Background and aims: Although vitamin D deficiency (VDD) is inversely associated with glucose intolerance, very limited data are available in Bangladesh. Thus, the study aimed to determine vitamin D status of Bangladeshi adults based on the glucose intolerance status. Materials & Methods: This cross-sectional study was carried out among 70 newly detected DM, age-group & sex-matched 76 newly detected pre-diabetes and 74 healthy control with normal glucose tolerance (NGT) based on American Diabetes Association, 2018 criteria. Participants were included consecutively from the Department of Endocrinology, Bangabandhu Sheikh Mujib Medical University (BSMMU) over a period of 1 year by convenient sampling to see serum 25(OH)D which was measured by high performance liquid chromatography (HPLC) method. Results: Vitamin D levels decreased with increasing degrees of glucose intolerance [NGT: 16.82±6.57; prediabetes: 15.54±8.58; T2DM: 11.01±6.03 ng/ml, p<0.001] but significantly lower in T2DM than other two groups [T2DM vs. prediabetes, p=0.001; T2DM vs. control, p<0.001; prediabetes vs. control, p=NS]. The highest frequency of vitamin D deficiency was among individuals with T2DM (64.3%) followed by NGT (29.7%) and prediabetes (28.9%) [p<0.001]. Only HbA1c had predictive association with vitamin D deficiency [OR (95%CI)=2.061 (1.178, 3.608), p=0.011]. Only DM but not pre-diabetes had predictive association with vitamin D deficiency compared with NGT [DM: OR (95%CI)=4.255 (2.117, 8.552), p<0.001; prediabetes: OR (95%CI)=0.963 (0.477, 1.946), p=0.916]. Conclusion: Vitamin D level was lower and frequency of vitamin D deficiency was higher in patients with DM. Only HbA1c and DM had predictive association with vitamin D deficiency.
Published in | International Journal of Diabetes and Endocrinology (Volume 6, Issue 1) |
DOI | 10.11648/j.ijde.20210601.15 |
Page(s) | 24-30 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2021. Published by Science Publishing Group |
Vitamin D, Type 2 Diabetes, Prediabetes, Bangladeshi Adults
[1] | Holick MF. Vitamin D: a d-lightful solution for health. J Investig Med. 2011; 59 (6): 872-80. doi: 10.2310/JIM.0b013e318214ea2d. |
[2] | Vimaleswaran KS, Cavadino A, Berry DJ, et al. Association of vitamin D status with arterial blood pressure and hypertension risk: a mendelian randomisation study. Lancet Diabetes Endocrinol. 2014; 2 (9): 719-29. doi: 10.1016/S2213-8587(14)70113-5. |
[3] | Scragg R, Sowers M, Bell C. Serum 25-hydroxyvitamin D, diabetes, and ethnicity in the Third National Health and Nutrition Examination Survey. Diabetes Care. 2004; 27 (12): 2813-8. doi: 10.2337/diacare.27.12.2813. |
[4] | Pludowski P, Holick MF, Pilz S, et al. Vitamin D effects on musculoskeletal health, immunity, autoimmunity, cardiovascular disease, cancer, fertility, pregnancy, dementia and mortality-a review of recent evidence. Autoimmun Rev. 2013; 12 (10): 976-89. doi: 10.1016/j.autrev.2013.02.004. |
[5] | Dhas Y, MishraN, Banerjee J. Vitamin D deficiency and oxidative stress in type 2 diabetic population of India. Cardiovasc Hematol Agents Med Chem. 2017; 14 (2): 82-9. doi: 10.2174/1871525714666160426150233. |
[6] | Scragg R, Holdaway I, Singh V, et al. Serum 25-hydroxyvitamin D3 levels decreased in impaired glucose tolerance and diabetes mellitus. Diabetes Res Clin Pract. 1995; 27 (3): 181-8. doi: 10.1016/0168-8227(95)01040-k. |
[7] | Hutchinson MS, Figenschau Y, Almås B, et al. Serum 25-hydroxyvitamin D levels in subjects with reduced glucose tolerance and type 2 diabetes - the Tromsø OGTT-study. Int J Vitam Nutr Res. 2011; 81 (5): 317-27. doi: 10.1024/0300-9831/a000079. |
[8] | Akter S, Rahman MM, Abe SK, et al. Prevalence of diabetes and prediabetes and their risk factors among Bangladeshi adults: a nationwide survey. Bull World Health Organ. 2014; 92 (3): 204-13, 213A. doi: 10.2471/BLT.13.128371. |
[9] | Mica A. Vitamin D status among Bangladeshi women of Reproductive age. Master Theses 1911, Feb2014. Avaiable at: https://scholarworks.umass.edu/cgi/viewcontent.cgi?article=1369&context=theses. |
