原创力文档association between vitamin d insufficiency and tuberculosis in a vietnamese population维生素d不足之间的联系和肺结核在越南的人口.pdfVIP
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association between vitamin d insufficiency and tuberculosis in a vietnamese population维生素d不足之间的联系和肺结核在越南的人口
Ho-Pham et al. BMC Infectious Diseases 2010, 10:306
/1471-2334/10/306
RESEARCH ARTICLE Open Access
Association between vitamin D insufficiency and
tuberculosis in a vietnamese population
1,2* 5,7 3 4 4 4
Lan T Ho-Pham , Nguyen D Nguyen , Tong T Nguyen , Dung H Nguyen , Phuong K Bui , Vien N Nguyen ,
Tuan V Nguyen5,6,7
Abstract
Background: Recent in vitro evidence suggests a link between vitamin D status and the risk of tuberculosis (TB).
This study sought to examine the association between vitamin D status, parathyroid hormone (PTH) and the risk of
TB in a Vietnamese population.
Methods: The study was designed as a matched case-control study, which involved 166 TB patients (113 men and
53 women), who were age-and-sex matched with 219 controls (113 men and 106 women). The average age of
men and women was 49 and 50, respectively. TB was diagnosed by the presence of acid-fast bacilli on smears
from sputum, and the isolation of M. tuberculosis. All patients were hospitalized for treatment in a TB specialist
hospital. Controls were randomly drawn from the general community within the Ho Chi Minh, Vietnam.
25-hydroxyvitamin D [25(OH)D] and PTH was measured prior to treatment by an electrochemiluminescence
immunoassay (ECLIA) on a Roche Elecsys. A serum level of 25(OH)D below 30 ng/mL was deemed to be vitamin D
insufficient.
Results: The prevalence of vitamin D insufficiency was 35.4% in men with TB and 19.5% in controls (P = 0.01). In
women, there were no significant differences in serum 25(OH)D and serum PTH levels between TB patients and
controls. The prevalence of vitamin D insufficiency in women with TB (45.3%) was not significantly different from
those without TB (47.6%; P = 0
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