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High prevalence of vitamin D insufficiency in China: relationship with the levels of parathyroid hormone and markers of bone turnover
There is a lack of large-scale studies on vitamin D status and its relationship to parathyroid hormone (PTH) and bone turnover markers in adults living in Shanghai. The objectives were to determine the prevalence of vitamin D insufficiency in Shanghai and to investigate the relationship of 25(OH)D w...
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Published in: | PloS one 2012-11, Vol.7 (11), p.e47264-e47264 |
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description | There is a lack of large-scale studies on vitamin D status and its relationship to parathyroid hormone (PTH) and bone turnover markers in adults living in Shanghai. The objectives were to determine the prevalence of vitamin D insufficiency in Shanghai and to investigate the relationship of 25(OH)D with parathyroid function and bone turnover markers. This cross-sectional study involved 649 men and 1939 women aged 20-89 years who were randomly sampled in Shanghai. Serum concentrations of 25(OH)D, PTH, albumin, and bone turnover markers were measured. During the winter season, the prevalence of vitamin D insufficiency ( |
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The objectives were to determine the prevalence of vitamin D insufficiency in Shanghai and to investigate the relationship of 25(OH)D with parathyroid function and bone turnover markers. This cross-sectional study involved 649 men and 1939 women aged 20-89 years who were randomly sampled in Shanghai. Serum concentrations of 25(OH)D, PTH, albumin, and bone turnover markers were measured. During the winter season, the prevalence of vitamin D insufficiency (<30 ng/mL) was 84% in males and 89% in females. The prevalence of vitamin D deficiency (<20 ng/mL) was 30% in males and 46% in females. With increasing serum 25(OH)D concentrations categorized as <10, 10-20, 20-30, and ≥30 ng/mL, the mean PTH and bone turnover markers levels gradually decreasd in both sexes (p<0.001). There was an inverse relationship between the serum 25(OH)D and PTH concentrations in both genders, but no threshold of 25(OH)D at which PTH levels plateaued was observed. There were modest but significantly inverse relationships between the levels of 25(OH)D and bone turnover markers, but no plateau was observed for serum 25(OH)D levels up to 40 ng/mL.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0047264</identifier><identifier>PMID: 23144810</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Adults ; Aged ; Aged, 80 and over ; Albumin ; Biology ; Biomarkers - blood ; Bone and Bones - metabolism ; Bone density ; Bone diseases ; Bone surgery ; Bone turnover ; China - epidemiology ; Cross-Sectional Studies ; Female ; Females ; Genetic research ; Hospitals ; Humans ; Lifestyles ; Liver ; Male ; Males ; Markers ; Medicine ; Mens health ; Metabolism ; Middle Aged ; Normal distribution ; Older people ; Orthopedics ; Osteoporosis ; Parathyroid ; Parathyroid hormone ; Parathyroid Hormone - blood ; Parathyroid hormones ; Population ; Prevalence ; Type 2 diabetes ; Vitamin D ; Vitamin D - blood ; Vitamin D Deficiency - blood ; Vitamin D Deficiency - epidemiology ; Vitamin D Deficiency - metabolism ; Vitamin deficiency ; Womens health ; Young Adult</subject><ispartof>PloS one, 2012-11, Vol.7 (11), p.e47264-e47264</ispartof><rights>COPYRIGHT 2012 Public Library of Science</rights><rights>2012 Lu et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: https://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2012 Lu et al 2012 Lu et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-89d4da7638c4b7a508bbb5789e44ea5d406b725bf527423e7ee9a0cb59288bcb3</citedby><cites>FETCH-LOGICAL-c692t-89d4da7638c4b7a508bbb5789e44ea5d406b725bf527423e7ee9a0cb59288bcb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1326725146/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1326725146?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23144810$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Ning, Yi</contributor><creatorcontrib>Lu, Han-Kui</creatorcontrib><creatorcontrib>Zhang, Zeng</creatorcontrib><creatorcontrib>Ke, Yao-Hua</creatorcontrib><creatorcontrib>He, Jin-Wei</creatorcontrib><creatorcontrib>Fu, Wen-Zhen</creatorcontrib><creatorcontrib>Zhang, Chang-Qing</creatorcontrib><creatorcontrib>Zhang, Zhen-Lin</creatorcontrib><title>High prevalence of vitamin D insufficiency in China: relationship with the levels of parathyroid hormone and markers of bone turnover</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>There is a lack of large-scale studies on vitamin D status and its relationship to parathyroid hormone (PTH) and bone turnover markers in adults living in Shanghai. The objectives were to determine the prevalence of vitamin D insufficiency in Shanghai and to investigate the relationship of 25(OH)D with parathyroid function and bone turnover markers. This cross-sectional study involved 649 men and 1939 women aged 20-89 years who were randomly sampled in Shanghai. Serum concentrations of 25(OH)D, PTH, albumin, and bone turnover markers were measured. During the winter season, the prevalence of vitamin D insufficiency (<30 ng/mL) was 84% in males and 89% in females. The prevalence of vitamin D deficiency (<20 ng/mL) was 30% in males and 46% in females. With increasing serum 25(OH)D concentrations categorized as <10, 10-20, 20-30, and ≥30 ng/mL, the mean PTH and bone turnover markers levels gradually decreasd in both sexes (p<0.001). There was an inverse relationship between the serum 25(OH)D and PTH concentrations in both genders, but no threshold of 25(OH)D at which PTH levels plateaued was observed. There were modest but significantly inverse relationships between the levels of 25(OH)D and bone turnover markers, but no plateau was observed for serum 25(OH)D levels up to 40 ng/mL.