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Published in: Nutrition Journal 1/2012

Open Access 01-12-2012 | Research

Serum 25(OH)D is inversely associated with metabolic syndrome risk profile among urban middle-aged Chinese population

Authors: Xiao Yin, Qiang Sun, Xiuping Zhang, Yong Lu, Chao Sun, Ying Cui, Shaolian Wang

Published in: Nutrition Journal | Issue 1/2012

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Abstract

Background

Vitamin D deficiency is associated with a variety of chronic metabolic diseases. Limited evidence regarding vitamin D deficiency exists within the Chinese population. The present study aims to examine the association between serum vitamin D concentrations and cardiometabolic risk factors in the young and middle-aged, urban Chinese population

Methods

The cross-sectional relationships between serum 25-hydroxyvitamin D [25(OH)D] concentrations and indices of adiposity and cardiometabolic risk factors (e.g., body mass index, waist circumference, fasting plasma glucose, etc.) were evaluated in 601 non-diabetic adults.

Result

Vitamin D deficiency or insufficiency was present in 66% of the tested population, and serum 25(OH)D levels were lower in patients who were overweight/obese or suffered metabolic syndrome when compared to individuals of healthy weight without metabolic syndrome (24.08 ± 8.08 vs 31.70 ± 11.77 ng/ml, 21.52 ± 6.9 vs 31.74 ± 10.21 ng/ml respectively). 25(OH)D was inversely associated with waist circumference, fasting glucose, fasting insulin, triglycerides and LDL-cholesterol, and it was positively associated with HDL-cholesterol in a multivariable-adjusted regression model.

Conclusion

Vitamin D deficiency is common in the young and middle-aged, urban Chinese population, with high prevalence in overweight/obese individuals and patients with metabolic syndrome. Low vitamin D concentration was associated with indices of adiposity and cardiometabolic risk factors. Further studies are warranted to elucidate the cause-effect relation between vitamin D status, obesity and related metabolic disorders.

