Associação entre vitamina D e saúde metabólica de indivíduos adultos: Estudo Pró-Saúde
Ano de defesa: | 2019 |
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Autor(a) principal: | |
Outros Autores: | |
Orientador(a): | |
Banca de defesa: | , |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade do Estado do Rio de Janeiro
|
Programa de Pós-Graduação: |
Programa de Pós-Graduação em Alimentação, Nutrição e Saúde
|
Departamento: |
Centro Biomédico::Instituto de Nutrição
|
País: |
Brasil
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://www.bdtd.uerj.br/handle/1/18559 |
Resumo: | This study investigated the association between serum concentrations of 25(OH)D and the metabolic health of adult subjects. This is a cross-sectional study nested within a cohort called Pró-Saúde Study (EPS). In parallel with the 4th study wave (2012-2013), 520 subjects were randomly invited to perform additional data collection. A total of 511 aged 33-79 years were included in the present study. Data collection included: total body mass and stature [for body mass index (BMI) calculation], blood pressure, biochemical indexes (triglycerides, total cholesterol and fractions, leptin, adiponectin, glucose, insulin, tumour necrosis factor alpha (TNF-α), interleukin 6 (IL-6), c-reactive protein (CRP) and 25-hydroxyvitamin D - 25(OH)D) and body composition, as well as socio-demographic and lifestyle factors. Participants were allocated according to their nutritional status (eutrophic, overweight and obese) and metabolic health (metabolically healthy - MH and unhealthy - MU) in 6 groups (phenotypes): eutrophic MH and MU, overweight MH and MU and obese MH and MU. The mean age was 51.7 ± 7.9 years, and 51.7% (n = 264) were female. Of the total participants, 2.0% were classified as obese MH, corresponding to 6.2% of the total obese individuals (n = 161). Serum 25(OH)D concentrations <20 ng/mL, indicating vitamin D insufficiency, were prevalent in 56.0% of the entire sample. In subgroups with the same nutritional status, no significant differences in 25(OH)D concentrations were observed between individuals classified as MH or MU. Serum 25(OH)D concentrations were lower (p-value <0.05) in obese individuals (defined by both BMI and body fat percentage) and were affected by metabolic health factor (p-value= 0.02). After adjusting for confounding factors, 25(OH)D was inversely associated with total fat mass, subcutaneous adipose tissue (SAT), visceral adipose tissue (VAT), insulin, triglycerides, TNF-α, HOMA-IR and leptin. Considering the crude model of logistic regression, there was no association between 25(OH)D and metabolic health, defined by the set of criteria adopted. Therefore, the results of the present study suggest that 25(OH)D concentrations are more related to the nutritional status of the individuals than to the metabolic health itself and do not contribute to the determination of a healthy metabolic profile, at least considering the adopted metabolic health classification. |
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Bezerra, Flávia Fiorucihttp://lattes.cnpq.br/1523963949057333Klein, Márcia Regina Simas Torreshttp://lattes.cnpq.br/8755810383117085Neves, Fabrícia Junqueira dashttp://lattes.cnpq.br/1874154489225318http://lattes.cnpq.br/1535351949653863Oliveira, Mitsu de Azevedomitsuazevedo@gmail.com2022-10-28T12:27:25Z2019-07-30OLIVEIRA, Mitsu de Azevedo. Associação entre vitamina D e saúde metabólica de indivíduos adultos: Estudo Pró-Saúde. 2019. 112 f. Dissertação (Mestrado em Alimentação, Nutrição e Saúde) - Instituto de Nutrição, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 2019.http://www.bdtd.uerj.br/handle/1/18559This study investigated the association between serum concentrations of 25(OH)D and the metabolic health of adult subjects. This is a cross-sectional study nested within a cohort called Pró-Saúde Study (EPS). In parallel with the 4th study wave (2012-2013), 520 subjects were randomly invited to perform additional data collection. A total of 511 aged 33-79 years were included in the present study. Data collection included: total body mass and stature [for body mass index (BMI) calculation], blood pressure, biochemical indexes (triglycerides, total cholesterol and