绝经前后女性医务人员维生素D水平及其影响因素

Vitamin D levels in postmenopausal female medical staff and its influencing factors

  • 摘要:
    目的 分析绝经前后女性医务人员维生素D水平及其影响因素。
    方法 选取169例40~55岁女性医务人员为研究对象。采用问卷调查受试者基本信息、月经状况、既往病史、生活方式、补充维生素D、绝经激素治疗(MHT)等情况。检测受试者血清25羟基维生素D25(OH)D、抗苗勒氏管激素(AMH)、卵泡生成素(FSH)和雌激素(E2)水平。分析维生素D缺乏的影响因素。
    结果 受试者中位年龄为47(43, 51)岁; 生育晚期106例, 绝经过渡期34例,绝经后早期29例;血清25(OH)D平均水平为11.4(9.3, 15.7) ng/mL。血清25(OH)D水平正常者17例(10.06%), 不足57例(33.73%), 缺乏95例(56.21%)。117例(69.23%)每日接受不到日照, 49例(28.99%)每日日照时间短于0.5 h, 3例(1.78%)每日日照时间达0.5 h及以上。从未补充维生素D(OR=2.317, 95%CI: 1.198~4.482, P < 0.05)和从未接受MHT(OR=2.522, 95%CI: 1.141~5.573, P < 0.05)是绝经前后女性医务人员维生素D缺乏的危险因素。
    结论 绝经前后女性医务人员维生素D普遍缺乏,该类人群应增加室外活动、补充维生素D。

     

    Abstract:
    Objective To analyze the levels of vitamin D in postmenopausal female medical staff and its influencing factors.
    Methods A total of 169 female medical staff aged 40 to 55 years were selected as the study subjects. The subjects' basic information, menstrual status, past medical history, lifestyle, vitamin D supplementation and menopausal hormone therapy (MHT) were investigated by questionnaire. Serum levels of 25 hydroxyvitamin D 25(OH)D, anti-Mullerian hormone (AMH), follicle-producing hormone (FSH) and estrogen (E2) were measured. The influencing factors of vitamin D deficiency were analyzed.
    Results The median age of participants was 47(43, 51) years; there were 106 cases in late reproductive period, 34 cases in menopausal transition period and 29 cases in early postmenopausal period. The average level of serum 25(OH)D was 11.4(9.3, 15.7) ng/mL. Serum 25(OH)D level was normal in 17 cases (10.06%), insufficient in 57 cases (33.73%), and deficient in 95 cases (56.21%). One hundred and seventeen cases received no sunshine daily (69.23%), 49 cases (28.99%) received less than 0.5 h of sunshine daily, and 3 cases (1.78%) received 0.5 h or more sunshine daily. Never supplemented with vitamin D (OR=2.317; 95%CI, 1.198 to 4.482; P < 0.05) and never receiving MHT (OR=2.522; 95%CI, 1.141 to 5.573; P < 0.05) were risk factors for vitamin D deficiency in postmenopausal female medical staff.
    Conclusion Vitamin D deficiency is common among postmenopausal female medical staff, and these people should increase outdoor activities and supplement vitamin D.

     

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