Trial registration

Current Controlled Trials (ISRCTN21527585)
Literature
1.
go back to reference Hypponen E, Power C: Vitamin D status and glucose homeostasis in the 1958 British birth cohort: the role of obesity. Diabetes Care. 2006, 29: 2244-2246. 10.2337/dc06-0946.CrossRefPubMed Hypponen E, Power C: Vitamin D status and glucose homeostasis in the 1958 British birth cohort: the role of obesity. Diabetes Care. 2006, 29: 2244-2246. 10.2337/dc06-0946.CrossRefPubMed
2.
go back to reference Konradsen S, Ag H, Lindberg F, Hexeberg S, Jorde R: Serum 1,25-dihydroxy vitamin D is inversely associated with body mass index. Eur J Nutr. 2008, 47: 87-91. 10.1007/s00394-008-0700-4.CrossRefPubMed Konradsen S, Ag H, Lindberg F, Hexeberg S, Jorde R: Serum 1,25-dihydroxy vitamin D is inversely associated with body mass index. Eur J Nutr. 2008, 47: 87-91. 10.1007/s00394-008-0700-4.CrossRefPubMed
3.
go back to reference Martins D, Wolf M, Pan D, Zadshir A, Tareen N, Thadhani R, Felsenfeld A, Levine B, Mehrotra R, Norris K: Prevalence of cardiovascular risk factors and the serum levels of 25-hydroxyvitamin D in the United States: data from the Third National Health and Nutrition Examination Survey. Arch Intern Med. 2007, 167: 1159-1165. 10.1001/archinte.167.11.1159.CrossRefPubMed Martins D, Wolf M, Pan D, Zadshir A, Tareen N, Thadhani R, Felsenfeld A, Levine B, Mehrotra R, Norris K: Prevalence of cardiovascular risk factors and the serum levels of 25-hydroxyvitamin D in the United States: data from the Third National Health and Nutrition Examination Survey. Arch Intern Med. 2007, 167: 1159-1165. 10.1001/archinte.167.11.1159.CrossRefPubMed
4.
go back to reference Yetley EA: Assessing the vitamin D status of the US population. Am J Clin Nutr. 2008, 88: 558S-564S.PubMed Yetley EA: Assessing the vitamin D status of the US population. Am J Clin Nutr. 2008, 88: 558S-564S.PubMed
5.
go back to reference Forman JP, Giovannucci E, Holmes MD, Bischoff-Ferrari HA, Tworoger SS, Willett WC, Curhan GC: Plasma 25-hydroxyvitamin D levels and risk of incident hypertension. Hypertension. 2007, 49: 1063-1069. 10.1161/HYPERTENSIONAHA.107.087288.CrossRefPubMed Forman JP, Giovannucci E, Holmes MD, Bischoff-Ferrari HA, Tworoger SS, Willett WC, Curhan GC: Plasma 25-hydroxyvitamin D levels and risk of incident hypertension. Hypertension. 2007, 49: 1063-1069. 10.1161/HYPERTENSIONAHA.107.087288.CrossRefPubMed
6.
go back to reference Schmitz KJ, Skinner HG, Bautista LE, Fingerlin TE, Langefeld CD, Hicks PJ, Haffner SM, Bryer-Ash M, Wagenknecht LE, Bowden DW, et al: Association of 25-hydroxyvitamin D with blood pressure in predominantly 25-hydroxyvitamin D deficient Hispanic and African Americans. Am J Hypertens. 2009, 22: 867-870. 10.1038/ajh.2009.88.CrossRefPubMedPubMedCentral Schmitz KJ, Skinner HG, Bautista LE, Fingerlin TE, Langefeld CD, Hicks PJ, Haffner SM, Bryer-Ash M, Wagenknecht LE, Bowden DW, et al: Association of 25-hydroxyvitamin D with blood pressure in predominantly 25-hydroxyvitamin D deficient Hispanic and African Americans. Am J Hypertens. 2009, 22: 867-870. 10.1038/ajh.2009.88.CrossRefPubMedPubMedCentral
7.
go back to reference Hypponen E, Boucher BJ, Berry DJ, Power C: 25-hydroxyvitamin D, IGF-1, and metabolic syndrome at 45 years of age: a cross-sectional study in the 1958 British Birth Cohort. Diabetes. 2008, 57: 298-305.CrossRefPubMed Hypponen E, Boucher BJ, Berry DJ, Power C: 25-hydroxyvitamin D, IGF-1, and metabolic syndrome at 45 years of age: a cross-sectional study in the 1958 British Birth Cohort. Diabetes. 2008, 57: 298-305.CrossRefPubMed
8.