fractions, leptin, adiponectin, glucose, insulin, tumour necrosis factor alpha (TNF-α), interleukin 6 (IL-6), c-reactive protein (CRP) and 25-hydroxyvitamin D - 25(OH)D) and body composition, as well as socio-demographic and lifestyle factors. Participants were allocated according to their nutritional status (eutrophic, overweight and obese) and metabolic health (metabolically healthy - MH and unhealthy - MU) in 6 groups (phenotypes): eutrophic MH and MU, overweight MH and MU and obese MH and MU. The mean age was 51.7 ± 7.9 years, and 51.7% (n = 264) were female. Of the total participants, 2.0% were classified as obese MH, corresponding to 6.2% of the total obese individuals (n = 161). Serum 25(OH)D concentrations <20 ng/mL, indicating vitamin D insufficiency, were prevalent in 56.0% of the entire sample. In subgroups with the same nutritional status, no significant differences in 25(OH)D concentrations were observed between individuals classified as MH or MU. Serum 25(OH)D concentrations were lower (p-value <0.05) in obese individuals (defined by both BMI and body fat percentage) and were affected by metabolic health factor (p-value= 0.02). After adjusting for confounding factors, 25(OH)D was inversely associated with total fat mass, subcutaneous adipose tissue (SAT), visceral adipose tissue (VAT), insulin, triglycerides, TNF-α, HOMA-IR and leptin. Considering the crude model of logistic regression, there was no association between 25(OH)D and metabolic health, defined by the set of criteria adopted. Therefore, the results of the present study suggest that 25(OH)D concentrations are more related to the nutritional status of the individuals than to the metabolic health itself and do not contribute to the determination of a healthy metabolic profile, at least considering the adopted metabolic health classification.Este estudo investigou a associação entre as concentrações séricas de 25(OH)D e a saúde metabólica de indivíduos adultos. Trata-se de um estudo seccional aninhado em uma coorte denominada Estudo Pró-Saúde (EPS). Durante a 4a fase do estudo (2012-2013), 520 indivíduos foram randomicamente convidados a realizar avaliações complementares. Destes, 511 indivíduos com idade entre 33 e 79 anos foram incluídos no presente estudo. Foram coletados dados de massa corporal total e estatura, para o cálculo do índice de massa corporal (IMC), de pressão arterial, bioquímicos [triglicerídeos, colesterol total e frações, leptina, adiponectina, glicose, insulina, fator de necrose tumoral alfa (TNF-α), interleucina 6 (IL-6), proteína C-reativa (PCR) e 25-hidroxivitamina D - 25(OH)D] e de composição corporal, além de sócio-demográficos e de estilo de vida. Os participantes foram alocados em função do seu estado nutricional (eutrófico, sobrepeso e obeso) e de saúde metabólica, seguindo a definição harmonizada proposta por Ortega, Lavie e Blair, de 2016 (metabolicamente saudável – MS e não saudável - MNS), em 6 grupos (fenótipos): eutrófico MS e MNS, sobrepeso MS e MNS e obeso MS e MNS. A idade dos participantes foi em média 51,7 ± 7,9 anos e o percentual de mulheres foi de 51,7% (n = 264). Do total de participantes, 2,0% foram classificados como obesos MS, correspondendo a 6,2% do total de indivíduos obesos (n = 161). Do total de indivíduos estudados, 56,0% apresentaram concentrações de 25(OH)D < 20 ng/mL, compatível com inadequação de vitamina D. Nos subgrupos de mesmo estado nutricional, não foram observadas diferenças significativas entre as concentrações de 25(OH)D de indivíduos classificados como MS ou MNS. Após ajuste por covariáveis, as concentrações de 25(OH)D foram menores (p-valor <0,05) nos indivíduos obesos (definidos tanto pelo IMC quanto pelo percentual de gordura corporal). Após ajuste por fatores de confusão, a 25(OH)D se associou inversamente com massa gorda total, tecido adiposo subcutâneo (TAS), tecido adiposo visceral (TAV), insulina, triglicerídeos, TNF-α, HOMA-IR e leptina. A partir do modelo bruto de regressão logística, não foi observada associação entre 25(OH)D e saúde metabólica definida pelo conjunto de critérios adotado. Portanto, os resultados do presente estudo sugerem que as concentrações de 25(OH)D estão mais relacionadas ao estado nutricional dos indivíduos do que à saúde metabólica propriamente dita