No Effect of High-Dose Vitamin D Supplementation on Glycemic Status or Cardiovascular Risk Factors in Subjects With Prediabetes

In observational studies, low serum 25-hydroxyvitamin D [25(OH)D] concentrations have been associated with insulin resistance and other risk factors for cardiovascular disease. We present 1-year data from an ongoing 5-year trial in 511 individuals with impaired fasting glucose (IFG) and/or impaired...

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Published inDiabetes care Vol. 37; no. 8; pp. 2123 - 2131
Main Authors Sollid, Stina Therese, Hutchinson, Moira Y.S., Fuskevåg, Ole M., Figenschau, Yngve, Joakimsen, Ragnar M., Schirmer, Henrik, Njølstad, Inger, Svartberg, Johan, Kamycheva, Elena, Jorde, Rolf
Format Journal Article
LanguageEnglish
Published Alexandria, VA American Diabetes Association 01.08.2014
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ISSN0149-5992
1935-5548
1935-5548
DOI10.2337/dc14-0218

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Abstract In observational studies, low serum 25-hydroxyvitamin D [25(OH)D] concentrations have been associated with insulin resistance and other risk factors for cardiovascular disease. We present 1-year data from an ongoing 5-year trial in 511 individuals with impaired fasting glucose (IFG) and/or impaired glucose tolerance (IGT) randomly assigned to 20,000 IU/week vitamin D3 or placebo. An oral glucose tolerance test was performed at baseline and after 1 year. Mean baseline serum 25(OH)D was 59.9 nmol/L and 61.1 nmol/L in the vitamin D and placebo groups, respectively, and increased by 45.8 nmol/L and 3.4 nmol/L, respectively. With adjustment for baseline concentrations, no differences in measures of glucose metabolism, insulin secretion or sensitivity, blood pressure, or hs-CRP were found after 1 year. There was a slight, but significant decrease in total and LDL cholesterol in the vitamin D group compared with the placebo group, but as there was also a decrease in HDL cholesterol, the change in the total/HDL cholesterol ratio did not differ significantly. Only analyzing subjects with 25(OH)D <50 nmol/L did not change the results. This study shows that vitamin D supplementation does not improve glycemic indices, blood pressure, or lipid status in subjects with IFG and/or IGT.
AbstractList OBJECTIVE In observational studies, low serum 25-hydroxyvitamin D [25(OH)D] concentrations have been associated with insulin resistance and other risk factors for cardiovascular disease. RESEARCH DESIGN AND METHODS We present 1-year data from an ongoing 5-year trial in 511 individuals with impaired fasting glucose (IFG) and/or impaired glucose tolerance (IGT) randomly assigned to 20,000 IU/week vitamin D3 or placebo. An oral glucose tolerance test was performed at baseline and after 1 year. RESULTS Mean baseline serum 25(OH)D was 59.9 nmol/L and 61.1 nmol/L in the vitamin D and placebo groups, respectively, and increased by 45.8 nmol/L and 3.4 nmol/L, respectively. With adjustment for baseline concentrations, no differences in measures of glucose metabolism, insulin secretion or sensitivity, blood pressure, or hs-CRP were found after 1 year. There was a slight, but significant decrease in total and LDL cholesterol in the vitamin D group compared with the placebo group, but as there was also a decrease in HDL cholesterol, the change in the total/HDL cholesterol ratio did not differ significantly. Only analyzing subjects with 25(OH)D <50 nmol/L did not change the results. CONCLUSIONS This study shows that vitamin D supplementation does not improve glycemic indices, blood pressure, or lipid status in subjects with IFG and/or IGT.
In observational studies, low serum 25-hydroxyvitamin D [25(OH)D] concentrations have been associated with insulin resistance and other risk factors for cardiovascular disease.OBJECTIVEIn observational studies, low serum 25-hydroxyvitamin D [25(OH)D] concentrations have been associated with insulin resistance and other risk factors for cardiovascular disease.We present 1-year data from an ongoing 5-year trial in 511 individuals with impaired fasting glucose (IFG) and/or impaired glucose tolerance (IGT) randomly assigned to 20,000 IU/week vitamin D3 or placebo. An oral glucose tolerance test was performed at baseline and after 1 year.RESEARCH DESIGN AND METHODSWe present 1-year data from an ongoing 5-year trial in 511 individuals with impaired fasting glucose (IFG) and/or impaired glucose tolerance (IGT) randomly assigned to 20,000 IU/week vitamin D3 or placebo. An oral glucose tolerance test was performed at baseline and after 1 year.Mean baseline serum 25(OH)D was 59.9 nmol/L and 61.1 nmol/L in the vitamin D and placebo groups, respectively, and increased by 45.8 nmol/L and 3.4 nmol/L, respectively. With adjustment for baseline concentrations, no differences in measures of glucose metabolism, insulin secretion or sensitivity, blood pressure, or hs-CRP were found after 1 year. There was a slight, but significant decrease in total and LDL cholesterol in the vitamin D group compared with the placebo group, but as there was also a decrease in HDL cholesterol, the change in the total/HDL cholesterol ratio did not differ significantly. Only analyzing subjects with 25(OH)D <50 nmol/L did not change the results.RESULTSMean baseline serum 25(OH)D was 59.9 nmol/L and 61.1 nmol/L in the vitamin D and placebo groups, respectively, and