The optimal vitamin D cut-off value associated with hyperglycemia in an Iranian population.

25(OH)D 25-hydroxyvitamin D Blood glucose Cut-off point Hyperglycemia Vitamin D Workers

Journal

Journal of diabetes and metabolic disorders
ISSN: 2251-6581
Titre abrégé: J Diabetes Metab Disord
Pays: Switzerland
ID NLM: 101590741

Informations de publication

Date de publication:
Jun 2020
Historique:
received: 03 06 2019
accepted: 14 08 2019
entrez: 19 6 2020
pubmed: 19 6 2020
medline: 19 6 2020
Statut: epublish

Résumé

Vitamin D deficiency may accelerate the risk of type 2 diabetes mellitus. The association of vitamin D with hyperglycemia may be influenced by lifestyle. To evaluate the relationship between vitamin D status and hyperglycemia among the workers' population. This was a medical records review of 7054 Iranian factory workers participating in an annual health check-up for employees. Of those, potential participants were included in this analysis if data for serum 25-hydroxyvitamin D [25(OH) D] levels were also available. Data of 429 male participants were used for this analysis. Of those, 61.07% had serum 25(OH)D concentrations lower than the sufficient level [≥20 ng/ml]. Hyperglycemic participants had significantly lower 25(OH)D than those with normal fasting blood glucose (FBG). Regression analyses highlighted serum 25(OH)D as a significant determinant of hyperglycemia [OR: 0.943(0.901, 988); Our results revealed a considerable proportion of participants with serum 25(OH)D below the optimal level as well as a significant inverse association between vitamin D status and hyperglycemia among the factory workers. These findings highlight the importance of including the evaluation of vitamin D status as a part of annual health examinations for employees, and may help health policy- makers prevent or delay type 2 diabetes mellitus among the workers' population.

Sections du résumé

BACKGROUND BACKGROUND
Vitamin D deficiency may accelerate the risk of type 2 diabetes mellitus. The association of vitamin D with hyperglycemia may be influenced by lifestyle.
OBJECTIVE OBJECTIVE
To evaluate the relationship between vitamin D status and hyperglycemia among the workers' population.
METHODS METHODS
This was a medical records review of 7054 Iranian factory workers participating in an annual health check-up for employees. Of those, potential participants were included in this analysis if data for serum 25-hydroxyvitamin D [25(OH) D] levels were also available.
RESULTS RESULTS
Data of 429 male participants were used for this analysis. Of those, 61.07% had serum 25(OH)D concentrations lower than the sufficient level [≥20 ng/ml]. Hyperglycemic participants had significantly lower 25(OH)D than those with normal fasting blood glucose (FBG). Regression analyses highlighted serum 25(OH)D as a significant determinant of hyperglycemia [OR: 0.943(0.901, 988);
CONCLUSION CONCLUSIONS
Our results revealed a considerable proportion of participants with serum 25(OH)D below the optimal level as well as a significant inverse association between vitamin D status and hyperglycemia among the factory workers. These findings highlight the importance of including the evaluation of vitamin D status as a part of annual health examinations for employees, and may help health policy- makers prevent or delay type 2 diabetes mellitus among the workers' population.

Identifiants

pubmed: 32550151
doi: 10.1007/s40200-019-00433-y
pii: 433
pmc: PMC7270412
doi:

Types de publication

Journal Article

Langues

eng

Pagination

5-12

Informations de copyright

© Springer Nature Switzerland AG 2019.

Déclaration de conflit d'intérêts

Competing interestsThe authors declare to have no competing interests.

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Auteurs

Fariba Alaei-Shahmiri (F)

Endocrine Research Center, Institute of Endocrinology and Metabolism, Iran University of Medical Sciences (IUMS), No. 10, Firouzeh St, Vali-asr St, Vali-asr Sq, Tehran, Iran.

Mohammad E Khamseh (ME)

Endocrine Research Center, Institute of Endocrinology and Metabolism, Iran University of Medical Sciences (IUMS), No. 10, Firouzeh St, Vali-asr St, Vali-asr Sq, Tehran, Iran.

Khosro Manhoei (K)

SAIPA Corporation, Tehran, Iran.

Hosein Yadegari (H)

SAIPA Corporation, Tehran, Iran.

Hosein Kazemi (H)

SAIPA Corporation, Tehran, Iran.

Majid Meshkini (M)

Department of Epidemiology, School of Public Health, Iran University of Medical Sciences (IUMS), Tehran, Iran.

Classifications MeSH