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β-葡聚糖和维生素D补充剂对糖尿病视网膜病变患者炎症参数的影响。

Effects of β-glucan and Vitamin D Supplementation on Inflammatory Parameters in Patients with Diabetic Retinopathy.

作者信息

Richter Josef, Závorková Martina, Vetvicka Vaclav, Liehneová Ivana, Kral Vlastimil, Rajnohova Dobiasova Lucie

机构信息

a Institute of Health, located in Ústí nad Labem , Usti nad Labem , Czech Republic.

b Eye Clinic UJEP Masaryk Hospital, Krajská zdravotní , a.s., Usti nad Labem , Czech Republic.

出版信息

J Diet Suppl. 2019;16(4):369-378. doi: 10.1080/19390211.2018.1458769. Epub 2018 Jun 19.

Abstract

The objective of this article is to evaluate the potential effects of beta-glucan and vitamin D supplementation in patients with diabetic retinopathy. We evaluated the levels of several parameters of inflammatory reactions (C-reactive protein [CRP], serum amyloid A [SAA], and interleukin- [IL-] 6), leptin, and vitamin D. Using a 3-month interval, we divided the patients into three groups: (1) supplemented with beta-glucan and vitamin D, (2) supplemented with vitamin D and placebo, and (3) supplemented with vitamin D alone. By this division, we aim not only to observe whether beta-glucan can increase the effects of vitamin D, but also to eliminate the potential effects of placebo. The doses of vitamin D corresponded to phototype, weight, age, and sex of the individual. Fifty-two diabetic retinopathy patients were selected for our study. We found significant vitamin D deficits in all cases, even after three months of supplementation with vitamin D. Significant changes in levels of CRP were observed in the beta-glucan-supplemented group; levels of SAA and IL-6 were not changed. Leptin levels were significantly lowered in the beta-glucan-supplemented group and increased in the other groups. More detailed studies and/or longer supplementation is necessary.

摘要

本文的目的是评估补充β-葡聚糖和维生素D对糖尿病视网膜病变患者的潜在影响。我们评估了炎症反应的几个参数(C反应蛋白[CRP]、血清淀粉样蛋白A[SAA]和白细胞介素[IL-]6)、瘦素和维生素D的水平。每隔3个月,我们将患者分为三组:(1)补充β-葡聚糖和维生素D;(2)补充维生素D和安慰剂;(3)仅补充维生素D。通过这种分组,我们不仅旨在观察β-葡聚糖是否能增强维生素D的效果,还旨在消除安慰剂的潜在影响。维生素D的剂量根据个体的光型、体重、年龄和性别而定。我们选取了52名糖尿病视网膜病变患者进行研究。我们发现,即使在补充维生素D三个月后,所有病例仍存在明显的维生素D缺乏。补充β-葡聚糖的组中CRP水平有显著变化;SAA和IL-6水平未改变。补充β-葡聚糖的组中瘦素水平显著降低,其他组则升高。有必要进行更详细的研究和/或更长时间的补充。

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