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高剂量的胆钙化醇和钙补充剂可增强肥胖女性的体重减轻,并改善健康生物标志物。

A high weekly dose of cholecalciferol and calcium supplement enhances weight loss and improves health biomarkers in obese women.

机构信息

Department of Nutrition and Food Technology, Faculty of Agriculture, Jordan University of Science and Technology, Irbid, Jordan.

Department of Nutrition and Food Technology, Faculty of Agriculture, Jordan University of Science and Technology, Irbid, Jordan.

出版信息

Nutr Res. 2018 Nov;59:53-64. doi: 10.1016/j.nutres.2018.07.011. Epub 2018 Jul 25.

Abstract

Obesity, a chronic condition associated with several life-threatening diseases, affects a significant proportion of the global population and has long been associated with vitamin D deficiency. The prevalence of both obesity and vitamin D deficiency has increased dramatically in Jordan in recent decades, especially among women. Few studies in Jordan and the surrounding area address this issue. In this study, we hypothesize that calcium and vitamin D have beneficial effects on weight reduction and metabolic profile in obese women. The objective of this study is to examine the effect of vitamin D and calcium supplementation on anthropometric measurements and some blood metabolites. Forty-five obese female subjects with vitamin D deficiency were recruited by a dietitian and randomly assigned to the same weight loss diet in addition to the following treatments (4 groups): control (CON), no prescribed supplements; vitamin D (Diet/D), given a high weekly dose of cholecalciferol (50 000 IU/subject/week); calcium (Diet/Ca), given 1200 mg/dL calcium/subject/day; vitamin D plus Ca (Diet/Ca/D), given cholecalciferol (50 000 IU/subject/week) and calcium (1200 mg/dL calcium/subject/day). Results revealed that after 3 months of supplementation, the Diet/Ca/D group subjects experienced a significant reduction (P ≤ .05) in weight (10.49 kg), BMI (4.61 ± 2 kg/m), waist circumference (11.41 ± 8.9 cm), body fat percentage (2.43 ± 1.7%), FBG (25.81 ± 11.4 mg/dL), PTH (27.58 ± 8.9 pg/mL), cholesterol (0.56 ± 0.2 mmol/L), and triglycerides (0.53 ± 0.21 mmol/L) when compared to the Diet/Ca and the CON groups. Interestingly, however, the CON group showed a significant increase in serum PTH concentration (9.51 ± 3.8 pg/mL, P ≤ .05). Based on these results, a combined Ca and vitamin D supplement appears to enhance weight loss and improve some of the blood metabolic profiles in obese women subjected to a weight loss diet, thus supporting our study hypothesis.

摘要

肥胖是一种与多种危及生命的疾病相关的慢性疾病,影响了相当一部分全球人口,并且长期以来一直与维生素 D 缺乏有关。在过去几十年中,约旦的肥胖症和维生素 D 缺乏症的患病率都急剧上升,尤其是在女性中。约旦和周边地区很少有研究涉及这个问题。在这项研究中,我们假设钙和维生素 D 对肥胖女性的体重减轻和代谢谱有有益的影响。本研究的目的是检查维生素 D 和钙补充剂对人体测量学指标和一些血液代谢物的影响。通过营养师招募了 45 名患有维生素 D 缺乏症的肥胖女性受试者,并将其随机分配到相同的减肥饮食中,此外还接受以下治疗(4 组):对照组(CON),未规定补充剂;维生素 D(Diet/D),每周给予高剂量胆钙化醇(50000 IU/受试者/周);钙(Diet/Ca),每天给予 1200 毫克/受试者的钙;维生素 D 加钙(Diet/Ca/D),每周给予胆钙化醇(50000 IU/受试者/周)和 1200 毫克/受试者的钙(1200 毫克/受试者/天)。结果显示,在补充 3 个月后,Diet/Ca/D 组受试者的体重(10.49 公斤)、BMI(4.61±2 公斤/米)、腰围(11.41±8.9 厘米)、体脂肪百分比(2.43±1.7%)、空腹血糖(25.81±11.4 毫克/分升)、甲状旁腺激素(PTH)(27.58±8.9 皮克/毫升)、胆固醇(0.56±0.2 毫摩尔/升)和甘油三酯(0.53±0.21 毫摩尔/升)均显著降低(P≤0.05)与 Diet/Ca 和 CON 组相比。有趣的是,然而,CON 组的血清 PTH 浓度显著升高(9.51±3.8 皮克/毫升,P≤0.05)。基于这些结果,钙和维生素 D 的联合补充似乎可以增强肥胖女性的体重减轻,并改善减肥饮食下的一些血液代谢谱,从而支持我们的研究假设。

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