e não contribuem para a determinação de um perfil metabólico saudável, ao menos considerando a classificação de saúde metabólica utilizada.Submitted by Mariangela CEH/A (marianfig.uerj@gmail.com) on 2022-10-28T12:27:25Z No. of bitstreams: 2 Dissertação - Mitsu de Azevedo Oliveira - 2019 - Completa.pdf: 1757175 bytes, checksum: b931a56e776c39e13653abc767ee47c3 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Made available in DSpace on 2022-10-28T12:27:25Z (GMT). No. of bitstreams: 2 Dissertação - Mitsu de Azevedo Oliveira - 2019 - Completa.pdf: 1757175 bytes, checksum: b931a56e776c39e13653abc767ee47c3 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2019-07-30Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESapplication/pdfporUniversidade do Estado do Rio de JaneiroPrograma de Pós-Graduação em Alimentação, Nutrição e SaúdeUERJBrasilCentro Biomédico::Instituto de Nutriçãohttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessMetabolically healthy obesityMetabolic healthVitamin DNutriçãoObesidadeSaúde metabólicaVitamina DObesidade metabolicamente saudávelCIENCIAS DA SAUDE::NUTRICAO::DIETETICAAssociação entre vitamina D e saúde metabólica de indivíduos adultos: Estudo Pró-SaúdeAssociation between vitamin D and metabolic health of adults: Pró-Saúde Studyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisreponame:Biblioteca Digital de Teses e Dissertações da UERJinstname:Universidade do Estado do Rio de Janeiro (UERJ)instacron:UERJORIGINALDissertação - Mitsu de Azevedo Oliveira - 2019 - Completa.pdfDissertação - Mitsu de Azevedo Oliveira - 2019 - Completa.pdfapplication/pdf1757175http://www.bdtd.uerj.br/bitstream/1/18559/5/Disserta%C3%A7%C3%A3o+-+Mitsu+de+Azevedo+Oliveira+-+2019+-+Completa.pdfb931a56e776c39e13653abc767ee47c3MD55CC-LICENSElicense_urllicense_urltext/plain; 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dc.title.por.fl_str_mv |
Associação entre vitamina D e saúde metabólica de indivíduos adultos: Estudo Pró-Saúde |
dc.title.alternative.eng.fl_str_mv |
Association between vitamin D and metabolic health of adults: Pró-Saúde Study |
title |
Associação entre vitamina D e saúde metabólica de indivíduos adultos: Estudo Pró-Saúde |
spellingShingle |
Associação entre vitamina D e saúde metabólica de indivíduos adultos: Estudo Pró-Saúde Oliveira, Mitsu de Azevedo Metabolically healthy obesity Metabolic health Vitamin D Nutrição Obesidade Saúde metabólica Vitamina D Obesidade metabolicamente saudável CIENCIAS DA SAUDE::NUTRICAO::DIETETICA |
title_short |
Associação entre vitamina D e saúde metabólica de indivíduos adultos: Estudo Pró-Saúde |
title_full |
Associação entre vitamina D e saúde metabólica de indivíduos adultos: Estudo Pró-Saúde |
title_fullStr |
Associação entre vitamina D e saúde metabólica de indivíduos adultos: Estudo Pró-Saúde |
title_full_unstemmed |
Associação entre vitamina D e saúde metabólica de indivíduos adultos: Estudo Pró-Saúde |
title_sort |
Associação entre vitamina D e saúde metabólica de indivíduos adultos: Estudo Pró-Saúde |
author |
Oliveira, Mitsu de Azevedo |
author_facet |
Oliveira, Mitsu de Azevedo mitsuazevedo@gmail.com |
author_role |
author |
author2 |
mitsuazevedo@gmail.com |
author2_role |
author |
dc.contributor.advisor1.fl_str_mv |
Bezerra, Flávia Fioruci |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/1523963949057333 |
dc.contributor.referee1.fl_str_mv |
Klein, Márcia Regina Simas Torres |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/8755810383117085 |
dc.contributor.referee2.fl_str_mv |
Neves, Fabrícia Junqueira das |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/1874154489225318 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/1535351949653863 |
dc.contributor.author.fl_str_mv |
Oliveira, Mitsu de Azevedo mitsuazevedo@gmail.com |
contributor_str_mv |
Bezerra, Flávia Fioruci Klein, Márcia Regina Simas Torres Neves, Fabrícia Junqueira das |
dc.subject.eng.fl_str_mv |
Metabolically healthy obesity Metabolic health Vitamin D |
topic |
Metabolically healthy obesity Metabolic health Vitamin D Nutrição Obesidade Saúde metabólica Vitamina D Obesidade metabolicamente saudável CIENCIAS DA SAUDE::NUTRICAO::DIETETICA |
dc.subject.por.fl_str_mv |
