Dhas Yogita, Mishra Neetu, Banerjee Joyita
Symbiosis School of Biomedical Sciences, Symbiosis International University, Lavale, Mulshi, Pune - 412115, India.
Cardiovasc Hematol Agents Med Chem. 2017;14(2):82-89. doi: 10.2174/1871525714666160426150233.
Vitamin D deficiency is common in metropolitan cities of India and worldwide due to faulty life style. The prevalence of vitamin D deficiency has tremendously increased in India despite the fact that it is located between 8.4° and 37.6° north latitude and majority of the Indian population exposed to ample sunlight throughout the year. From published data regarding vitamin D deficiency in India estimated prevalence of vitamin D deficiency is 70%-100% in the adult population. The main identified reason for vitamin D deficiency is the lack of appropriate sunlight exposure and no consumption (in case of vegetarian population) or less consumption of vitamin D containing diet (e.g. fish, cod liver oil, beef liver and eggs). Mild to moderate vitamin D deficiency is identified as a risk factor for type 2 diabetes, due to its protective role against development of type 2 diabetes mellitus and its complications. Vitamin D may affect glucose homeostasis through increasing insulin resistance and reducing insulin secretion from beta cells of the pancreas. Vitamin D plays an important role against oxidative stress, because of its antioxidant property. Till date very few studies determined the link between vitamin D and oxidative stress in type 2 diabetes mellitus and its complications. However, more studies are needed to evaluate an underlying mechanism of vitamin D in amelioration of the oxidative stress in type 2 diabetes mellitus.
由于生活方式不当,维生素D缺乏在印度的大城市以及全球都很常见。尽管印度位于北纬8.4°至37.6°之间,且大多数印度人口全年都能接触到充足的阳光,但印度维生素D缺乏的患病率仍大幅上升。根据印度已发表的有关维生素D缺乏的数据,估计成年人口中维生素D缺乏的患病率为70%-100%。已确定的维生素D缺乏的主要原因是缺乏适当的阳光照射,以及(素食人群)不摄入或较少摄入含维生素D的饮食(如鱼、鱼肝油、牛肝和鸡蛋)。轻度至中度维生素D缺乏被认为是2型糖尿病的一个风险因素,因为它对2型糖尿病及其并发症的发展具有保护作用。维生素D可能通过增加胰岛素抵抗和减少胰腺β细胞的胰岛素分泌来影响葡萄糖稳态。由于其抗氧化特性,维生素D在对抗氧化应激方面发挥着重要作用。迄今为止,很少有研究确定维生素D与2型糖尿病及其并发症中的氧化应激之间的联系。然而,需要更多的研究来评估维生素D改善2型糖尿病氧化应激的潜在机制。