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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">arthyper</journal-id><journal-title-group><journal-title xml:lang="ru">Артериальная гипертензия</journal-title><trans-title-group xml:lang="en"><trans-title>"Arterial’naya Gipertenziya" ("Arterial Hypertension")</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1607-419X</issn><issn pub-type="epub">2411-8524</issn><publisher><publisher-name>Antihypertensive League</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.18705/1607-419X-2013-19-1-66-75</article-id><article-id custom-type="elpub" pub-id-type="custom">arthyper-133</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОРИГИНАЛЬНАЯ СТАТЬЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORIGINAL ARTICLE</subject></subj-group></article-categories><title-group><article-title>УРОВЕНЬ 25(ОН) ВИТАМИНА D И КОМПОНЕНТЫ МЕТАБОЛИЧЕСКОГО СИНДРОМА У ЖЕНЩИН РЕПРОДУКТИВНОГО ВОЗРАСТА ПРИ РАЗЛИЧНОМ ГЕНОТИПЕ APAI ПОЛИМОРФИЗМА ГЕНА РЕЦЕПТОРА ВИТАМИНА D</article-title><trans-title-group xml:lang="en"><trans-title>VITAMIN D AND COMPONENTS OF METABOLIC SYNDROME IN WOMEN OF REPRODUCTIVE AGE WITH DIFFERENT GENOTYPES OF VITAMIN D RECEPTOR GENE APAI POLYMORPHISM</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Каронова</surname><given-names>Т. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Karonova</surname><given-names>T. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кандидат медицинских наук, ведущий научный сотрудник научно-исследовательской лаборатории клинической эндокринологии с группой нейроэндокринологии Института эндокринологии  ФЦСКЭ им. В.А. Алмазова,  ассистент кафедры терапии факультетской с курсом эндокринологии СПбГМУ им. акад. И.П. Павлова </p><p>Контактная информация: ГБОУ ВПО «Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова», кафедра терапии факультетской с курсом эндокринологии, ул. Л. Толстого, д. 6/8, Санкт-Петербург, Россия, 197022. Е-mail: karonova@mail.ru (Каронова Татьяна Леонидовна).</p></bio><bio xml:lang="en"><p>Corresponding author: Pavlov St Petersburg State Medical University, Department of Internal Diseases with the Course of Endocrinology № 1, 6/8 L. Tolstoy st., St Petersburg, Russia, 197022. E-mail: karonova@mail.ru (Tatiana L. Karonova, MD, PhD, Leading Researcher at the Research Laboratory of Clinical Endocrinology with the group of Neuroendocrinology at Endocrinology Institution at Almazov Federal Heart, Blood and Endocrinology Centre).</p><p> </p></bio><email xlink:type="simple">karonova@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Цветкова</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Tsvetkova</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Младший научный сотрудник Института эндокринологии ФЦСКЭ им. В.А. Алмазова</p></bio><email xlink:type="simple">karonova@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Клюшина</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Klushina</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Старший научный сотрудник Института молекулярной биологии и генетики ФЦСКЭ им. В.А. Алмазова</p></bio><email xlink:type="simple">karonova@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Михеева</surname><given-names>Е. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Mikheeva</surname><given-names>E. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Аспирант кафедры терапии факультетской с курсом эндокринологии СПбГМУ им. акад. И.П. Павлова</p></bio><email xlink:type="simple">karonova@mail.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Беляева</surname><given-names>О. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Belyaeva</surname><given-names>O. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Доктор медицинских наук, доцент кафедры терапии факультетской с курсом эндокринологии СПбГМУ им. акад. И.П. Павлова</p></bio><email xlink:type="simple">karonova@mail.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Костарева</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kostareva</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кандидат медицинских наук, директор Института молекулярной биологии и генетики ФЦСКЭ им. В.А. Алмазова</p></bio><email xlink:type="simple">karonova@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гринёва</surname><given-names>Е. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Grineva</surname><given-names>E. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Доктор медицинских наук, директор Института эндокринологии ФЦСКЭ им. В.А. Алмазова</p></bio><email xlink:type="simple">karonova@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральный Центр сердца, крови и эндокринологии им. В.А. Алмазова, Санкт-Петербург;&#13;
Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова, Санкт-Петербург</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Almazov Federal Heart, Blood and Endocrinology Centre, St Petersburg;&#13;
