PMID- 34234538 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220424 IS - 1178-7074 (Print) IS - 1178-7074 (Electronic) IS - 1178-7074 (Linking) VI - 14 DP - 2021 TI - Correlation Between 25 Hydroxyvitamin D Levels and Nonalcoholic Fatty Liver Disease in Chinese Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Study. PG - 3099-3107 LID - 10.2147/IJGM.S319449 [doi] AB - PURPOSE: We aimed to analyze the serum vitamin D level in Chinese patients with type 2 diabetes mellitus (T2DM) and discuss its correlation with nonalcoholic fatty liver disease (NAFLD). PATIENTS AND METHODS: A total of 300 patients with T2DM (92 patients without NAFLD and 208 patients with NAFLD) were enrolled, and 25-hydroxyvitamin D [25-(OH)D] levels were compared between the two groups. Second, the NAFLD fibrosis score (NFS) and fatty liver index (FLI) were used to group patients with T2DM complicated by NAFLD, and the differences in serum 25-(OH)D in patients with different degrees of liver fibrosis were compared. Third, multiple regression analysis was used to analyze the independent predictors of liver fibrosis in patients with T2DM complicated by NAFLD. RESULTS: The level of 25-(OH)D in patients with T2DM complicated by NAFLD was significantly lower than that in patients with T2DM alone. Based on the NFS and FLI, the 25-(OH)D level of the hepatic fibrosis subgroup was significantly lower than that of the subgroup without liver fibrosis. 25-(OH)D was found to be an independent predictor of liver fibrosis in patients with T2DM complicated by NAFLD. CONCLUSION: The serum 25-(OH)D level in patients with T2DM complicated by NAFLD was significantly reduced, and the 25-(OH)D level showed a gradual downward trend with the degree of liver fibrosis. Low concentrations of 25-(OH)D may be indicative of the degree of liver fibrosis in diabetic patients. CI - (c) 2021 Xiu et al. FAU - Xiu, Lei AU - Xiu L AD - Department of Endocrinology, Beijing Shijitan Hospital, Capital Medical University, Beijing, 100038, People's Republic of China. FAU - Jiang, Tao AU - Jiang T AUID- ORCID: 0000-0003-2081-1997 AD - Department of Endocrinology, Beijing Shijitan Hospital, Capital Medical University, Beijing, 100038, People's Republic of China. FAU - Yao, Xiao-Ai AU - Yao XA AD - Department of Endocrinology, Beijing Shijitan Hospital, Capital Medical University, Beijing, 100038, People's Republic of China. FAU - Wen, Zhen AU - Wen Z AD - Department of Endocrinology, Beijing Shijitan Hospital, Capital Medical University, Beijing, 100038, People's Republic of China. LA - eng PT - Journal Article DEP - 20210701 PL - New Zealand TA - Int J Gen Med JT - International journal of general medicine JID - 101515487 PMC - PMC8257066 OTO - NOTNLM OT - 25-hydroxyvitamin D OT - liver fibrosis OT - nonalcoholic fatty liver disease OT - type 2 diabetes mellitus COIS- All authors have no conflicts of interest to declare. EDAT- 2021/07/09 06:00 MHDA- 2021/07/09 06:01 PMCR- 2021/07/01 CRDT- 2021/07/08 06:37 PHST- 2021/05/16 00:00 [received] PHST- 2021/06/15 00:00 [accepted] PHST- 2021/07/08 06:37 [entrez] PHST- 2021/07/09 06:00 [pubmed] PHST- 2021/07/09 06:01 [medline] PHST- 2021/07/01 00:00 [pmc-release] AID - 319449 [pii] AID - 10.2147/IJGM.S319449 [doi] PST - epublish SO - Int J Gen Med. 2021 Jul 1;14:3099-3107. doi: 10.2147/IJGM.S319449. eCollection 2021.