Association of vitamin D status and the risk of cardiovascular disease as assessed by various cardiovascular risk scoring systems in patients with type 2 diabetes mellitus


SİVRİTEPE R., Basat S., Ortaboz D.

Aging Male, cilt.22, sa.2, ss.156-162, 2019 (Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 22 Sayı: 2
  • Basım Tarihi: 2019
  • Doi Numarası: 10.1080/13685538.2018.1499080
  • Dergi Adı: Aging Male
  • Derginin Tarandığı İndeksler: Scopus
  • Sayfa Sayıları: ss.156-162
  • Anahtar Kelimeler: BNF score, Framingham risk score, Type 2 diabetes mellitus, various cardiovascular risk scores, vitamin D deficiency
  • İstanbul Medipol Üniversitesi Adresli: Hayır

Özet

Objective: The aim of the present study was to evaluate the relationship between vitamin D (25[OH]D) status and the risk of cardiovascular disease as assessed by various cardiovascular risk scoring systems such as QRISK2, BNF, ASSING, SCORE, and Framingham in patients with type 2 diabetes mellitus(T2DM). Methods: The study included 108 patients with vitamin D insufficiency (25[OH]D ≥ 10–30 ng/mL) and 100 patients with vitamin D deficiency (25[OH]D < 10 ng/mL), who were admitted to the diabetes outpatient clinics due to T2DM and who were aged 45–65 years. QRISK2, BNF, ASSING, SCORE, and Framingham were calculated and compared between the two groups. Results: HbA1c levels were significantly higher in patients with vitamin D deficiency. Patients with vitamin D deficiency had significantly higher Framingham risk score (p <.001) and significantly lower BNF score (p <.001), whereas other scores did not significantly differ between the groups. There was a moderate, statistically significant correlation between 25[OH]D levels and Framingham risk score in negative direction (r = 0.537) and a weak but statistically significant correlation between 25[OH]D levels and BNF score (r = 0.295). 25[OH]D levels were significantly higher and HbA1c levels were significantly lower in patients with Framingham cardiovascular risk score ≤10%. Conclusion: We found a close relationship with Framingham cardiovascular risk score in diabetic patients with very low serum vitamin D levels. Cardiovascular risk as assessed by the Framingham’s scale increases with decreasing 25[OH]D levels. BNF score was negatively correlated with 25[OH]D levels.