[10] | American Diabetes Association. Classification and diagnosis of diabetes: standards of medical care in diabetes. Diabetes care. 2018; 41 (1): S13-S27.https://doi.org/10.2337/dc18-S002 |
[11] | Aloia JF. The 2011 report on dietary reference intake for vitamin D: where do we go from here? J Clin Endocrinol Metab. 2011; 96 (10): 2987–96, https://doi.org/10.1210/jc.2011-0090. |
[12] | Jayashri R, Venkatesan U, Shanthirani CS, et al. Prevalence of vitamin D deficiency in urban south Indians with different grades of glucose tolerance. Br J Nutr. 2020; 124 (2): 209-16. doi: 10.1017/S0007114520001129. |
[13] | Kostoglou-Athanassiou I, Athanassiou P, Gkountouvas A, et al. Vitamin D and glycemic control in diabetes mellitus type 2. Ther Adv Endocrinol Metab. 2013; 4 (4): 122-8. doi: 10.1177/2042018813501189. |
[14] | Darraj H, Badedi M, Poore KR, et al. Vitamin D deficiency and glycemic control among patients with type 2 diabetes mellitus in Jazan City, Saudi Arabia. Diabetes Metab Syndr Obes. 2019; 12: 853-862. doi: 10.2147/DMSO.S203700. |
[15] | Modi KD, Ahmed MI, Chandwani R, et al. Prevalence of vitamin D deficiency across the spectrum of glucose intolerance. J Diabetes Metab Disord. 2015; 14: 54. doi: 10.1186/s40200-015-0179-5. |
[16] | Srinath KM, Shashidhara KC, Rajeev-Reddy G, et al. Pattern of vitamin D status in prediabetic individuals: a case control study at tertiary hospital in South India. Int J Res Med Sci. 2016; 4 (4): 1010-5. doi: http://dx.doi.org/10.18203/2320-6012.ijrms20160706. |
[17] | Bhatt SP, Misra A, Gulati S, et al. Lower vitamin D levels are associated with higher blood glucose levels in Asian Indian women with pre-diabetes: a population-based cross-sectional study in North India. BMJ Open Diabetes Res Care. 2018; 6: e000501. doi: 10.1136/bmjdrc-2017-000501. |
[18] | Rhee SY, Hwang YC, Chung HY, et al. Vitamin D and diabetes in Koreans: analyses based on the Fourth Korea National Health and Nutrition Examination Survey (KNHANES), 2008-2009. Diabet Med. 2012; 29 (8): 1003-10. doi: 10.1111/j.1464-5491.2012.03575.x. |
[19] | Guan C, Zhen D, Tang X, et al. The status of 25-hydroxyvitamin D across the spectrum of glucose tolerance among middle-aged and elderly Chinese individuals. Clin Endocrinol (Oxf). 2014; 8 1 (6): 834-40. doi: 10.1111/cen.12574. |
[20] | Shankar A, Sabanayagam C, Kalidindi S. Serum 25-hydroxyvitamin D levels and prediabetes among subjects free of diabetes. Diabetes Care. 2011; 34 (5): 1114-9. doi: 10.2337/dc10-1203. |
[21] | Sahasrabuddhe AV, Pitale SU, Gupta M, et al. Study of vitamin D levels and its correlation with insulin resistance. Natl J Physiol Pharm Pharmacol. 2017; 7 (9): 963-7. doi: 10.5455/njppp.2017.7.0309424042017. |
[22] | Gulseth HL, Gjelstad IM, Tierney AC, et al. Serum vitamin D concentration does not predict insulin action or secretion in European subjects with the metabolic syndrome. Diabetes Care. 2010; 33 (4): 923-5. doi: 10.2337/dc09-1692. |
[23] | Chiu KC, Chu A, Go VL, et al. Hypovitaminosis D is associated with insulin resistance and beta cell dysfunction. Am J Clin Nutr. 2004; 79 (5): 820-5. doi: 10.1093/ajcn/79.5.820. |
[24] | Kayaniyil S, Vieth R, Retnakaran R, et al. Association of vitamin D with insulin resistance and beta-cell dysfunction in subjects at risk for type 2 diabetes. Diabetes Care. 2010; 33 (6): 1379-81. doi: 10.2337/dc09-2321. |
[25] | Sherwani SI, Khan HA, Ekhzaimy A, et al. Significance of HbA1c test in diagnosis and prognosis of diabetic patients. Biomark Insights. 2016; 11: 95-104. doi: 10.4137/BMI.S38440. |
APA Style
Mohammad Firoj Hossain, Mohammad Shahed-Morshed, Mohammed Fariduddin, Tahniyah Haq, Shahjada Selim, et al. (2021). Vitamin D Status in Different Categories of Glucose Intolerance in Bangladeshi Adults. International Journal of Diabetes and Endocrinology, 6(1), 24-30. https://doi.org/10.11648/j.ijde.20210601.15
ACS Style
Mohammad Firoj Hossain; Mohammad Shahed-Morshed; Mohammed Fariduddin; Tahniyah Haq; Shahjada Selim, et al. Vitamin D Status in Different Categories of Glucose Intolerance in Bangladeshi Adults. Int. J. Diabetes Endocrinol. 2021, 6(1), 24-30. doi: 10.11648/j.ijde.20210601.15
AMA Style