go back to reference Cheng S, Massaro JM, Fox CS, Larson MG, Keyes MJ, McCabe EL, Robins SJ, O'Donnell CJ, Hoffmann U, Jacques PF, et al: Adiposity, Cardiometabolic Risk, and Vitamin D Status: The Framingham Heart Study. Diabetes. 2009, 59: 242-248.CrossRefPubMedPubMedCentral Cheng S, Massaro JM, Fox CS, Larson MG, Keyes MJ, McCabe EL, Robins SJ, O'Donnell CJ, Hoffmann U, Jacques PF, et al: Adiposity, Cardiometabolic Risk, and Vitamin D Status: The Framingham Heart Study. Diabetes. 2009, 59: 242-248.CrossRefPubMedPubMedCentral
9.
go back to reference Lips P: Vitamin D status and nutrition in Europe and Asia. J Steroid Biochem Mol Biol. 2007, 103: 620-625. 10.1016/j.jsbmb.2006.12.076.CrossRefPubMed Lips P: Vitamin D status and nutrition in Europe and Asia. J Steroid Biochem Mol Biol. 2007, 103: 620-625. 10.1016/j.jsbmb.2006.12.076.CrossRefPubMed
10.
go back to reference Tseng M, Giri V, Bruner DW, Giovannucci E: Prevalence and correlates of vitamin D status in African American men. BMC Public Health. 2009, 9: 191-10.1186/1471-2458-9-191.CrossRefPubMedPubMedCentral Tseng M, Giri V, Bruner DW, Giovannucci E: Prevalence and correlates of vitamin D status in African American men. BMC Public Health. 2009, 9: 191-10.1186/1471-2458-9-191.CrossRefPubMedPubMedCentral
11.
go back to reference Armas LA, Dowell S, Akhter M, Duthuluru S, Huerter C, Hollis BW, Lund R, Heaney RP: Ultraviolet-B radiation increases serum 25-hydroxyvitamin D levels: the effect of UVB dose and skin color. J Am Acad Dermatol. 2007, 57: 588-593. 10.1016/j.jaad.2007.03.004.CrossRefPubMed Armas LA, Dowell S, Akhter M, Duthuluru S, Huerter C, Hollis BW, Lund R, Heaney RP: Ultraviolet-B radiation increases serum 25-hydroxyvitamin D levels: the effect of UVB dose and skin color. J Am Acad Dermatol. 2007, 57: 588-593. 10.1016/j.jaad.2007.03.004.CrossRefPubMed
12.
go back to reference Scragg R, Sowers M, Bell C: Serum 25-hydroxyvitamin D, diabetes, and ethnicity in the Third National Health and Nutrition Examination Survey. Diabetes Care. 2004, 27: 2813-2818. 10.2337/diacare.27.12.2813.CrossRefPubMed Scragg R, Sowers M, Bell C: Serum 25-hydroxyvitamin D, diabetes, and ethnicity in the Third National Health and Nutrition Examination Survey. Diabetes Care. 2004, 27: 2813-2818. 10.2337/diacare.27.12.2813.CrossRefPubMed
13.
go back to reference Zhou BF: Predictive values of body mass index and waist circumference for risk factors of certain related diseases in Chinese adults–study on optimal cut-off points of body mass index and waist circumference in Chinese adults. Biomed Environ Sci. 2002, 15: 83-96.PubMed Zhou BF: Predictive values of body mass index and waist circumference for risk factors of certain related diseases in Chinese adults–study on optimal cut-off points of body mass index and waist circumference in Chinese adults. Biomed Environ Sci. 2002, 15: 83-96.PubMed
14.
go back to reference Grundy SM, Cleeman JI, Daniels SR, Donato KA, Eckel RH, Franklin BA, Gordon DJ, Krauss RM, Savage PJ, Smith SC, et al: Diagnosis and management of the metabolic syndrome: an American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement. Circulation. 2005, 112: 2735-2752. 10.1161/CIRCULATIONAHA.105.169404.CrossRefPubMed Grundy SM, Cleeman JI, Daniels SR, Donato KA, Eckel RH, Franklin BA, Gordon DJ, Krauss RM, Savage PJ, Smith SC, et al: Diagnosis and management of the metabolic syndrome: an American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement. Circulation. 2005, 112: 2735-2752. 10.1161/CIRCULATIONAHA.105.169404.CrossRefPubMed
15.
go back to reference Holick MF: Vitamin D status: measurement, interpretation, and clinical application. Ann Epidemiol. 2009, 19: 73-78. 10.1016/j.annepidem.2007.12.001.CrossRefPubMed Holick MF: Vitamin D status: measurement, interpretation, and clinical application. Ann Epidemiol. 2009, 19: 73-78. 10.1016/j.annepidem.2007.12.001.CrossRefPubMed
16.
