Association of vitamin D deficiency with diabetic peripheral neuropathy and diabetic nephropathy in Tianjin, China

Leping Fan ； Yue Zhang ； Jie Zhu ； Yixuan Song ； Jingna Lin

《Asia Pacific Journal of Clinical Nutrition》 預刊文章 Pp. 1-15

https://doi.org/10.6133/apjcn.062017.11

摘要

Background and Objectives: To evaluate the association of vitamin D deficiency with type 2 diabetic peripheral neuropathy (DPN) and diabetic nephropathy (DN). Methods and Study Design: A total of 287 type 2 diabetic patients were categorized in two ways, and each divided into two groups: DPN (n=164) and non-DPN (NDPN) groups (n=123); and DN (n=148) and non-DN (NDN) groups (n=139). Enzyme-linked immunosorbent assay was used to measure the 25-hydroxy vitamin D [25(OH)D_3] level. Correlation analysis between 25(OH)D_3 and other indicators was performed. Results: 25(OH)D_3 levels were lower in the DPN and DN groups than in the NDPN and NDN groups, and the difference was statistically significant (t =-6.233, -4.378, p=0.000). Moreover, a higher proportion of patients in the DPN and DN groups exhibited vitamin D deficiency than those in the NDPN and NDN groups (χ^2=22.231, 15.973, respectively, p=0.000). Vitamin D was highly correlated with DPN, DN, diabetes duration, age, sex, fasting plasma glucose, blood urea nitrogen, total cholesterol, low density lipoprotein cholesterol, 24-h urinary microalbumin, and beta-2 microglobulin (r=-0.346-0.133, p＜0.05). Binary logistic regression analysis revealed that vitamin D deficiency is an independent risk factor for DPN and DN (OR=3.525, 95% confidence interval [CI]: 2.060-6.030; OR=2.934, 95% CI: 1.713-5.02; p=0.000). Conclusions: Vitamin D deficiency is closely correlated with DPN and DN and can be considered as an independent risk factor for DPN and DN.

關鍵字

type 2 diabetes mellitus ； Vitamin D ； peripheral neuropathy ； diabetic nephropathy ； diabetes duration