Mohammad Firoj Hossain, Mohammad Shahed-Morshed, Mohammed Fariduddin, Tahniyah Haq, Shahjada Selim, et al. Vitamin D Status in Different Categories of Glucose Intolerance in Bangladeshi Adults. Int J Diabetes Endocrinol. 2021;6(1):24-30. doi: 10.11648/j.ijde.20210601.15
@article{10.11648/j.ijde.20210601.15, author = {Mohammad Firoj Hossain and Mohammad Shahed-Morshed and Mohammed Fariduddin and Tahniyah Haq and Shahjada Selim and Muhammad Abul Hasanat and Mohammad Habibul Ghani and Anil Yadav and Ibrahim Faisal and Anil Kumar Shah}, title = {Vitamin D Status in Different Categories of Glucose Intolerance in Bangladeshi Adults}, journal = {International Journal of Diabetes and Endocrinology}, volume = {6}, number = {1}, pages = {24-30}, doi = {10.11648/j.ijde.20210601.15}, url = {https://doi.org/10.11648/j.ijde.20210601.15}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijde.20210601.15}, abstract = {Background and aims: Although vitamin D deficiency (VDD) is inversely associated with glucose intolerance, very limited data are available in Bangladesh. Thus, the study aimed to determine vitamin D status of Bangladeshi adults based on the glucose intolerance status. Materials & Methods: This cross-sectional study was carried out among 70 newly detected DM, age-group & sex-matched 76 newly detected pre-diabetes and 74 healthy control with normal glucose tolerance (NGT) based on American Diabetes Association, 2018 criteria. Participants were included consecutively from the Department of Endocrinology, Bangabandhu Sheikh Mujib Medical University (BSMMU) over a period of 1 year by convenient sampling to see serum 25(OH)D which was measured by high performance liquid chromatography (HPLC) method. Results: Vitamin D levels decreased with increasing degrees of glucose intolerance [NGT: 16.82±6.57; prediabetes: 15.54±8.58; T2DM: 11.01±6.03 ng/ml, p1c had predictive association with vitamin D deficiency [OR (95%CI)=2.061 (1.178, 3.608), p=0.011]. Only DM but not pre-diabetes had predictive association with vitamin D deficiency compared with NGT [DM: OR (95%CI)=4.255 (2.117, 8.552), p1c and DM had predictive association with vitamin D deficiency.}, year = {2021} }
TY - JOUR T1 - Vitamin D Status in Different Categories of Glucose Intolerance in Bangladeshi Adults AU - Mohammad Firoj Hossain AU - Mohammad Shahed-Morshed AU - Mohammed Fariduddin AU - Tahniyah Haq AU - Shahjada Selim AU - Muhammad Abul Hasanat AU - Mohammad Habibul Ghani AU - Anil Yadav AU - Ibrahim Faisal AU - Anil Kumar Shah Y1 - 2021/01/28 PY - 2021 N1 - https://doi.org/10.11648/j.ijde.20210601.15 DO - 10.11648/j.ijde.20210601.15 T2 - International Journal of Diabetes and Endocrinology JF - International Journal of Diabetes and Endocrinology JO - International Journal of Diabetes and Endocrinology SP - 24 EP - 30 PB - Science Publishing Group SN - 2640-1371 UR - https://doi.org/10.11648/j.ijde.20210601.15 AB - Background and aims: Although vitamin D deficiency (VDD) is inversely associated with glucose intolerance, very limited data are available in Bangladesh. Thus, the study aimed to determine vitamin D status of Bangladeshi adults based on the glucose intolerance status. Materials & Methods: This cross-sectional study was carried out among 70 newly detected DM, age-group & sex-matched 76 newly detected pre-diabetes and 74 healthy control with normal glucose tolerance (NGT) based on American Diabetes Association, 2018 criteria. Participants were included consecutively from the Department of Endocrinology, Bangabandhu Sheikh Mujib Medical University (BSMMU) over a period of 1 year by convenient sampling to see serum 25(OH)D which was measured by high performance liquid chromatography (HPLC) method. Results: Vitamin D levels decreased with increasing degrees of glucose intolerance [NGT: 16.82±6.57; prediabetes: 15.54±8.58; T2DM: 11.01±6.03 ng/ml, p1c had predictive association with vitamin D deficiency [OR (95%CI)=2.061 (1.178, 3.608), p=0.011]. Only DM but not pre-diabetes had predictive association with vitamin D deficiency compared with NGT [DM: OR (95%CI)=4.255 (2.117, 8.552), p1c and DM had predictive association with vitamin D deficiency. VL - 6 IS - 1 ER -