Relação entre perfil cardiometabólico, status de vitamina d e polimorfismo bsmi do gene vdr em idosos

• Autor(a) principal: Issa, Chahira Taha Mah D Ibrahim
• Data de Publicação: 2014
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UFPB
• Texto Completo: https://repositorio.ufpb.br/jspui/handle/tede/4307
• topic: Idosos; Vitamina D; Estresse oxidativo; Hiperglicemia; Polimorfismo; Elderly; Vitamin D; Oxidative stress; Hyperglycemia; Polymorphism; CNPQ::CIENCIAS DA SAUDE::NUTRICAO

The high prevalence of hypovitaminosis D in the elderly population is identified as a potential risk factor for the development of cardiovascular diseases. The vitamin D receptor (VDR) is present in various body cells and polymorphisms of the gene encoding it can affect the cell responses to vitamin D. Therefore, this study aimed to evaluate the relationship between cardiometabolic profile, vitamin D status and BsmI polymorphism of the VDR gene in non-institutionalized elderly subjects. An observational cross-sectional study was conducted with a random and representative sample of 142 elderly subjects selected by conglomerate and recruited from a municipal assistance program. Clinical and nutritional, biochemical and inflammatory profiles, oxidative stress and genotyping for BsmI polymorphism were evaluated. For statistical analysis of data, significance level of p < 0.05 was adopted. Participants had mean age of 69.9 (7.0) years, BMI of 28.3 (4.4) kg / m² and 80.3 % were women. The prevalence of levels of 25 (OH) D < 30 ng / ml was 40.8 % (n = 58), three of them were deficient (25(OH) D < 20 ng / ml) and 55 were insufficient (25(OH) D between 21-29 ng/mL). The influencing factors associated with hypovitaminosis D were gender and fish consumption. The INSUF/DEF group showed fasting blood glucose and MDA values significantly higher when compared to the SUF group. The BsmI polymorphism analysis results showed allelic frequency for the SUF group of B = 0.49 and b = 0.51 and for INSUF/DEF group of B = 0.38 and b = 0.62. The frequency of homozygous bb was significantly associated with lower serum total cholesterol and LDL cholesterol concentrations compared to Bb both in the general population as in the SUF group, whose association was not observed in the INSUF/DEF group. Among individuals with bb, INSUF/DEF group showed higher levels of triglycerides and VLDL cholesterol. It was concluded that blood glucose levels and oxidative stress are increased in elderly subjects with hypovitaminosis D. The presence of genotype bb with adequate vitamin D levels resulted in lower total and LDL cholesterol levels, which benefit is lost when hypovitaminosis D is present. Therefore, low levels of vitamin D can be considered a risk factor for the development of cardiovascular diseases.