, was 30.0, 34.0, to 37.4 kg (p=0.008); truncal fat mass was 13.4, 15.9 and 17.6 kg (p=0.006) and extremity fat mass was 15.8, 16.9 and 19.7 kg (p=0.02). Lean mass did not differ across the 3 groups. Our findings show that lower 25-OH D and raised PTH are both correlated, though in opposite directions, with fat mass, fat distribution and anthropometric measures in adult AA.
DOI: 10.1001/jama.291.23.2847
发表时间: 2004-06-16
影响因子: 120.7
作者:
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发表时间: 2002-07-01
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发表时间: 2007-03-01
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DOI: 10.1159/000057442
发表时间: 1999-05-01
期刊: MINERAL AND ELECTROLYTE METABOLISM
影响因子: --
作者:
Bikle, DD;Ettinger, B;Tolan, K
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