Nutrição Obesidade Saúde metabólica Vitamina D Obesidade metabolicamente saudável |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::NUTRICAO::DIETETICA |
description |
This study investigated the association between serum concentrations of 25(OH)D and the metabolic health of adult subjects. This is a cross-sectional study nested within a cohort called Pró-Saúde Study (EPS). In parallel with the 4th study wave (2012-2013), 520 subjects were randomly invited to perform additional data collection. A total of 511 aged 33-79 years were included in the present study. Data collection included: total body mass and stature [for body mass index (BMI) calculation], blood pressure, biochemical indexes (triglycerides, total cholesterol and fractions, leptin, adiponectin, glucose, insulin, tumour necrosis factor alpha (TNF-α), interleukin 6 (IL-6), c-reactive protein (CRP) and 25-hydroxyvitamin D - 25(OH)D) and body composition, as well as socio-demographic and lifestyle factors. Participants were allocated according to their nutritional status (eutrophic, overweight and obese) and metabolic health (metabolically healthy - MH and unhealthy - MU) in 6 groups (phenotypes): eutrophic MH and MU, overweight MH and MU and obese MH and MU. The mean age was 51.7 ± 7.9 years, and 51.7% (n = 264) were female. Of the total participants, 2.0% were classified as obese MH, corresponding to 6.2% of the total obese individuals (n = 161). Serum 25(OH)D concentrations <20 ng/mL, indicating vitamin D insufficiency, were prevalent in 56.0% of the entire sample. In subgroups with the same nutritional status, no significant differences in 25(OH)D concentrations were observed between individuals classified as MH or MU. Serum 25(OH)D concentrations were lower (p-value <0.05) in obese individuals (defined by both BMI and body fat percentage) and were affected by metabolic health factor (p-value= 0.02). After adjusting for confounding factors, 25(OH)D was inversely associated with total fat mass, subcutaneous adipose tissue (SAT), visceral adipose tissue (VAT), insulin, triglycerides, TNF-α, HOMA-IR and leptin. Considering the crude model of logistic regression, there was no association between 25(OH)D and metabolic health, defined by the set of criteria adopted. Therefore, the results of the present study suggest that 25(OH)D concentrations are more related to the nutritional status of the individuals than to the metabolic health itself and do not contribute to the determination of a healthy metabolic profile, at least considering the adopted metabolic health classification. |
publishDate |
2019 |
dc.date.issued.fl_str_mv |
2019-07-30 |
dc.date.accessioned.fl_str_mv |
2022-10-28T12:27:25Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
OLIVEIRA, Mitsu de Azevedo. Associação entre vitamina D e saúde metabólica de indivíduos adultos: Estudo Pró-Saúde. 2019. 112 f. Dissertação (Mestrado em Alimentação, Nutrição e Saúde) - Instituto de Nutrição, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 2019. |
dc.identifier.uri.fl_str_mv |
http://www.bdtd.uerj.br/handle/1/18559 |
identifier_str_mv |
OLIVEIRA, Mitsu de Azevedo. Associação entre vitamina D e saúde metabólica de indivíduos adultos: Estudo Pró-Saúde. 2019. 112 f. Dissertação (Mestrado em Alimentação, Nutrição e Saúde) - Instituto de Nutrição, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 2019. |
url |
http://www.bdtd.uerj.br/handle/1/18559 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade do Estado do Rio de Janeiro |
dc.publisher.program.fl_str_mv |
Programa de Pós-Graduação em Alimentação, Nutrição e Saúde |
dc.publisher.initials.fl_str_mv |
UERJ |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Centro Biomédico::Instituto de Nutrição |
publisher.none.fl_str_mv |
Universidade do Estado do Rio de Janeiro |
dc.source.none.fl_str_mv |
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UERJ |
institution |
UERJ |
reponame_str |
Biblioteca Digital de Teses e Dissertações da UERJ |
collection |
Biblioteca Digital de Teses e Dissertações da UERJ |
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Biblioteca Digital de Teses e Dissertações da UERJ - Universidade do Estado do Rio de Janeiro (UERJ) |
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bdtd.suporte@uerj.br |
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