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补充维生素K对胰岛素敏感性、葡萄糖代谢及降低2型糖尿病风险的有益作用:一项综述

Beneficial role of vitamin K supplementation on insulin sensitivity, glucose metabolism, and the reduced risk of type 2 diabetes: A review.

作者信息

Manna Prasenjit, Kalita Jatin

机构信息

Biotechnology Division, CSIR-North East Institute of Science and Technology, Jorhat, Assam, India.

Biotechnology Division, CSIR-North East Institute of Science and Technology, Jorhat, Assam, India.

出版信息

Nutrition. 2016 Jul-Aug;32(7-8):732-9. doi: 10.1016/j.nut.2016.01.011. Epub 2016 Jan 25.

Abstract

Micronutrients are gaining acceptance as an important nutritional therapy for the prevention and/or management of diabetes and its associated health risks. Although a very small quantity of micronutrients are required for specific functions in our bodies, moderate deficiencies can lead to serious health issues. Impaired insulin sensitivity and glucose intolerance play a major role in the development of diabetic pathophysiology. Vitamin K is well known for its function in blood coagulation. Moreover, several human studies reported the beneficial role of vitamin K supplementation in improving insulin sensitivity and glucose tolerance, preventing insulin resistance, and reducing the risk of type 2 diabetes (T2 D). Both animal and human studies have suggested that vitamin K-dependent protein (osteocalcin [OC]), regulation of adipokine levels, antiinflammatory properties, and lipid-lowering effects may mediate the beneficial function of vitamin K in insulin sensitivity and glucose tolerance. This review for the first time provides an overview of the currently available preclinical and clinical evidences on the effect of vitamin K supplementation in the management of insulin sensitivity and glucose tolerance. The outcome of this review will increase understanding for the development of a novel adjuvant therapy to achieve better control of glycemia and improve the lives of diabetic patients.

摘要

微量营养素作为预防和/或管理糖尿病及其相关健康风险的一种重要营养疗法正逐渐得到认可。尽管我们身体的特定功能仅需要极少量的微量营养素,但中度缺乏会导致严重的健康问题。胰岛素敏感性受损和葡萄糖不耐受在糖尿病病理生理发展过程中起主要作用。维生素K以其在血液凝固中的功能而闻名。此外,多项人体研究报告了补充维生素K在改善胰岛素敏感性和葡萄糖耐量、预防胰岛素抵抗以及降低2型糖尿病(T2D)风险方面的有益作用。动物和人体研究均表明,维生素K依赖蛋白(骨钙素[OC])、脂肪因子水平的调节、抗炎特性以及降脂作用可能介导了维生素K在胰岛素敏感性和葡萄糖耐量方面的有益功能。本综述首次概述了目前关于补充维生素K对胰岛素敏感性和葡萄糖耐量管理效果的临床前和临床证据。本综述的结果将增进对开发新型辅助疗法的理解,以更好地控制血糖并改善糖尿病患者的生活。

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