1. Effect of serum 25 (OH) D and immune-related factors on subclinical atherosclerosis in patients with impaired glucose regulation.
- Author
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WANG Xiaomei, JIN Tao, WANG Xia, YU Shujing, and FEI Dadong
- Subjects
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CAROTID intima-media thickness , *CAROTID artery ultrasonography , *ATHEROSCLEROSIS , *LOGISTIC regression analysis , *GLUCOSE - Abstract
Objective: To explore the correlation between abnormal expression of serum 25(OH)D and immune-related factors and subclinical atherosclerosis (AS) in patients with impaired glucose regulation. Methods: A total of 142 patients with impaired glucose regulation admitted to Zaozhuang Municipal Hospital from December 2019 to April 2021 were selected. The patients with impaired glucose regulation were selected as the control group (n=86) and patients with subclinical atherosclerosis were selected as the observation group (n=56) according to carotid ultrasound examination and bramolecular pulse wave conduction velocity. The serum 25(OH)D and immune factors were compared between the two groups. Carotid ultrasound was used to measure the carotid inti-media thickness, and Pearson method was used to determine the correlation between the intimedia thickness, 25(OH)D and immune factors. Baseline data and hematological indicators were collected, univariate and multivariate Logistic regression analysis was performed to determine the influencing factors of subclinical atherosclerosis, and ROC curve was used to evaluate the diagnostic efficacy of serum 25(OH)D and immune factors in subclinical atherosclerosis. Results: The serum 25(OH)D [ (24.01 ±4.87) mmol/L vs (30.74±5.01)mmol/L, t=7.909, P=0.000) in the observation group was significantly lower than that of control group. TNF-α [(48.32± 8.02)ng/Lr vs (33.21±9.00)ng/L, t=10.199, P=0.000) and IL-6 [(41.22±9.43)ng/L vs (30.21±7.01)ng/L, t=7.492, P=0.000) in observation group were significantly higher than those in control group. Carotid intima-media thickness was negatively correlated with serum 25(OH)D (r=-0.428, P<0.001), and was positively correlated with serum TNF-α and IL-6 (r=0.574, 0.577, P<0.001). Logistic regression analysis showed that serum 25(OH)D (OR=0.520, 95%CI: 0.401~0.675), serum TNF-α (OR=1.667, 95%CI: 1.131~2.457) and serum IL-6 (OR=1.478, 95%CI: 1.213~1.802) were the influencing factors of subclinical atherosclerosis. ROC curve showed that the optimal cut-off value of serum 25 (OH) D was 28.32 mmol/L, and the corresponding sensitivity, specificity and AUC were 69.64%, 70.93% and 0.803 (95%CI: 0.749~0.855), respectively. The critical value of serum TNF-α was 40.56 ng/L, corresponding sensitivity was 71.43%, specificity was 72.09%, and AUC was 0.761 (95%CI: 0.717~0.823). Serum IL-6 cut-off value was 36.13 ng/L, corresponding sensitivity was 60.71%, specificity was 60.47%, and AUC was 0.627 (95%CI: 0.566~0.702). The sensitivity, specificity and AUC of regression analysis were 85.71%, 81.40% and 0.889(95%CI: 0.830~0.915). Conclusion: Serum 25 (OH)D and immune-related factors alone and in combination can effectively predict the occurrence of subclinical atherosclerosis, which is correlated with carotid intima-media thickness, and serum 25 (OH) D and immune-related factors are predictors of subclinical atherosclerosis. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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