Yin Xiao, Yan Ling, Lu Yong, Jiang Qian, Pu Ying, Sun Qiang
Department of Endocrinology and Metabolism, Shandong University Affiliated Jinan Central Hospital, Jinan, China. Email:
Healthcare Department, Shandong University Affiliated Jinan Central Hospital, Jinan, China.
Asia Pac J Clin Nutr. 2016;25(1):71-7. doi: 10.6133/apjcn.2016.25.1.06.
Vitamin D deficiency is associated with a variety of chronic metabolic diseases. In vitro and animal studies suggest that vitamin D may play a crucial role in obesity and related metabolic disorders. Limited evidence regarding vitamin D deficiency exists within the Chinese population. The aims of the present study were to assess whether supplementation with vitamin D would improve metabolic indices in a middle-aged urban Chinese population.
We designed a randomized placebo controlled trial involving 126 metabolic syndrome sufferers with vitamin D deficiency, allocated to receive either a daily oral tablet contain 700 IU vitamin D or a matching placebo. Metabolic indices including body mass index, plasma glucose, lipid profile and other parameters were measured in subjects who completed a 12 months intervention trial.
There were significantly higher serum 25(OH)D and lower serum parathyroid hormone in vitamin D treatment group after the 12 months intervention, but no significant effect was observed for the metabolic variables which included body mass index, blood pressure, blood glucose and lipids in both treatment and control groups.
Correction of hypovitaminosis D did not improve the metabolic syndrome in this urban Chinese cohort. Further studies are warranted in order to elucidate the cause-effect relation between vitamin D status, obesity and related metabolic disorders.
维生素D缺乏与多种慢性代谢性疾病相关。体外和动物研究表明,维生素D可能在肥胖及相关代谢紊乱中起关键作用。中国人群中关于维生素D缺乏的证据有限。本研究的目的是评估补充维生素D是否会改善中国城市中年人群的代谢指标。
我们设计了一项随机安慰剂对照试验,纳入126名维生素D缺乏的代谢综合征患者,随机分为两组,分别每日口服含700 IU维生素D的片剂或匹配的安慰剂。在完成12个月干预试验的受试者中测量代谢指标,包括体重指数、血糖、血脂谱和其他参数。
12个月干预后,维生素D治疗组血清25(OH)D显著升高,血清甲状旁腺激素降低,但治疗组和对照组的体重指数、血压、血糖和血脂等代谢变量均未观察到显著变化。
纠正维生素D缺乏症并未改善该中国城市队列中的代谢综合征。有必要进行进一步研究以阐明维生素D状态、肥胖及相关代谢紊乱之间的因果关系。