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在一项针对成年人的随机对照试验中,维生素 D 强化蛋对冬季血清 25-羟基维生素 D 具有保护作用。

Vitamin D-enhanced eggs are protective of wintertime serum 25-hydroxyvitamin D in a randomized controlled trial of adults.

作者信息

Hayes Aoife, Duffy Sarah, O'Grady Michael, Jakobsen Jette, Galvin Karen, Teahan-Dillon Joanna, Kerry Joseph, Kelly Alan, O'Doherty John, Higgins Siobhan, Seamans Kelly M, Cashman Kevin D

机构信息

Cork Centre Center for Vitamin D and Nutrition Research.

School of Agriculture and Food Science, University College Dublin, Dublin, Ireland; and.

出版信息

Am J Clin Nutr. 2016 Sep;104(3):629-37. doi: 10.3945/ajcn.116.132530. Epub 2016 Aug 3.

DOI:10.3945/ajcn.116.132530
PMID:27488236
Abstract

BACKGROUND

Despite numerous animal studies that have illustrated the impact of additional vitamin D in the diet of hens on the resulting egg vitamin D content, the effect of the consumption of such eggs on vitamin D status of healthy individuals has not, to our knowledge, been tested.

OBJECTIVE

We performed a randomized controlled trial (RCT) to investigate the effect of the consumption of vitamin D-enhanced eggs (produced by feeding hens at the maximum concentration of vitamin D3 or serum 25-hydroxyvitamin D [25(OH)D3] lawfully allowed in feed) on winter serum 25(OH)D in healthy adults.

DESIGN

We conducted an 8-wk winter RCT in adults aged 45-70 y (n = 55) who were stratified into 3 groups and were requested to consume ≤2 eggs/wk (control group, in which status was expected to decline), 7 vitamin D3-enhanced eggs/wk, or seven 25(OH)D3-enhanced eggs/wk. Serum 25(OH)D was the primary outcome.

RESULTS

Although there was no significant difference (P > 0.1; ANOVA) in the mean preintervention serum 25(OH)D in the 3 groups, it was ∼7-8 nmol/L lower in the control group than in the 2 groups who consumed vitamin D-enhanced eggs. With the use of an ANCOVA, in which baseline 25(OH)D was accounted for, vitamin D3-egg and 25(OH)D3-egg groups were shown to have had significantly higher (P ≤ 0.005) postintervention serum 25(OH)D than in the control group. With the use of a within-group analysis, it was shown that, although serum 25(OH)D in the control group significantly decreased over winter (mean ± SD: -6.4 ± 6.7 nmol/L; P = 0.001), there was no change in the 2 groups who consumed vitamin D-enhanced eggs (P > 0.1 for both).

CONCLUSION

Weekly consumption of 7 vitamin D-enhanced eggs has an important impact on winter vitamin D status in adults. This trial was registered at clinicaltrials.gov as NCT02678364.

摘要

背景

尽管众多动物研究已经阐明母鸡饮食中额外添加维生素D对所产鸡蛋维生素D含量的影响,但据我们所知,食用此类鸡蛋对健康个体维生素D状态的影响尚未得到测试。

目的

我们进行了一项随机对照试验(RCT),以研究食用维生素D强化蛋(通过以饲料中合法允许的最大浓度的维生素D3或血清25-羟基维生素D [25(OH)D3] 喂养母鸡生产)对健康成年人冬季血清25(OH)D的影响。

设计

我们对45至70岁的成年人(n = 55)进行了一项为期8周的冬季RCT,这些成年人被分为3组,并被要求每周食用≤2个鸡蛋(对照组,预计其维生素D状态会下降)、每周7个维生素D3强化蛋或每周7个25(OH)D3强化蛋。血清25(OH)D是主要结局指标。

结果

尽管3组干预前血清25(OH)D的均值无显著差异(P > 0.1;方差分析),但对照组的血清25(OH)D均值比食用维生素D强化蛋的两组低约7 - 8 nmol/L。使用协方差分析(其中考虑了基线25(OH)D),结果显示维生素D3强化蛋组和25(OH)D3强化蛋组干预后的血清25(OH)D显著高于对照组(P ≤ 0.005)。使用组内分析表明,尽管对照组的血清25(OH)D在冬季显著下降(均值 ± 标准差:-6.4 ± 6.7 nmol/L;P = 0.001),但食用维生素D强化蛋的两组无变化(两组P均> 0.1)。

结论

每周食用7个维生素D强化蛋对成年人冬季维生素D状态有重要影响。该试验已在clinicaltrials.gov上注册,注册号为NCT02678364。

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