The association between vitamin D3 and diabetes in both hyperuricemia and non-hyperuricemia populations

Endocrine. 2021 Oct;74(1):90-99. doi: 10.1007/s12020-021-02778-y. Epub 2021 Jun 21.

Abstract

Background: Previous studies have shown that hyperuricemia is involved in diabetes, obesity, hypertension, chronic kidney disease, and other diseases. At the same time, studies have shown that vitamin D3 levels in the body are linked to the onset of diabetes. However, there is currently no sufficient evidence to prove whether this connection is affected by the uric acid level. Therefore, we attempted to investigate the association between vitamin D3 content and the occurrence of diabetes in populations with different uric acid levels though the data of NHANES database from 2009 to 2018.

Method: Using the NHANES database, we performed a cross-sectional analysis. The participants were chosen based on stringent inclusion and exclusion requirements. This study finally included a total number of 16,735 individuals. Multivariate logistic regression analysis was used to investigate the association between vitamin D3 and diabetes mellitus in hyperuricemia and non-hyperuricemia patients after complete adjustment, and multivariate linear regression analysis was used to illustrate the association between vitamin D3 and uric acid.

Result: The results showed that the association between vitamin D3 and diabetes was weakened in hyperuricemia patients (OR 0.95 (0.92,0.98)). An independent association was discovered between vitamin D3 and uric acid (β -0.12 (-0.16, -0.07)) in all groups of population.

Conclusions: This study shows that vitamin D3 content is associated with the incidence of diabetes in people with high level of uric acid. This study offers a fresh perspective on the elements that influence the etiology of diabetes in hyperuricemia patients.

Keywords: A cross-sectional study; Diabetes mellitus; Hyperuricemia; Linear regression; Logistic regression; Vitamin D3.

MeSH terms

  • Cholecalciferol
  • Cross-Sectional Studies
  • Diabetes Mellitus* / epidemiology
  • Humans
  • Hyperuricemia* / complications
  • Hyperuricemia* / epidemiology
  • Nutrition Surveys
  • Risk Factors

Substances

  • Cholecalciferol