Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), PO BOX: 1416643931, Tehran, Iran.
Public Health Faculty, Kabul University of Medical Science (KUMS), Kabul, Afghanistan.
BMC Endocr Disord. 2023 Jan 16;23(1):15. doi: 10.1186/s12902-022-01209-x.
BACKGROUND: There is conflicting evidence on the effect of vitamin D on glycemic control. Therefore, in the current meta-analyses, we aimed to assess the effect of vitamin D supplementation on the glycemic control of type 2 diabetes (T2D) patients. METHODS: We conducted a comprehensive search in electronic databases including; PubMed/Medline, Web of Science, Scopus, Embase, Cochrane Central Register of Controlled Trials (CENTRAL), and NIH's Clinical Trials Registry, from the inception of each database up to January first, 2021. RESULTS: A total of 46 randomized controlled trials (RCTs) consisting of 2164 intervention subjects and 2149 placebo controls were included in this meta-analysis. Pooled analyses for HbA1c showed a significant change between the intervention and placebo group, the weighted mean difference (WMD)(95% confidence interval(CI)) was -0.20%(-0.29, -0.11) with P < 0.001. Analyses for assessing changes in FPG found a significant reduction in the intervention group after vitamin D supplementation, the WMD (95%CI) was -5.02 mg/dl (-6.75,-3.28) with P < 0.001. The result of pooled analyses for HOMA-IR revealed a significant change between the intervention and control group, the WMD (95%CI) was -0.42(-0.76, -0.07) with P = 0.019. The subgroup analyses showed the most efficacy in a higher dose and short intervention period and in subjects with deficient vitamin D status. CONCLUSION: Vitamin D supplementation might be beneficial for the reduction of FPG, HbA1c, and HOMA-IR in type 2 diabetes patients with deficient vitamin D status. This effect was especially prominent when vitamin D was given in large doses and for a short period of time albeit with substantial heterogeneity between studies and a probability of publication bias.
背景:关于维生素 D 对血糖控制的影响,目前存在相互矛盾的证据。因此,在本次荟萃分析中,我们旨在评估维生素 D 补充剂对 2 型糖尿病(T2D)患者血糖控制的影响。
方法:我们在电子数据库中进行了全面检索,包括 PubMed/Medline、Web of Science、Scopus、Embase、Cochrane 中央对照试验注册中心(CENTRAL)和 NIH 临床试验注册处,检索时间从每个数据库建立之初到 2021 年 1 月 1 日。
结果:共有 46 项随机对照试验(RCT)纳入本荟萃分析,包括 2164 例干预组和 2149 例安慰剂对照组。HbA1c 的汇总分析显示,干预组与安慰剂组之间存在显著变化,加权均数差(WMD)(95%置信区间(CI))为-0.20%(-0.29,-0.11),P<0.001。评估 FPG 变化的分析显示,维生素 D 补充后干预组显著降低,WMD(95%CI)为-5.02mg/dl(-6.75,-3.28),P<0.001。汇总分析 HOMA-IR 的结果显示,干预组与对照组之间存在显著变化,WMD(95%CI)为-0.42(-0.76,-0.07),P=0.019。亚组分析显示,在维生素 D 缺乏的 T2D 患者中,高剂量和短干预期补充维生素 D 效果最佳。
结论:维生素 D 补充可能有益于降低维生素 D 缺乏的 2 型糖尿病患者的 FPG、HbA1c 和 HOMA-IR。这种效果在给予大剂量和短时间的维生素 D 时尤为明显,尽管研究之间存在很大的异质性和发表偏倚的可能性。
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