Pavlov St Petersburg State Medical University, St Petersburg</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Федеральный Центр сердца, крови и эндокринологии им. В.А. Алмазова, Санкт-Петербург</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Almazov Federal Heart, Blood and Endocrinology Centre, St Petersburg</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова, Санкт-Петербург</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pavlov St Petersburg State Medical University, St Petersburg</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2013</year></pub-date><pub-date pub-type="epub"><day>28</day><month>02</month><year>2013</year></pub-date><volume>19</volume><issue>1</issue><fpage>66</fpage><lpage>75</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Каронова Т.Л., Цветкова Е.В., Клюшина А.А., Михеева Е.П., Беляева О.Д., Костарева А.А., Гринёва Е.Н., 2013</copyright-statement><copyright-year>2013</copyright-year><copyright-holder xml:lang="ru">Каронова Т.Л., Цветкова Е.В., Клюшина А.А., Михеева Е.П., Беляева О.Д., Костарева А.А., Гринёва Е.Н.</copyright-holder><copyright-holder xml:lang="en">Karonova T.L., Tsvetkova E.V., Klushina A.A., Mikheeva E.P., Belyaeva O.D., Kostareva A.A., Grineva E.N.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://htn.almazovcentre.ru/jour/article/view/133">https://htn.almazovcentre.ru/jour/article/view/133</self-uri><abstract><sec><title>Актуальность</title><p>Актуальность. Исследования последних лет показали высокую распространенность дефицита 25(ОН) витамина D и его взаимосвязь с метаболическими болезнями. Однако взаимоотношения между уровнем витамина D, а также генетически обусловленным состоянием его рецептора и частотой встречаемости метаболического синдрома (МС) или отдельных его компонентов остаются противоречивыми.</p><p>Цель настоящего исследования — оценить взаимосвязь уровня 25(OH) витамина D в сыворотке крови с компонентами МС у женщин, носителей различных генотипов ApaI полиморфизма гена рецептора витамина D.</p><p>Результаты исследования выявили наличие недостатка/дефицита витамина D у 83,4 % обследованных женщин, при этом уровень 25(ОН)D и масса тела были связаны обратной корреляционной зависимостью. Было установлено, что у женщин с дефицитом витамина D риск наличия ожирения, дислипидемии был значительно выше, чем у лиц, имеющих нормальный уровень витамина D. Помимо этого, у женщин с дефицитом витамина D наблюдалась тенденция к увеличению риска наличия нарушений метаболизма глюкозы, в то время как частота встречаемости артериальной гипертензии и МС в целом не зависела от уровня обеспеченности витамином D. Распределение АА, Аа и аа генотипов и встречаемость А- и а-аллелей ApaI полиморфизма гена рецептора витамина D не различались у женщин репродуктивного возраста и в общей популяции. Встречаемость МС в целом и отдельных его компонентов значимо не отличались у носителей различных генотипов гена рецептора витамина D, но в то же время увеличение уровней общего холестерина и холестерина липопротеинов низкой плотности чаще наблюдалось у носителей А-аллеля ApaI полиморфизма данного гена.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Objective</title><p>Objective. Recent studies suggest high prevalence of vitamin D deﬁciency and its association with metabolic disturbances. However, the available data regarding the relationship between vitamin D level, vitamin D receptor gene polymorphisms and components of metabolic syndrome seem to be contradictory. We examined the interrelations between serum 25(OH)D and vitamin D receptor gene ApaI polymorphism with the parameters of metabolic syndrome.</p><p> Results of the study showed that 83,4 % of the study population had vitamin D deﬁciency/insufﬁiency and vitamin D level inversely correlated with body weight. Correlation analysis showed that women with vitamin D deﬁciency had higher risk of obesity and decreased high-density lipoproteins level than women with normal 25(OH)D level. Moreover, women with vitamin D deﬁciency showed a tendency for having impaired glucose metabolism. We did not ﬁsigniﬁcant associations between vitamin D level and blood pressure and metabolic syndrome. AA, Aa and aa genotypes prevalence and A/a allele incidence of ApaI vitamin D receptor gene polymorphism did not differ signiﬁcantly in study population and control group. A allele carriers had higher total cholesterol and low-density lipoproteins levels than other genotypes carriers.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>недостаток/дефицит витамина D</kwd><kwd>ожирение</kwd><kwd>сахарный диабет 2-го типа</kwd><kwd>дислипидемия</kwd><kwd>полиморфизм гена рецептора витамина D</kwd><kwd>метаболический синдром</kwd></kwd-group><kwd-group xml:lang="en"><kwd>vitamin D insufﬁciency/deﬁciency</kwd><kwd>obesity type 2 diabetes mellites</kwd><kwd>dyslipidemia</kwd><kwd>vitamin D receptor gene polymorphism</kwd><kwd>metabolic syndrome</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Kull M., Kallikorm R., Lember M. 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