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. 2021 Mar 3;10(4):378–386. doi: 10.1530/EC-21-0006

Table 2.

Associations among blood lead level, vitamin D, bone turnover markers and metabolic factors.

Men Postmenopausal women
25(OH)D Vitamin D deficiency Blood lead level 25(OH)D Vitamin D deficiency Blood lead level
P1NP −0.12 (−0.18, −0.07) 0.05 (0.01, 0.09) 0.05 (0.02, 0.08) −0.15 (−0.21, −0.10) 0.12 (0.08, 0.17) 0.06 (0.03, 0.08)
N-MID osteocalcin −0.11 (−0.17, −0.06) 0.04 (−0.001, 0.07) 0.06 (0.03, 0.08) −0.13 (−0.19, −0.08) 0.08 (0.04, 0.12) 0.05 (0.02, 0.07)
β-CTX −0.12 (−0.19, −0.05) 0.06 (0.01, 0.10) 0.08 (0.05, 0.12) −0.16 (−0.23, −0.10) 0.10 (0.05, 0.15) 0.06 (0.03, 0.09)
BMI −0.20 (−0.68, 0.28) 0.38 (0.06, 0.71) 0.01 (−0.22, 0.25) −0.52 (−1.05, 0.01) 0.63 (0.21, 1.05) 0.37 (0.12, 0.62)
FPG −0.65 (−1.01, −0.29) 0.40 (0.16, 0.65) −0.05 (−0.23, 0.12) −0.16 (−0.50, 0.19) 0.37 (0.10, 0.64) −0.06 (−0.22, 0.10)
HbA1c −0.50 (−0.70, −0.29) 0.28 (0.14, 0.43) −0.09 (−0.19, 0.01) −0.18 (−037, 0.001) 0.23 (0.09, 0.38) −0.05 (−0.13, 0.04)
eGFR −2.12 (−4.36, 0.11) 1.78 (0.26, 3.30) −1.48 (−2.57, −0.40) −0.73 (−2.69, 1.23) 0.79 (−0.74, 2.33) −2.14 (−3.05, −1.23)
Total cholesterol −0.69 (−0.86, −0.53) 0.37 (0.25, 0.48) 0.09 (0.01, 0.17) 0.61 (−0.78, −0.45) 0.41 (0.28, 0.54) 0.03 (−0.05, 0.11)
Triglycerides −0.26 (−0.33, −0.18) 0.11 (0.06, 0.16) 0.04 (0.01, 0.08) −0.14 (−0.21, −0.08) 0.09 (−0.04, 0.14) 0.04 (0.01, 0.07)
HDL-C −0.07 (−0.10, −0.04) 0.04 (0.02, 0.07) −0.001 (−0.02, 0.02) −0.06 (−0.10, −0.02) 0.02 (−0.01, 0.06) −0.01 (−0.03, 0.01)
LDL-C −0.37 (−0.49, −0.25) 0.20 (0.12, 0.28) 0.06 (0.002, 0.12) −0.36 (−0.48, −0.24) 0.27 (0.17, 0.36) 0.02 (−0.03, 0.08)
Systolic blood pressure −3.75 (−6.27, −1.24) 1.82 (0.11, 3.54) 1.98 (0.76, 3.19) −2.29 (−4.67, 0.10) 1.27 (−0.60, 3.14) 0.35 (−0.76, 1.46)
Diastolic blood pressure −2.61 (−4.10, −1.12) 1.59 (0.57, 2.60) 0.56 (−0.16, 1.28) −0.70 (−2.07, 0.68) 0.84 (−0.24, 1.92) 0.47 (−1.17, 1.11)

A linear regression was performed. The model was adjusted for participant age, current smoking habits, BMI, dyslipidemia, hypertension, vitamin D intake, duration of diabetes and use of anti-osteoporosis medication. 25(OH)D, vitamin D deficiency and blood lead level were independent variables, and bone turnover markers and metabolic factors were dependent variables. 25(OH)D, blood lead level, P1NP, N-MID osteocalcin, β-CTX and triglycerides were natural logarithm-transformed. The bold indicates P < 0.05.

25(OH)D, 25-hydroxy vitamin D; CTX, collagen type 1 C-telopeptide; eGFR, estimated glomerular filtration rate; FPG, fasting plasma glucose; HDL-C, high-density lipoprotein; HbA1c, glycated hemoglobin; LDL-C, low-density lipoprotein; and P1NP, procollagen type 1 N-terminal propeptide.