go back to reference Bonora E, Targher G, Alberiche M, Bonadonna RC, Saggiani F, Zenere MB, Monauni T, Muggeo M: Homeostasis model assessment closely mirrors the glucose clamp technique in the assessment of insulin sensitivity: studies in subjects with various degrees of glucose tolerance and insulin sensitivity. Diabetes Care. 2000, 23: 57-63. 10.2337/diacare.23.1.57.CrossRefPubMed Bonora E, Targher G, Alberiche M, Bonadonna RC, Saggiani F, Zenere MB, Monauni T, Muggeo M: Homeostasis model assessment closely mirrors the glucose clamp technique in the assessment of insulin sensitivity: studies in subjects with various degrees of glucose tolerance and insulin sensitivity. Diabetes Care. 2000, 23: 57-63. 10.2337/diacare.23.1.57.CrossRefPubMed
17.
go back to reference Chapuy MC, Preziosi P, Maamer M, Arnaud S, Galan P, Hercberg S, Meunier PJ: Prevalence of vitamin D insufficiency in an adult normal population. Osteoporos Int. 1997, 7: 439-443. 10.1007/s001980050030.CrossRefPubMed Chapuy MC, Preziosi P, Maamer M, Arnaud S, Galan P, Hercberg S, Meunier PJ: Prevalence of vitamin D insufficiency in an adult normal population. Osteoporos Int. 1997, 7: 439-443. 10.1007/s001980050030.CrossRefPubMed
18.
go back to reference Lu L, Yu Z, Pan A, Hu FB, Franco OH, Li H, Li X, Yang X, Chen Y, Lin X: Plasma 25-hydroxyvitamin D concentration and metabolic syndrome among middle-aged and elderly Chinese individuals. Diabetes Care. 2009, 32: 1278-1283. 10.2337/dc09-0209.CrossRefPubMedPubMedCentral Lu L, Yu Z, Pan A, Hu FB, Franco OH, Li H, Li X, Yang X, Chen Y, Lin X: Plasma 25-hydroxyvitamin D concentration and metabolic syndrome among middle-aged and elderly Chinese individuals. Diabetes Care. 2009, 32: 1278-1283. 10.2337/dc09-0209.CrossRefPubMedPubMedCentral
19.
go back to reference Cheng S, Massaro JM, Fox CS, Larson MG, Keyes MJ, McCabe EL, Robins SJ, O'Donnell CJ, Hoffmann U, Jacques PF, et al: Adiposity, cardiometabolic risk, and vitamin D status: the Framingham Heart Study. Diabetes. 2010, 59: 242-248. 10.2337/db09-1011.CrossRefPubMed Cheng S, Massaro JM, Fox CS, Larson MG, Keyes MJ, McCabe EL, Robins SJ, O'Donnell CJ, Hoffmann U, Jacques PF, et al: Adiposity, cardiometabolic risk, and vitamin D status: the Framingham Heart Study. Diabetes. 2010, 59: 242-248. 10.2337/db09-1011.CrossRefPubMed
20.
go back to reference McCarty MF, Thomas CA: PTH excess may promote weight gain by impeding catecholamine-induced lipolysis-implications for the impact of calcium, vitamin D, and alcohol on body weight. Med Hypotheses. 2003, 61: 535-542. 10.1016/S0306-9877(03)00227-5.CrossRefPubMed McCarty MF, Thomas CA: PTH excess may promote weight gain by impeding catecholamine-induced lipolysis-implications for the impact of calcium, vitamin D, and alcohol on body weight. Med Hypotheses. 2003, 61: 535-542. 10.1016/S0306-9877(03)00227-5.CrossRefPubMed
21.
go back to reference Wood RJ: Vitamin D and adipogenesis: new molecular insights. Nutr Rev. 2008, 66: 40-46. 10.1111/j.1753-4887.2007.00004.x.CrossRefPubMed Wood RJ: Vitamin D and adipogenesis: new molecular insights. Nutr Rev. 2008, 66: 40-46. 10.1111/j.1753-4887.2007.00004.x.CrossRefPubMed
22.
go back to reference Ford ES, Ajani UA, McGuire LC, Liu S: Concentrations of serum vitamin D and the metabolic syndrome among U.S. adults. Diabetes Care. 2005, 28: 1228-1230. 10.2337/diacare.28.5.1228.CrossRefPubMed Ford ES, Ajani UA, McGuire LC, Liu S: Concentrations of serum vitamin D and the metabolic syndrome among U.S. adults. Diabetes Care. 2005, 28: 1228-1230. 10.2337/diacare.28.5.1228.CrossRefPubMed
23.
go back to reference McGill A-T, Stewart JM, Lithander FE, Strik CM, Poppitt SD: Relationships of low serum vitamin D3 with anthropometry and markers of the metabolic syndrome and diabetes in overweight and obesity. Nutrition journal. 2008, 7: 4-10.1186/1475-2891-7-4.CrossRefPubMedPubMedCentral McGill A-T, Stewart JM, Lithander FE, Strik CM, Poppitt SD: Relationships of low serum vitamin D3 with anthropometry and markers of the metabolic syndrome and diabetes in overweight and obesity. Nutrition journal. 2008, 7: 4-10.1186/1475-2891-7-4.CrossRefPubMedPubMedCentral