</description><subject>Adult</subject><subject>Adults</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Albumin</subject><subject>Biology</subject><subject>Biomarkers - blood</subject><subject>Bone and Bones - metabolism</subject><subject>Bone density</subject><subject>Bone diseases</subject><subject>Bone surgery</subject><subject>Bone turnover</subject><subject>China - epidemiology</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Females</subject><subject>Genetic research</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Lifestyles</subject><subject>Liver</subject><subject>Male</subject><subject>Males</subject><subject>Markers</subject><subject>Medicine</subject><subject>Mens health</subject><subject>Metabolism</subject><subject>Middle Aged</subject><subject>Normal distribution</subject><subject>Older people</subject><subject>Orthopedics</subject><subject>Osteoporosis</subject><subject>Parathyroid</subject><subject>Parathyroid hormone</subject><subject>Parathyroid Hormone - blood</subject><subject>Parathyroid hormones</subject><subject>Population</subject><subject>Prevalence</subject><subject>Type 2 diabetes</subject><subject>Vitamin D</subject><subject>Vitamin D - blood</subject><subject>Vitamin D Deficiency - blood</subject><subject>Vitamin D Deficiency - epidemiology</subject><subject>Vitamin D Deficiency - metabolism</subject><subject>Vitamin deficiency</subject><subject>Womens health</subject><subject>Young Adult</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNqNk82O0zAQxyMEYpeFN0BgCQnBocWOnTjmgLQqH1tppZX4ulpOMmm8uHGxnUIfgPfGabOrBu0B5eB4_Jv_jGc8SfKU4DmhnLy5tr3rlJlvbAdzjBlPc3YvOSWCprM8xfT-0f9J8sj7a4wzWuT5w-QkpYSxguDT5M-FXrVo42CrDHQVINugrQ5qrTv0HunO902jKx2PdnGHFq3u1FvkwKigbedbvUG_dGhRaAEZ2ILxg8JGORXanbO6Rq1165giUl2N1sr9ALdHysEW4hXsFtzj5EGjjIcn43qWfPv44eviYnZ59Wm5OL-cVblIw6wQNasVz2lRsZKrDBdlWWa8EMAYqKxmOC95mpVNlnKWUuAAQuGqzERaFGVV0rPk-UF3Y6yXYwW9JDTNox9heSSWB6K26lpunI4p76RVWu4N1q2kckFXBmTBeMymoAXUjGUsV7wBxYtM5E0tsMBR690YrS_XUFfQBafMRHR60ulWruxWUiZoloso8GoUcPZnDz7ItfYVGKM6sH3Mm2REEBF7H9EX_6B3326kVrHbUneNjXGrQVSeM86xIBkdws7voOJXw1pXsW-NjvaJw-uJQ2QC_A4r1Xsvl18-_z979X3KvjxiW1AmtN6afv_0piA7gJWz3jtobotMsBym5aYacpgWOU5LdHt23KBbp5vxoH8BtPEQ4w</recordid><startdate>20121108</startdate><enddate>20121108</enddate><creator>Lu, Han-Kui</creator><creator>Zhang, Zeng</creator><creator>Ke, Yao-Hua</creator><creator>He, Jin-Wei</creator><creator>Fu, Wen-Zhen</creator><creator>Zhang, Chang-Qing</creator><creator>Zhang, Zhen-Lin</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20121108</creationdate><title>High prevalence of vitamin D insufficiency in China: relationship with the levels of parathyroid hormone and markers of bone turnover</title><author>Lu, Han-Kui ; Zhang, Zeng ; Ke, Yao-Hua ; He, Jin-Wei ; Fu, Wen-Zhen ; Zhang, Chang-Qing ; Zhang, Zhen-Lin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-89d4da7638c4b7a508bbb5789e44ea5d406b725bf527423e7ee9a0cb59288bcb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Adults</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Albumin</topic><topic>Biology</topic><topic>Biomarkers - 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The objectives were to determine the prevalence of vitamin D insufficiency in Shanghai and to investigate the relationship of 25(OH)D with parathyroid function and bone turnover markers. This cross-sectional study involved 649 men and 1939 women aged 20-89 years who were randomly sampled in Shanghai. Serum concentrations of 25(OH)D, PTH, albumin, and bone turnover markers were measured. During the winter season, the prevalence of vitamin D insufficiency (<30 ng/mL) was 84% in males and 89% in females. The prevalence of vitamin D deficiency (<20 ng/mL) was 30% in males and 46% in females. With increasing serum 25(OH)D concentrations categorized as <10, 10-20, 20-30, and ≥30 ng/mL, the mean PTH and bone turnover markers levels gradually decreasd in both sexes (p<0.001). There was an inverse relationship between the serum 25(OH)D and PTH concentrations in both genders, but no threshold of 25(OH)D at which PTH levels plateaued was observed. There were modest but significantly inverse relationships between the levels of 25(OH)D and bone turnover markers, but no plateau was observed for serum 25(OH)D levels up to 40 ng/mL.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>23144810</pmid><doi>10.1371/journal.pone.0047264</doi><tpages>e47264</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Adults Aged Aged, 80 and over Albumin Biology Biomarkers - blood Bone and Bones - metabolism Bone density Bone diseases Bone surgery Bone turnover China - epidemiology Cross-Sectional Studies Female Females Genetic research Hospitals Humans Lifestyles Liver Male Males Markers Medicine Mens health Metabolism Middle Aged Normal distribution Older people Orthopedics Osteoporosis Parathyroid Parathyroid hormone Parathyroid Hormone - blood Parathyroid hormones Population Prevalence Type 2 diabetes Vitamin D Vitamin D - blood Vitamin D Deficiency - blood Vitamin D Deficiency - epidemiology Vitamin D Deficiency - metabolism Vitamin deficiency Womens health Young Adult |
title | High prevalence of vitamin D insufficiency in China: relationship with the levels of parathyroid hormone and markers of bone turnover |
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