Ortega Rosa M, Aparicio Aránzazu, Rodríguez-Rodríguez Elena, Bermejo Laura M, Perea José M, López-Sobaler Ana M, Ruiz-Roso Baltasar, Andrés Pedro
Departamento de Nutrición, Facultad de Farmacia, Universidad Complutense, Madrid 28040, Spain.
Br J Nutr. 2008 Aug;100(2):269-72. doi: 10.1017/S0007114508894354.
The loss of weight was analysed in a group of sixty overweight/obese women of childbearing age (20-35 years) according to their initial vitamin D status. Subjects were randomly assigned to one of two slightly hypocaloric diets: Diet V, in which the consumption of vegetables was increased, or Diet C, in which the relative consumption of cereals (especially breakfast cereals) was increased. Dietetic, anthropometric and biochemical data were collected at the start of the study and again at 2 weeks after dividing the women into groups depending on their having an initial serum 25-hydroxyvitamin D (25(OH)D) concentration of < 50 nmol/l (LD) or>or=50 nmol/l (HD). Dietary intervention led to a reduction in energy intake, body weight and BMI in all groups. The HD women showed greater body fat losses during the study than the LD women (1.7 (SD 1.8) kg compared to 0.5 (SD 0.8) kg). A better vitamin D status therefore aided the loss of body fat over the experimental period (OR 0.462; CI 0.271, 0.785; P < 0.001). However, when the dietary groups were analysed separately, this effect was only seen in the C subjects (OR 0.300; CI 0.121, 0.748; P < 0.001). The present results suggest that women with a better vitamin D status respond more positively to hypocaloric diets and lose more body fat; this was especially clear among the C subjects who had a greater vitamin D supply during the experimental period.
根据一组60名育龄超重/肥胖女性(20 - 35岁)的初始维生素D状态分析体重减轻情况。受试者被随机分配到两种略低热量饮食中的一种:饮食V,增加蔬菜摄入量;或饮食C,增加谷物(特别是早餐谷物)的相对摄入量。在研究开始时以及根据女性初始血清25 - 羟基维生素D(25(OH)D)浓度<50 nmol/l(低剂量组,LD)或≥50 nmol/l(高剂量组,HD)分组两周后再次收集饮食、人体测量和生化数据。饮食干预导致所有组的能量摄入、体重和BMI下降。高剂量组女性在研究期间的体脂减少量比低剂量组女性更多(分别为1.7(标准差1.8)kg和0.5(标准差0.8)kg)。因此,更好的维生素D状态有助于在实验期间减少体脂(比值比0.462;可信区间0.271, 0.785;P < 0.001)。然而,当分别分析饮食组时,这种效果仅在饮食C组受试者中出现(比值比0.300;可信区间0.121, 0.748;P < 0.001)。目前的结果表明,维生素D状态较好的女性对低热量饮食的反应更积极,体脂减少更多;这在实验期间维生素D供应更多的饮食C组受试者中尤为明显。