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维生素 D 通过降低超重生育期妇女血清总同型半胱氨酸浓度预防心血管疾病:一项随机、安慰剂对照临床试验。

Vitamin D prevents cardiovascular diseases by lowering serum total homocysteine concentrations in overweight reproductive women: A randomized, placebo-controlled clinical trial.

机构信息

Department of Nutrition and Food Technology, Faculty of Al-Huson University College, Al-Balqa Applied University, Al-Salt, Jordan.

Department of Allied Medical Sciences, Al-Zarqa University College, Al-Balqa Applied University, Al-Salt, Jordan.

出版信息

Nutr Res. 2018 Nov;59:65-71. doi: 10.1016/j.nutres.2018.07.012. Epub 2018 Jul 29.


DOI:10.1016/j.nutres.2018.07.012
PMID:30442234
Abstract

Obesity and overweight are associated with vitamin D deficiency and hyperhomocysteinemia, all of which are contributing factors for developing cardiovascular disease (CVD). Therefore, we hypothesized that improving serum 25-hydroxyvitamin D [25(OH)D] levels may decrease the body weight and total homocysteine concentrations among overweight reproductive women. To test our hypothesis, a randomized, double-blind placebo-controlled clinical trial, registered under ClinicalTrials.gov Identifier No. NCT03310307, was conducted on 100 overweight reproductive women that were allocated into two groups, namely, the treatment group (n = 50), which received 50 000 IU vitamin D per week, and the placebo group (n = 50), and followed for 2 months. Participants' 25(OH)D, homocysteine, parathyroid hormone, calcium, phosphorus, body weight and body mass index (BMI) were measured and compared before and after treatment. The results showed that there was a significant decrease in homocysteine levels after the first and second months of vitamin D intervention in the treatment group, and no significant changes were seen in the placebo group throughout the period of follow up. Statistically significant (P ≤ .05) reductions in homocysteine concentration, body weight, BMI, and parathyroid hormone levels were noticed in the treatment group compared to the placebo. Meanwhile, 25(OH)D, calcium and phosphorus levels were statistically significantly (P ≤ .05) increased in the treatment group. In conclusion, vitamin D intervention with a treatment dose of 50 000 IU per week for at least 2 months can help decrease BMI and homocysteine levels, which in turn will help prevent or minimize the risk of CVD among overweight women of reproductive age.

摘要

肥胖和超重与维生素 D 缺乏和高同型半胱氨酸血症有关,而这些都是导致心血管疾病 (CVD) 的因素。因此,我们假设改善血清 25-羟维生素 D [25(OH)D]水平可能会降低超重生殖期女性的体重和总同型半胱氨酸浓度。为了验证我们的假设,进行了一项随机、双盲、安慰剂对照临床试验,该试验在ClinicalTrials.gov 标识符为 NCT03310307 的注册下进行,共有 100 名超重生殖期女性参与,她们被分为两组,即治疗组(n=50),每周接受 50000IU 维生素 D,和安慰剂组(n=50),随访 2 个月。测量并比较了参与者的 25(OH)D、同型半胱氨酸、甲状旁腺激素、钙、磷、体重和体重指数(BMI),在治疗前和治疗后。结果表明,治疗组在接受维生素 D 干预的第一个月和第二个月后,同型半胱氨酸水平显著下降,而安慰剂组在整个随访期间没有明显变化。与安慰剂组相比,治疗组的同型半胱氨酸浓度、体重、BMI 和甲状旁腺激素水平均显著降低(P≤.05)。同时,治疗组的 25(OH)D、钙和磷水平也显著升高(P≤.05)。总之,每周至少接受 50000IU 的治疗剂量的维生素 D 干预至少 2 个月,可以帮助降低 BMI 和同型半胱氨酸水平,从而有助于降低超重生殖期女性 CVD 的风险。

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引用本文的文献

[1]
Effect of vitamin D supplementation on body composition, lipid profile, and glycemic indices in patients with obesity-associated metabolic syndrome: a systematic review and meta-analysis.

Diabetol Metab Syndr. 2025-7-18

[2]
Association Between Nutrients and Cardiovascular Diseases.

Curr Cardiol Rev. 2024-1-5

[3]
Impact of Homocysteine as a Preconceptional Screening Factor for In Vitro Fertilization and Prevention of Miscarriage with Folic Acid Supplementation Following Frozen-Thawed Embryo Transfer: A Hospital-Based Retrospective Cohort Study.

Nutrients. 2023-8-25

[4]
Associations of serum 25-hydroxyvitamin D with serum folate, cobalanin, and homocysteine concentrations and methylene tetrahydrofolate reductase (MTHFR) gene polymorphisms in healthy adults.

Hormones (Athens). 2023-9

[5]
Association between Micronutrients and Hyperhomocysteinemia: A Case-Control Study in Northeast China.

Nutrients. 2023-4-14

[6]
Nutritional supplements improve cardiovascular risk factors in overweight and obese patients: A Bayesian network meta-analysis.

Front Nutr. 2023-3-30

[7]
Serum 25-hydroxyvitamin D is associated with homocysteine more than with apolipoprotein B.

Nutr Res Pract. 2022-12

[8]
Distribution and Determinants of Plasma Homocysteine Levels in a Preconception Population: A Retrospective Single-Center Study.

Med Sci Monit. 2022-10-21

[9]
Serum Homocysteine and Vascular Calcification: Advances in Mechanisms, Related Diseases, and Nutrition.

Korean J Fam Med. 2022-9

[10]
The Effect of Three-Month Vitamin D Supplementation on the Levels of Homocysteine Metabolism Markers and Inflammatory Cytokines in Sera of Psoriatic Patients.

Biomolecules. 2021-12-11

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