Department of Internal Medicine, Eulji Medical College, Seoul 139-872, Korea.
Nutr Res Pract. 2011 Feb;5(1):34-9. doi: 10.4162/nrp.2011.5.1.34. Epub 2011 Feb 28.
The purpose of this study was to assess vitamin B(6) intake and status in Korean patients with newly diagnosed type 2 diabetes. Sixty-four patients with newly diagnosed type 2 diabetes and 8-11% glycated hemoglobin (A1C), along with 28 age-matched non-diabetic subjects, participated. Dietary vitamin B(6) intake was estimated by the 24 hour recall method and plasma pyridoxal 5'-phosphate (PLP) was measured. There was a significant difference in daily total calorie intake between the diabetic and non-diabetic groups (1,917 ± 376 vs 2,093 ± 311 kcal). There were no differences in intake of total vitamin B(6) (2.51 ± 0.91 vs 2.53 ± 0.81 mg/d) or vitamin B(6)/1,000 kcal (1.31 ± 0.42 vs 1.20 ± 0.32 mg) between the diabetic and non-diabetic groups, andI intakes of total vitamin B(6) were above the Korean RDA in both groups (180.0 ± 57.9 vs 179.0 ± 65.4). There was a higher percentage of diabetic subjects whose plasma PLP concentration was < 30 nmol/L compared to non-diabetic group. Plasma PLP levels tended to be lower in the diabetic subjects than in the non-diabetic subjects, although the difference was not statistically significant due to a large standard deviation (80.0 ± 61.2 nmol/L vs 68.2 ± 38.5 nmol/L). Nevertheless, plasma PLP levels should be monitored in pre-diabetic patients with diabetic risk factors as well as in newly diagnosed diabetic patients for long-term management of diabetes, even though this factor is not a major risk factor that contributes to the development of degenerative complications in certain patients.
本研究旨在评估新诊断为 2 型糖尿病的韩国患者的维生素 B(6)摄入和状态。共纳入 64 例新诊断为 2 型糖尿病且糖化血红蛋白(A1C)为 8-11%的患者和 28 例年龄匹配的非糖尿病患者。通过 24 小时回顾法评估膳食维生素 B(6)摄入量,并测定血浆吡哆醛 5'-磷酸(PLP)水平。糖尿病组和非糖尿病组的每日总热量摄入存在显著差异(1917±376 与 2093±311 kcal)。两组间总维生素 B(6)摄入量(2.51±0.91 与 2.53±0.81 mg/d)或维生素 B(6)/1000 kcal(1.31±0.42 与 1.20±0.32 mg)均无差异,且两组总维生素 B(6)摄入量均高于韩国 RDA(180.0±57.9 与 179.0±65.4)。与非糖尿病组相比,糖尿病组有更高比例的患者血浆 PLP 浓度<30 nmol/L。尽管由于标准差较大,糖尿病组患者的血浆 PLP 水平低于非糖尿病组患者,但差异无统计学意义(80.0±61.2 nmol/L 与 68.2±38.5 nmol/L)。然而,即使该因素不是导致某些患者发生退行性并发症的主要危险因素,对于有糖尿病风险因素的糖尿病前期患者以及新诊断的糖尿病患者,仍应监测血浆 PLP 水平,以进行长期的糖尿病管理。