24.
go back to reference Anderson JL, May HT, Horne BD, Bair TL, Hall NL, Carlquist JF, Lappe DL, Muhlestein JB: Relation of vitamin D deficiency to cardiovascular risk factors, disease status, and incident events in a general healthcare population. Am J Cardiol. 2010, 106: 963-968. 10.1016/j.amjcard.2010.05.027.CrossRefPubMed Anderson JL, May HT, Horne BD, Bair TL, Hall NL, Carlquist JF, Lappe DL, Muhlestein JB: Relation of vitamin D deficiency to cardiovascular risk factors, disease status, and incident events in a general healthcare population. Am J Cardiol. 2010, 106: 963-968. 10.1016/j.amjcard.2010.05.027.CrossRefPubMed
25.
go back to reference Reaven GM: Insulin resistance, the insulin resistance syndrome, and cardiovascular disease. Panminerva medica. 2005, 47: 201-210.PubMed Reaven GM: Insulin resistance, the insulin resistance syndrome, and cardiovascular disease. Panminerva medica. 2005, 47: 201-210.PubMed
26.
go back to reference Tai K, Need AG, Horowitz M, Chapman IM: Vitamin D, glucose, insulin, and insulin sensitivity. Nutrition. 2008, 24: 279-285. 10.1016/j.nut.2007.11.006.CrossRefPubMed Tai K, Need AG, Horowitz M, Chapman IM: Vitamin D, glucose, insulin, and insulin sensitivity. Nutrition. 2008, 24: 279-285. 10.1016/j.nut.2007.11.006.CrossRefPubMed
27.
go back to reference Pinelli NR, Jaber LA, Brown MB, Herman WH: Serum 25-hydroxy vitamin d and insulin resistance, metabolic syndrome, and glucose intolerance among Arab Americans. Diabetes Care. 2010, 33: 1373-1375. 10.2337/dc09-2199.CrossRefPubMedPubMedCentral Pinelli NR, Jaber LA, Brown MB, Herman WH: Serum 25-hydroxy vitamin d and insulin resistance, metabolic syndrome, and glucose intolerance among Arab Americans. Diabetes Care. 2010, 33: 1373-1375. 10.2337/dc09-2199.CrossRefPubMedPubMedCentral
28.
go back to reference Chonchol M, Scragg R: 25-Hydroxyvitamin D, insulin resistance, and kidney function in the Third National Health and Nutrition Examination Survey. Kidney Int. 2007, 71: 134-139. 10.1038/sj.ki.5002002.CrossRefPubMed Chonchol M, Scragg R: 25-Hydroxyvitamin D, insulin resistance, and kidney function in the Third National Health and Nutrition Examination Survey. Kidney Int. 2007, 71: 134-139. 10.1038/sj.ki.5002002.CrossRefPubMed
29.
go back to reference Alemzadeh R, Kichler J, Babar G, Calhoun M: Hypovitaminosis D in obese children and adolescents: relationship with adiposity, insulin sensitivity, ethnicity, and season. Metabolism. 2008, 57: 183-191. 10.1016/j.metabol.2007.08.023.CrossRefPubMed Alemzadeh R, Kichler J, Babar G, Calhoun M: Hypovitaminosis D in obese children and adolescents: relationship with adiposity, insulin sensitivity, ethnicity, and season. Metabolism. 2008, 57: 183-191. 10.1016/j.metabol.2007.08.023.CrossRefPubMed
30.
go back to reference Ashraf A, Alvarez J, Saenz K, Gower B, McCormick K, Franklin F: Threshold for effects of vitamin D deficiency on glucose metabolism in obese female African-American adolescents. J Clin Endocrinol Metab. 2009, 94: 3200-3206. 10.1210/jc.2009-0445.CrossRefPubMedPubMedCentral Ashraf A, Alvarez J, Saenz K, Gower B, McCormick K, Franklin F: Threshold for effects of vitamin D deficiency on glucose metabolism in obese female African-American adolescents. J Clin Endocrinol Metab. 2009, 94: 3200-3206. 10.1210/jc.2009-0445.CrossRefPubMedPubMedCentral
Metadata
Title
Serum 25(OH)D is inversely associated with metabolic syndrome risk profile among urban middle-aged Chinese population
Authors
Xiao Yin
Qiang Sun
Xiuping Zhang
Yong Lu
Chao Sun
Ying Cui
Shaolian Wang
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Nutrition Journal / Issue 1/2012
Electronic ISSN: 1475-2891
DOI
https://doi.org/10.1186/1475-2891-11-68

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