Tehran University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
The Optimal Vitamin D Cut-Off Value Associated With Hyperglycemia in an Iranian Population Publisher



Alaeishahmiri F1 ; Khamseh ME1 ; Manhoei K2 ; Yadegari H2 ; Kazemi H2 ; Meshkini M3
Authors
Show Affiliations
Authors Affiliations
  1. 1. 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
  2. 2. SAIPA Corporation, Tehran, Iran
  3. 3. Department of Epidemiology, School of Public Health, Iran University of Medical Sciences (IUMS), Tehran, Iran

Source: Journal of Diabetes and Metabolic Disorders Published:2020


Abstract

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: To evaluate the relationship between vitamin D status and hyperglycemia among the workers’ population. 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: 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); p = 0.01]. The association between 25(OH)D and FBG remained significant after adjustment for potential confounders (p = 0.008). Using the ROC analysis, the serum 25(OH)D value of 14.7 ng/ml was the optimal cut-off point to predict hyperglycemia in this population (sensitivity: 63.6%, specificity: 62.3%, p = 0.01). Conclusion: 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. © 2019, Springer Nature Switzerland AG.
Other Related Docs
27. High Prevalence of Vitamin D Deficiency in Newly Diagnosed Acute Myeloid Leukemia Patients and Its Adverse Outcome, International Journal of Hematology-Oncology and Stem Cell Research (2017)