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The Association between Serum Levels of 25[OH]D, Body Weight Changes and Body Composition Indices in Patients with Heart Failure
We try to determine the association between weight changes (WC), both loss or gain, body composition indices (BCI) and serum levels of 25[OH]D during heart failure (HF). WC was determined in 412 patients (14.3% female, aged: 53.6 ± 10.0 years, NYHA class: 2.5 ± 0.8). Body fat, fat percentage and fat...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7231116/ https://www.ncbi.nlm.nih.gov/pubmed/32344712 http://dx.doi.org/10.3390/jcm9041228 |
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author | Stefaniak, Apolonia Partyka, Robert Duda, Sylwia Ostręga, Weronika Niedziela, Jacek Nowak, Jolanta Malinowska-Borowska, Jolanta Rywik, Tomasz Leszek, Przemysław Hudzik, Bartosz Zubelewicz-Szkodzińska, Barbara Rozentryt, Piotr |
author_facet | Stefaniak, Apolonia Partyka, Robert Duda, Sylwia Ostręga, Weronika Niedziela, Jacek Nowak, Jolanta Malinowska-Borowska, Jolanta Rywik, Tomasz Leszek, Przemysław Hudzik, Bartosz Zubelewicz-Szkodzińska, Barbara Rozentryt, Piotr |
author_sort | Stefaniak, Apolonia |
collection | PubMed |
description | We try to determine the association between weight changes (WC), both loss or gain, body composition indices (BCI) and serum levels of 25[OH]D during heart failure (HF). WC was determined in 412 patients (14.3% female, aged: 53.6 ± 10.0 years, NYHA class: 2.5 ± 0.8). Body fat, fat percentage and fat-free mass determined by dual energy X-rays absorptiometry (DEXA) and serum levels of 25[OH]D were analyzed. Logistic regression was used to calculate odds ratios for 25[OH]D insufficiency (<30 ng/mL) or deficiency (<20 ng/mL) by quintiles of WC, in comparison to weight-stable subgroup. The serum 25[OH]D was lower in weight loosing than weight stable subgroup. In fully adjusted models the risk of either insufficient or deficient 25[OH]D levels was independent of BCI and HF severity markers. The risk was elevated in higher weight loss subgroups but also in weight gain subgroup. In full adjustment, the odds for 25[OH]D deficiency in the top weight loss and weight gain subgroups were 3.30; 95%CI: 1.37–7.93, p = 0.008 and 2.41; 95%CI: 0.91–6.38, p = 0.08, respectively. The risk of 25[OH]D deficiency/insufficiency was also independently associated with potential UVB exposure, but not with nutritional status and BCI. Metabolic instability in HF was reflected by edema-free WC, but not nutritional status. BCI is independently associated with deficiency/insufficiency of serum 25[OH]D. |
format | Online Article Text |
id | pubmed-7231116 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-72311162020-05-22 The Association between Serum Levels of 25[OH]D, Body Weight Changes and Body Composition Indices in Patients with Heart Failure Stefaniak, Apolonia Partyka, Robert Duda, Sylwia Ostręga, Weronika Niedziela, Jacek Nowak, Jolanta Malinowska-Borowska, Jolanta Rywik, Tomasz Leszek, Przemysław Hudzik, Bartosz Zubelewicz-Szkodzińska, Barbara Rozentryt, Piotr J Clin Med Article We try to determine the association between weight changes (WC), both loss or gain, body composition indices (BCI) and serum levels of 25[OH]D during heart failure (HF). WC was determined in 412 patients (14.3% female, aged: 53.6 ± 10.0 years, NYHA class: 2.5 ± 0.8). Body fat, fat percentage and fat-free mass determined by dual energy X-rays absorptiometry (DEXA) and serum levels of 25[OH]D were analyzed. Logistic regression was used to calculate odds ratios for 25[OH]D insufficiency (<30 ng/mL) or deficiency (<20 ng/mL) by quintiles of WC, in comparison to weight-stable subgroup. The serum 25[OH]D was lower in weight loosing than weight stable subgroup. In fully adjusted models the risk of either insufficient or deficient 25[OH]D levels was independent of BCI and HF severity markers. The risk was elevated in higher weight loss subgroups but also in weight gain subgroup. In full adjustment, the odds for 25[OH]D deficiency in the top weight loss and weight gain subgroups were 3.30; 95%CI: 1.37–7.93, p = 0.008 and 2.41; 95%CI: 0.91–6.38, p = 0.08, respectively. The risk of 25[OH]D deficiency/insufficiency was also independently associated with potential UVB exposure, but not with nutritional status and BCI. Metabolic instability in HF was reflected by edema-free WC, but not nutritional status. BCI is independently associated with deficiency/insufficiency of serum 25[OH]D. MDPI 2020-04-24 /pmc/articles/PMC7231116/ /pubmed/32344712 http://dx.doi.org/10.3390/jcm9041228 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Stefaniak, Apolonia Partyka, Robert Duda, Sylwia Ostręga, Weronika Niedziela, Jacek Nowak, Jolanta Malinowska-Borowska, Jolanta Rywik, Tomasz Leszek, Przemysław Hudzik, Bartosz Zubelewicz-Szkodzińska, Barbara Rozentryt, Piotr The Association between Serum Levels of 25[OH]D, Body Weight Changes and Body Composition Indices in Patients with Heart Failure |
title | The Association between Serum Levels of 25[OH]D, Body Weight Changes and Body Composition Indices in Patients with Heart Failure |
title_full | The Association between Serum Levels of 25[OH]D, Body Weight Changes and Body Composition Indices in Patients with Heart Failure |
title_fullStr | The Association between Serum Levels of 25[OH]D, Body Weight Changes and Body Composition Indices in Patients with Heart Failure |
title_full_unstemmed | The Association between Serum Levels of 25[OH]D, Body Weight Changes and Body Composition Indices in Patients with Heart Failure |
title_short | The Association between Serum Levels of 25[OH]D, Body Weight Changes and Body Composition Indices in Patients with Heart Failure |
title_sort | association between serum levels of 25[oh]d, body weight changes and body composition indices in patients with heart failure |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7231116/ https://www.ncbi.nlm.nih.gov/pubmed/32344712 http://dx.doi.org/10.3390/jcm9041228 |
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