健康超重/肥胖老年女性短期热量限制期间补充维生素D:对血糖指标和血清骨钙素水平的影响。

Vitamin D supplementation during short-term caloric restriction in healthy overweight/obese older women: Effect on glycemic indices and serum osteocalcin levels.

作者信息

Sukumar D, Shapses S A, Schneider S H

机构信息

Department of Nutrition Sciences, Drexel University, Philadelphia, PA, USA.

Department of Nutritional Sciences, Rutgers University, New Brunswick, NJ, USA.

出版信息

Mol Cell Endocrinol. 2015 Jul 15;410:73-7. doi: 10.1016/j.mce.2015.01.002. Epub 2015 Jan 7.

Abstract

The effect of vitamin D supplementation and caloric restriction (CR) on glycemic indices and osteocalcin (OC) is not clear. In this randomized controlled double blind trial, we examined whether vitamin D3 supplementation at 2500 IU/d (D) or placebo has differential effects on markers of insulin sensitivity and bone turnover in overweight/obese postmenopausal women during 6 weeks of caloric restriction (weight loss; WL, n = 39) compared to weight maintenance (WM, n = 37). Seventy-six women (57 ± 6 years) completed this study and the WL groups lost 4 ± 1% of body weight. Baseline serum 25-hydroxyvitamin D (25OHD) was 24.8 ± 5.6 ng/mL at baseline; the rise was greatest in WL-D group (p < 0.05). There was an interaction between vitamin D intake and weight on serum OC, insulin, glucose and markers of insulin sensitivity (p < 0.05). The change in OC was explained by changes in serum 25OHD and insulin (model R(2) = 25.6%). Overall, vitamin D supplementation and CR influence serum osteocalcin levels and modestly favor improvements in insulin sensitivity.

摘要

补充维生素D和热量限制(CR)对血糖指数和骨钙素(OC)的影响尚不清楚。在这项随机对照双盲试验中,我们研究了在热量限制(体重减轻;WL,n = 39)的6周期间,每天补充2500 IU/d的维生素D3(D组)或安慰剂对超重/肥胖绝经后女性胰岛素敏感性和骨转换标志物的影响,并与体重维持组(WM,n = 37)进行比较。76名女性(57±6岁)完成了本研究,WL组体重减轻了4±1%。基线时血清25-羟基维生素D(25OHD)为24.8±5.6 ng/mL;WL-D组的升高幅度最大(p < 0.05)。维生素D摄入量和体重对血清OC、胰岛素、葡萄糖及胰岛素敏感性标志物存在交互作用(p < 0.05)。血清25OHD和胰岛素的变化解释了OC的变化(模型R(2)=25.6%)。总体而言,补充维生素D和CR会影响血清骨钙素水平,并适度有利于胰岛素敏感性的改善。

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