首页|血清维生素D对妊娠早期血脂的影响

血清维生素D对妊娠早期血脂的影响

Impact of serum vitamin D levels on lipid profiles during early pregnancy

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目的 探讨妊娠早期血清维生素D水平与血脂的关系.方法 选取妊娠早期女性257名,采用面对面问询法收集其年龄、文化程度等一般资料;使用立柱式身高仪测量身高,询问其孕前体质量,并计算孕前体质量指数(BMI);使用软尺测量宫高、腹围,抽取清晨空腹静脉血5 mL测定其血清维生素D,采用罗氏Cobas c702全自动生化分析仪测定其总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)和低密度脂蛋白胆固醇(LDL-C)水平;采用logistic回归分析血清维生素D水平与血脂指标之间的相关性.结果 妊娠早期女性血清维生素D中位数水平为43.25(28.88,58.63)nmol/L,血清维生素D缺乏率为59.53%;按血清维生素D水平分为3组,不同血清维生素D水平组间TG、HDL-C的差异有统计学意义(P<0.05),且呈现随血清维生素D水平升高而升高的趋势;以血脂是否异常为因变量,校正年龄、孕前BMI、腹围等因素后进行logistic回归分析,血清维生素D的OR(95%CI)为1.037(1.003~1.071),P=0.031,提示血清维生素D水平是血脂异常的危险因素.结论 妊娠早期女性维生素D缺乏现象普遍,血清维生素D水平可能与血脂异常相关.
Objective To investigate the association between serum vitamin D levels and lipid profiles in early pregnancy.Methods A total of 257 pregnant women was enrolled for this study.Data on age,educational background,and other demographic information were collected through direct interviews.Heights were measured using a stadiometer,while pre-pregnancy weight was self-reported,allowing for the calculation of pre-pregnancy BMI.Measurements of fundal height and abdominal circumference were taken with a tape measure.Fasting venous blood samples(5 mL)were collected in the morning to assess serum vitamin D levels,using the Roche Cobas c702 analyzer for total cholesterol(TC),triglycerides(TG),HDL-C,and LDL-C levels.Logistic regression analysis was applied to examine the correlation between serum VD and lipid indicators.Results The median serum vitamin D level among the participants was 43.25(28.88,58.63)nmol/L,with a deficiency rate of 59.53%.The study identified statistically significant variations in TG and HDL-C across different vitamin D level groups(P<0.05),indicating a trend of increase corresponding with higher vitamin D levels.After adjusting for confounders such as age,pre-pregnancy BMI,and abdominal circumference,serum vitamin D levels were found to be a significant predictor of lipid profile abnormalities,with an OR(95%CI)of 1.037(1.003,1.071),P=0.031.Conclusion Vitamin D deficiency is prevalent among early-stage pregnant women,suggesting a potential link between serum vitamin D levels and lipid profile abnormalities.

early pregnancyserum vitamin Dblood lipidsdyslipidemialipid metabolism

王子琴、刘菁、郑丹、鲁杨、王楠兰、王惠群

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贵州医科大学公共卫生与健康学院环境污染与疾病监控教育部重点实验室,贵州贵阳 550025

贵黔国际总医院产科,贵州贵阳 550024

贵阳市妇幼保健院孕产保健科,贵州贵阳 550003

妊娠早期 血清维生素D 血脂 血脂异常 脂代谢

贵州省区域内一流学科建设项目-公共卫生与预防医学贵州省科学技术基金

黔教科研发[2017]85号黔科合J字[2012]2043号

2024

贵州医科大学学报
贵阳医学院

贵州医科大学学报

CSTPCD
影响因子:0.827
ISSN:2096-8388
年,卷(期):2024.49(2)
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