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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Diabetol+Metab+Syndr
2015 ; 7
(ä): 53
Nephropedia Template TP
gab.com Text
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English Wikipedia
A prospective observational study of all-cause mortality in relation to serum
25-OH vitamin D3 and parathyroid hormone levels in patients with type 2 diabetes
#MMPMID26078787
Jennersjö P
; Guldbrand H
; Björne S
; Länne T
; Fredrikson M
; Lindström T
; Wijkman M
; Östgren CJ
; Nystrom FH
Diabetol Metab Syndr
2015[]; 7
(ä): 53
PMID26078787
show ga
BACKGROUND: Low levels of vitamin D have been related to increased mortality and
morbidity in several non-diabetic studies. We aimed to prospectively study
relationships between serum 25-OH vitamin D3 (vitamin D) and of serum parathyroid
hormone (PTH) to total mortality in type 2 diabetes. We also aimed to compare the
levels of these potential risk-factors in patients with and without diabetes.
METHODS: The main study design was prospective and observational. We used
baseline data from 472 men and 245 women who participated in the "Cardiovascular
Risk factors in Patients with Diabetes-a Prospective study in Primary care"
study. Patients were 55-66 years old at recruitment, and an age-matched
non-diabetic sample of 129 individuals constituted controls for the baseline
data. Carotid-femoral pulse-wave velocity (PWV) was measured with
applanation-tonometry and carotid intima-media thickness (IMT) with ultrasound.
Patients with diabetes were followed for all-cause mortality using the national
Swedish Cause of Death Registry. RESULTS: Levels of vitamin D were lower in
patients with diabetes than in controls, also after correction for age and
obesity, while PTH levels did not differ. Nine women and 24 men died during
6 years of median follow up of the final cohort (n?=?698). Vitamin D levels were
negatively related to all-cause mortality in men independently of age, PTH,
HbA1c, waist circumference, 24-h systolic ambulatory-blood pressure (ABP) and
serum-apoB (p?=?0.049). This finding was also statistically significant when PWV
and IMT were added to the analyses (p?=?0.028) and was not affected statistically
when medications were also included in the regression-analysis (p?=?0.01). In the
women with type 2 diabetes, levels of PTH were positively related with all-cause
mortality in the corresponding calculations (p?=?0.016 without PWV and IMT,
p?=?0.006 with PWV and IMT, p?=?0.045 when also adding medications to the
analysis), while levels of vitamin D was without statistical significance (p
>0.9). CONCLUSIONS: Serum vitamin D in men and serum PTH in women give prognostic
information in terms of total-mortality that are independent of regular risk
factors in addition to levels of ABP, IMT and PWV. TRIAL REGISTRATION:
ClinicalTrials.gov: NCT01049737.