文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

维生素 D 补充对 2 型糖尿病患者血糖控制的影响:系统评价和随机对照试验的荟萃分析。

What is the impact of vitamin D supplementation on glycemic control in people with type-2 diabetes: a systematic review and meta-analysis of randomized controlled trails.

机构信息

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.

出版信息

BMC Endocr Disord. 2023 Jan 16;23(1):15. doi: 10.1186/s12902-022-01209-x.


DOI:10.1186/s12902-022-01209-x
PMID:36647067
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9841647/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84b2/9841647/1ecbc4c9faee/12902_2022_1209_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84b2/9841647/685562a400b9/12902_2022_1209_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84b2/9841647/266c773d3677/12902_2022_1209_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84b2/9841647/b790abf5a281/12902_2022_1209_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84b2/9841647/1ecbc4c9faee/12902_2022_1209_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84b2/9841647/685562a400b9/12902_2022_1209_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84b2/9841647/266c773d3677/12902_2022_1209_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84b2/9841647/b790abf5a281/12902_2022_1209_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84b2/9841647/1ecbc4c9faee/12902_2022_1209_Fig4_HTML.jpg

相似文献

[1]
What is the impact of vitamin D supplementation on glycemic control in people with type-2 diabetes: a systematic review and meta-analysis of randomized controlled trails.

BMC Endocr Disord. 2023-1-16

[2]
The effects of vitamin C supplementation on glycemic control in patients with type 2 diabetes: A systematic review and meta-analysis.

Diabetes Metab Syndr. 2023-8

[3]
Comparison of nutritional supplements for glycemic control in type 2 diabetes: A systematic review and network meta-analysis of randomized trials.

Diabetes Res Clin Pract. 2022-9

[4]
Folic Acid Supplementation Improves Glycemic Control for Diabetes Prevention and Management: A Systematic Review and Dose-Response Meta-Analysis of Randomized Controlled Trials.

Nutrients. 2021-7-9

[5]
Effects of chromium supplementation on glycemic control in patients with type 2 diabetes: a systematic review and meta-analysis of randomized controlled trials.

Pharmacol Res. 2020-11

[6]
The Effect of Vitamin D Supplementation on Glycemic Control and Cardiovascular Risk Factors in Type 2 Diabetes: An Updated Systematic Review and Meta-Analysis of Clinical Trials.

J Diabetes Res. 2024

[7]
Effects of l-arginine supplementation on glycemic profile: Evidence from a systematic review and meta-analysis of clinical trials.

J Integr Med. 2020-7

[8]
Probiotics and synbiotics supplementation improve glycemic control parameters in subjects with prediabetes and type 2 diabetes mellitus: A GRADE-assessed systematic review, meta-analysis, and meta-regression of randomized clinical trials.

Pharmacol Res. 2022-10

[9]
The Effect of Vitamin D Supplementation on Glycemic Control in Type 2 Diabetes Patients: A Systematic Review and Meta-Analysis.

Nutrients. 2018-3-19

[10]
Effect of folate supplementation on insulin sensitivity and type 2 diabetes: a meta-analysis of randomized controlled trials.

Am J Clin Nutr. 2019-1-1

引用本文的文献

[1]
The Role of Vitamin D Supplementation in Type 1, Type 2, and Gestational Diabetes: A Comprehensive Updated Narrative Review.

Clin Pract. 2025-8-7

[2]
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

[3]
Assessment of vitamin D levels in correlation with coronary computed tomography angiography results in a Slovak population.

Arch Med Sci. 2024-6-12

[4]
Rethinking corticosteroids use in oncology.

Front Pharmacol. 2025-3-26

[5]
Vitamin D and Type 2 Diabetes Mellitus: Molecular Mechanisms and Clinical Implications-A Narrative Review.

Int J Mol Sci. 2025-2-27

[6]
Naturopathic Management to Taper Off Glucagon-Like Peptide-1 Receptor Agonist Therapy in Type 2 Diabetes: A Case Report.

Integr Med (Encinitas). 2025-2

[7]
The prevention and improvement effects of vitamin D on type 2 diabetes mellitus: evidence from an umbrella review on Meta-analyses of cohort studies and randomized controlled trials.

Front Nutr. 2024-10-25

[8]
Vitamin D Supplementation: Shedding Light on the Role of the Sunshine Vitamin in the Prevention and Management of Type 2 Diabetes and Its Complications.

Nutrients. 2024-10-26

[9]
Metformin and vitamin D combination therapy ameliorates type 2 diabetes mellitus-induced renal injury in male Wistar rats.

Naunyn Schmiedebergs Arch Pharmacol. 2025-3

[10]
Multifaceted Roles of Vitamin D for Diabetes: From Immunomodulatory Functions to Metabolic Regulations.

Nutrients. 2024-9-20

本文引用的文献

[1]
Serum Vitamin D Affected Type 2 Diabetes though Altering Lipid Profile and Modified the Effects of Testosterone on Diabetes Status.

Nutrients. 2020-12-30

[2]
The association between circulating 25-hydroxyvitamin D metabolites and type 2 diabetes in European populations: A meta-analysis and Mendelian randomisation analysis.

PLoS Med. 2020-10-16

[3]
Association of vitamin D and its metabolites in patients with and without type 2 diabetes and their relationship to diabetes complications.

Ther Adv Chronic Dis. 2020-9-26

[4]
Association Between Vitamin D Status and Diabetic Complications in Patients With Type 2 Diabetes Mellitus: A Cross-Sectional Study in Hunan China.

Front Endocrinol (Lausanne). 2020

[5]
Association Between Serum 25-OH-Vitamin D and Diabetic Foot Ulcer in Patients With Type 2 Diabetes.

Front Nutr. 2020-9-2

[6]
Effect of Vitamin D Supplementation on Inflammatory Markers in Non-Obese Lebanese Patients with Type 2 Diabetes: A Randomized Controlled Trial.

Nutrients. 2020-7-9

[7]
Association of vitamin D and D with type 2 diabetes complications.

BMC Endocr Disord. 2020-5-15

[8]
Epidemiology of Type 2 Diabetes - Global Burden of Disease and Forecasted Trends.

J Epidemiol Glob Health. 2020-3

[9]
Vitamin D supplementation improves SIRT1, Irisin, and glucose indices in overweight or obese type 2 diabetic patients: a double-blind randomized placebo-controlled clinical trial.

BMC Fam Pract. 2020-2-7

[10]
Anti-inflammatory effects of vitamin D and resistance training in men with type 2 diabetes mellitus and vitamin D deficiency: a randomized, double-blinded, placebo-controlled clinical trial.

J Diabetes Metab Disord. 2019-6-24

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索