Journal of Nutrition and Health

The Korean Nutrition Society (한국영양학회)
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Relationship of vitamin D status and obesity index in Korean women

한국 성인 여성의 비타민 D 영양상태와 비만지표와의 관계

  • Park, Ji-Young (Division of Food and Nutrition, Chonnam National University) ;
  • Heo, Young-Ran (Division of Food and Nutrition, Chonnam National University)
  • 박지영 (전남대학교 식품영양과학부) ;
  • 허영란 (전남대학교 식품영양과학부)
  • Received : 2016.02.02
  • Accepted : 2016.02.21
  • Published : 2016.02.29
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Abstract

Purpose: Vitamin D status is associated with several chronic diseases related to obesity. In this study, we evaluate the nutritional status of vitamin D and its relation to obesity indices in Korean women. Methods: A total of 156 healthy women participated. Vitamin D status (serum $25-OH-vitamin\;D_3$ level) and obesity indices (body mass index, body fat mass, waisthip ratio, and body fat percentage etc.) and serum lipid profiles and serum adipokine (leptin and adiponectin) levels were analyzed. Results: The $25(OH)D_3$ level showed an extremely skewed distribution from 4.1 ng/ml to 24.4 ng/ml and mean $25(OH)D_3$ level was $9.0{\pm}4.0ng/ml$. With cut-off level for vitamin D deficiency (< 12.0 ng/ml), insufficiency (12-19.9 ng/ml) and sufficiency (${\geq}20ng/ml$), 77.6%, 19.2%, and 3.2% of subjects showed vitamin D deficiency, insufficiency, and sufficiency status, respectively. The $25(OH)D_3$ level showed positive correlation with weight (r = 0.2461, p < 0.01), body mass index (r = 0.2913, p < 0.001), body fat contents (r = 0.1691, p < 0.05), fat free mass (r = 0.2330, p < 0.01), and waist hip ratio (r = 0.1749, p < 0.05) after adjusted by age. The $25(OH)D_3$ level showed no significant correlation with serum lipid profiles and adipokine levels. Conclusion: Most subjects (76.6%) in this study, who had a vitamin D deficient status and serum $25(OH)D_3$ level, showed positive correlation with several obesity indices, however further research based on a large Korean population is needed to confirm the relationship.

한국 성인 여성들을 대상으로 비타민 D 영양상태에 대한 기초자료를 얻고자 혈청 $25(OH)D_3$ 수준, 신체계측 및 체조성 분석, 일조시간 활동량, 혈중 지질 농도 및 아디포카인 농도를 측정하여, 혈중 $25(OH)D_3$ 수준과 비만지표와의 관계를 분석하였다. 156명의 연구 대상자 중 혈중 $25(OH)D_3$ 농도가 12 ng/ml 미만은 77% (121명)로 결핍상태에 해당하였고, 12~19.9 ng/ml는 19.2% (30명)으로 불충분상태에 해당하였으며 충분상태에 해당하는 20 ng/ml 이상은 3.2% (5명)으로 나타났다. 혈중 $25(OH)D_3$ 농도는 체중, 체질량지수, 체지방량, 허리엉덩이 비율과 유의한 양의 상관관계가 있어 비만지표와 양의 상관성을 보였다. 이러한 결과는 우리나라 성인 여성의 비타민 D 영양상태가 취약한 상태이고, 비만과의 관련 가능성이 있음을 나타내며, 이에 비타민 D 결핍예방을 위한 방안 강구가 필요함을 시사한다.

Keywords

References

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