Abstract
Introduction: Metabolic syndrome refers to cluster of several cardio metabolic risk factors including abdominal obesity, hyperglycemia, dyslipidemia and elevated blood pressure that likely linked to insulin resistance. Vitamin-D deficiency may be a risk factor of metabolic syndrome.
Objective: This study was performed to evaluate the role of vitamin-D in patients of metabolic syndrome and find out its correlation with different parameters of metabolic syndrome.
Material and Methods: 150 metabolic syndrome patients and 150 controls were recruited. Waist circumferences, blood pressure, vitamin-D and other parameter of metabolic syndrome (serum triglyceride, serum HDL cholesterol and fasting plasma sugar) were measured in blood sample collected between January 2012 and December 2014.
Results: Metabolic syndrome patients had significantly reduced circulated level of 25-hydroxy vitamin-D compared with the controls. It was seen that 60% of the cases were deficient in vitamin-D while only 10 % of the controls were deficient in vitamin D. Cases had higher mean values of systolic and diastolic blood pressure, fasting blood sugars, triglyceride levels and lower mean HDL cholesterol as compared to the controls.
Conclusion: vitamin-D levels were decreased as the metabolic syndrome patients had more than 3 components of metabolic syndrome and showed inverse relationship with increasing number of components.
Keywords: Metabolic syndrome, vitamin D, vitamin-D deficiency.
References
- Third Report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III) final report. Circulation 2002;106(25):3143–3421.
- Despres JP, Lemieux I, Bergeron J, et al. Abdominal obesity and themetabolic syndrome: contribution to global cardio metabolic risk. Arterioscler Thromb Vasc Biol 2008;28(6):1039–1049.
- Boucher BJ. Inadequate vitamin-D status: does it contribute to the disorders comprising syndrome “X”? Br J Nutr 1998;79(4):315–327.
- Elks CM, Francis J. Central adiposity, systemic inflammation, and the metabolic syndrome. Curr Hypertens Rep 2010;12 (2):99–104.
- Azadbakht L., Mirmiran P., Esmaillzageh A., Azizi F. Dairy consumption is inversely associated with the prevalence the metabolic syndrome in Tehranian adults. Am J clin Nutr 2005; 82: 523-530.
- Isaica G., Giorgino R., Adami S. High prevalence of hypovitaminosis D in female type 2 diabetic population ( Letter). Diabetes care 2001;24: 1496.
- Maghbooli Z., Hossein-Nezhad A., Karimi, F., Shafaei A.R., Larijani B. Correlation between vitamin D3 deficiency and insulin resistance in pregnancy. Diabetes Metab Res Rev 2008;24:27-32.
- Scragg R., Sowers M., Bell, C. Serum 25-hydroxyvitamin D, Diabetes, and ethnicity in third national Health and Nutrition Examination scurvy. Diabetes care 2004;27:2813-2818.
- Maghbooli Z., Hossein- Nezhad A., Khoshniat. M., Adibi H.,Mohamadzadesh, N., Larijani B. A study of bone mineral density in diabetic patients, Iranian journal of public Health 2007;Suppl: 37-44.
- Maghbooli Z., Hossein-Nezhad A., Shafaei A.R., Karimi F., Madani F.S.,Larjani, B. Vitamin-D status in mothers and their newborns in Iran. BMC Pregnancy and childbirth 2007; 7: 1-6
- Chiu K.C., Chu A., Go V.L., Saad M.F. Hypovitaminosis D is associated with insulin resistance and beta cell dysfunction. Am J clin Nutr 2004; 79:820-825
- Baynes K.C., Boucher B.j., Feskens E.J., Kromhout D. vitamin D, glucose tolerance and insulinemia in elderly men. Diabetologia 1997; 40:344-347
- Boucher B.J., MannanN., Nooonan K., Hales, C.N., EvansS.J. Glucose intolerance and impairment of insulin secretion in relation to vitamin-D deficiency in east London Asians. Diabetologia 1995; 38: 1239-1245
- Llind L., Hanni A., Lithell H., Hvarfner A., Sorenson O.H., Ljanghall S. Vitamin-D is related to blood pressure and other cardio vascular risk factors in middle aged men. Am J Hypertens 1995; 8:894-901
- Ortlepp J.R., Metrikat J., Albrecht M., KorffA., HarnathP., HoffmannR. The vitamin-D receptor gene variant and physical activity predicts fasting glucose levels in healthy young men. Diabet Med 2003; 20: 451-454.
Corresponding Author
Dr Rahul Kumar
Room no 96, Medicine Office,
Jawahar Lal Nehru Hospital, Ajmer, Rajasthan- 305001
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.