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维生素D与月见草油联合补充对维生素D缺乏的多囊卵巢综合征女性血脂谱和氧化应激生物标志物的影响:一项随机、双盲、安慰剂对照试验。

The effects of vitamin D and evening primrose oil co-supplementation on lipid profiles and biomarkers of oxidative stress in vitamin D-deficient women with polycystic ovary syndrome: A randomized, double-blind, placebo-controlled trial.

作者信息

Nasri Khadijeh, Akrami Sedighe, Rahimi Maryam, Taghizadeh Mohsen, Behfar Masoud, Mazandaranian Mohammad Reza, Kheiry Abbas, Memarzadeh Mohammad Reza, Asemi Zatollah

机构信息

a Endocrinology and Metabolism Research Center, Department of Gynecology and Obstetrics , School of Medicine, Arak University of Medical Sciences , Arak , Iran.

b Department of Gynecology and Obstetrics, School of Medicine , Iran University of Medical Sciences , Tehran , Iran.

出版信息

Endocr Res. 2018 Feb;43(1):1-10. doi: 10.1080/07435800.2017.1346661. Epub 2017 Jul 25.

Abstract

PURPOSE OF THE STUDY

There was inconsistent evidence about the benefit of vitamin D plus evening primrose oil (EPO) supplement intake on lipid profiles and reduced oxidative stress among women with polycystic ovary syndrome (PCOS). The current study was performed to evaluate the effects of vitamin D plus EPO supplementation on lipid profiles and biomarkers of oxidative stress in vitamin D-deficient women with PCOS.

MATERIALS AND METHODS

This randomized, double-blind, placebo-controlled trial was performed among 60 vitamin D-deficient women with PCOS. Participants were randomly assigned into two groups to receive either 1000 IU vitamin D3 plus 1000 mg EPO (n = 30) or placebo (n = 30) for 12 weeks. Metabolic profiles were quantified at baseline and after the 12-week intervention.

RESULTS

Compared with the placebo group, women in vitamin D and EPO co-supplementation group had significant increases in serum 25-hydroxyvitamin D (25(OH)D) (+10.7 ± 8.4 vs. -0.5 ± 1.6 ng/mL, p < 0.001) and plasma total glutathione (GSH) (+62.7 ± 58.0 vs. -0.7 ± 122.7 µmol/L, p = 0.01), while there were significant decreases in triglycerides (-7.3 ± 23.8 vs. +6.9 ± 26.3 mg/dL, p = 0.03), very low-density lipoprotein (VLDL) cholesterol levels (-1.5 ± 4.7 vs. +1.4 ± 5.3 mg/dL, p = 0.03), total/high-density lipoprotein cholesterol ratio (-0.3 ± 0.4 vs. -0.02 ± 0.4, p = 0.02), and malondialdehyde (MDA) concentration (-0.4 ± 0.4 vs. +0.5 ± 1.8 µmol/L, p = 0.008).

CONCLUSION

Overall, vitamin D and EPO co-supplementation for 12 weeks among vitamin D-deficient women with PCOS significantly improved triglycerides, VLDL cholesterol, GSH, and MDA levels.

摘要

研究目的

关于多囊卵巢综合征(PCOS)女性摄入维生素D加月见草油(EPO)补充剂对血脂谱及减轻氧化应激的益处,证据并不一致。本研究旨在评估维生素D加EPO补充剂对维生素D缺乏的PCOS女性血脂谱及氧化应激生物标志物的影响。

材料与方法

本随机、双盲、安慰剂对照试验在60名维生素D缺乏的PCOS女性中进行。参与者被随机分为两组,一组接受1000 IU维生素D3加1000 mg EPO(n = 30),另一组接受安慰剂(n = 30),为期12周。在基线和12周干预后对代谢谱进行量化。

结果

与安慰剂组相比,维生素D和EPO联合补充组女性的血清25-羟基维生素D(25(OH)D)显著升高(+10.7±8.4 vs. -0.5±1.6 ng/mL,p < 0.001),血浆总谷胱甘肽(GSH)升高(+62.7±58.0 vs. -0.7±122.7 µmol/L,p = 0.01),而甘油三酯显著降低(-7.3±23.8 vs. +6.9±26.3 mg/dL,p = 0.03),极低密度脂蛋白(VLDL)胆固醇水平降低(-1.5±4.7 vs. +1.4±5.3 mg/dL,p = 0.03),总胆固醇/高密度脂蛋白胆固醇比值降低(-0.3±0.4 vs. -0.02±0.4,p = 0.02),丙二醛(MDA)浓度降低(-0.4±0.4 vs. +0.5±1.8 µmol/L,p = 0.008)。

结论

总体而言,维生素D缺乏的PCOS女性联合补充维生素D和EPO 12周可显著改善甘油三酯、VLDL胆固醇、GSH和MDA水平。

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