Abstract

Background: Metabolic syndrome (MetS), insulin resistance (IR) and diabetes mellitus (DM) are highly interrelated abnormalities seeking multidisciplinary public health interventions. Vitamin D has recently gained attention as a protective factor for MetS, IR, DM and cardiovascular diseases (CVD). However, there is no clearly defined mechanism of action, and supplementation guidelines on vitamin D (VD) in either prevention or treatment against MetS, IR, DM and CVD. The purpose of this study is to determine the strength of association between VD and MetS, IR, and DM in the general U.S. population. Methods: The study was done using the National Health and Nutrition Examination Survey (NHANES) 2005-2006 data. NHANES data represent the civilian, non-institutionalized US population. Subject recruitment was based on a multistage, stratified sampling method. Regression models were used to determine the relationship of vitamin D with DM, MetS and IR. Results: We found a consistent observation in which VD deficiency was significantly associated with DM (OR=2.16), MetS (OR=2.09) and IR (OR=1.83). Female gender, older age, and overweight - all positively associated with DM, MetS or IR. Conclusion: The inverse relationship of VD status with MetS, IR and DM indicates a strong support of increasing vitamin D intake as an inexpensive intervention strategy in the national endeavor to reduce the burden of MetS, IR, DM, and its complications.

Highlights

  • Metabolic syndrome (MetS) is a constellation of metabolic disorders, including obesity, glucose abnormality, hypertension and hyperlipidemia [1]

  • It has been increasingly recognized to play a protective role in MetS and cardiovascular diseases (CVD) [4, 5]

  • The analysis revealed an optimum concentration of 25(OH)D predicting vitD deficiency (VDD) and the associations with combined risk outcomes of MetS, namely, WC, high-density lipoprotein (HDL), TG, FBG and blood pressure CDC (BP)

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Summary

Introduction

Metabolic syndrome (MetS) is a constellation of metabolic disorders, including obesity, glucose abnormality, hypertension and hyperlipidemia [1]. MetS is highly associated with visceral adiposity, atherogenic dyslipidemia and endothelial dysfunction. Endothelial dysfunction that significantly contributes to atherosclerosis is the consequence of oxidative stress, advanced glycation products, increased free fatty acid (FFA), and inflammatory cytokines. It is a well-known fact that vitD regulates calcium metabolism for the development and maintenance of bone health. Vitamin D has recently gained attention as a protective factor for MetS, IR, DM and cardiovascular diseases (CVD). The purpose of this study is to determine the strength of association between VD and MetS, IR, and DM in the general U.S population. Conclusion: The inverse relationship of VD status with MetS, IR and DM indicates a strong support of increasing vitamin D intake as an inexpensive intervention strategy in the national endeavor to reduce the burden of MetS, IR, DM, and its complications

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