increased by 45.8 nmol/L and 3.4 nmol/L, respectively. With adjustment for baseline concentrations, no differences in measures of glucose metabolism, insulin secretion or sensitivity, blood pressure, or hs-CRP were found after 1 year. There was a slight, but significant decrease in total and LDL cholesterol in the vitamin D group compared with the placebo group, but as there was also a decrease in HDL cholesterol, the change in the total/HDL cholesterol ratio did not differ significantly. Only analyzing subjects with 25(OH)D <50 nmol/L did not change the results.This study shows that vitamin D supplementation does not improve glycemic indices, blood pressure, or lipid status in subjects with IFG and/or IGT.CONCLUSIONSThis study shows that vitamin D supplementation does not improve glycemic indices, blood pressure, or lipid status in subjects with IFG and/or IGT.
In observational studies, low serum 25-hydroxyvitamin D [25(OH)D] concentrations have been associated with insulin resistance and other risk factors for cardiovascular disease. We present 1-year data from an ongoing 5-year trial in 511 individuals with impaired fasting glucose (IFG) and/or impaired glucose tolerance (IGT) randomly assigned to 20,000 IU/week vitamin D3 or placebo. An oral glucose tolerance test was performed at baseline and after 1 year. Mean baseline serum 25(OH)D was 59.9 nmol/L and 61.1 nmol/L in the vitamin D and placebo groups, respectively, and increased by 45.8 nmol/L and 3.4 nmol/L, respectively. With adjustment for baseline concentrations, no differences in measures of glucose metabolism, insulin secretion or sensitivity, blood pressure, or hs-CRP were found after 1 year. There was a slight, but significant decrease in total and LDL cholesterol in the vitamin D group compared with the placebo group, but as there was also a decrease in HDL cholesterol, the change in the total/HDL cholesterol ratio did not differ significantly. Only analyzing subjects with 25(OH)D <50 nmol/L did not change the results. This study shows that vitamin D supplementation does not improve glycemic indices, blood pressure, or lipid status in subjects with IFG and/or IGT.
In observational studies, low serum 25-hydroxyvitamin D [25(OH)D] concentrations have been associated with insulin resistance and other risk factors for cardiovascular disease. We present 1-year data from an ongoing 5-year trial in 511 individuals with impaired fasting glucose (IFG) and/or impaired glucose tolerance (IGT) randomly assigned to 20,000 IU/week vitamin D3 or placebo. An oral glucose tolerance test was performed at baseline and after 1 year. Mean baseline serum 25(OH)D was 59.9 nmol/L and 61.1 nmol/L in the vitamin D and placebo groups, respectively, and increased by 45.8 nmol/L and 3.4 nmol/L, respectively. With adjustment for baseline concentrations, no differences in measures of glucose metabolism, insulin secretion or sensitivity, blood pressure, or hs-CRP were found after 1 year. There was a slight, but significant decrease in total and LDL cholesterol in the vitamin D group compared with the placebo group, but as there was also a decrease in HDL cholesterol, the change in the total/HDL cholesterol ratio did not differ significantly. Only analyzing subjects with 25(OH)D <50 nmol/L did not change the results. This study shows that vitamin D supplementation does not improve glycemic indices, blood pressure, or lipid status in subjects with IFG and/or IGT.
Author Figenschau, Yngve
Fuskevåg, Ole M.
Schirmer, Henrik
Hutchinson, Moira Y.S.
Njølstad, Inger
Sollid, Stina Therese
Joakimsen, Ragnar M.
Kamycheva, Elena
Jorde, Rolf
Svartberg, Johan
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  givenname: Moira Y.S.
  surname: Hutchinson
  fullname: Hutchinson, Moira Y.S.
  organization: Tromsø Endocrine Research Group, The University of Tromsø - The Arctic University of Norway, Tromsø, Norway, Division of Rehabilitation Services, University Hospital of North Norway, Tromsø, Norway
– sequence: 3
  givenname: Ole M.
  surname: Fuskevåg
  fullname: Fuskevåg, Ole M.
  organization: Division of Diagnostic Services, University Hospital of North Norway, Tromsø, Norway
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  givenname: Yngve
  surname: Figenschau
  fullname: Figenschau, Yngve
  organization: Division of Diagnostic Services, University Hospital of North Norway, Tromsø, Norway, Department of Medical Biology, The University of Tromsø - The Arctic University of Norway, Tromsø, Norway
– sequence: 5
  givenname: Ragnar M.
  surname: Joakimsen
  fullname: Joakimsen, Ragnar M.
  organization: Tromsø Endocrine Research Group, The University of Tromsø - The Arctic University of Norway, Tromsø, Norway, Division of Internal Medicine, University Hospital of North Norway, Tromsø, Norway, Department of Clinical Medicine, The University of Tromsø - The Arctic University of Norway, Tromsø, Norway
– sequence: 6
  givenname: Henrik
  surname: Schirmer
  fullname: Schirmer, Henrik
  organization: Department of Clinical Medicine, The University of Tromsø - The Arctic University of Norway, Tromsø, Norway
– sequence: 7
  givenname: Inger
  surname: Njølstad
  fullname: Njølstad, Inger
  organization: Department of Community Medicine, The University of Tromsø - The Arctic University of Norway, Tromsø, Norway
– sequence: 8
  givenname: Johan
  surname: Svartberg
  fullname: Svartberg, Johan
  organization: Tromsø Endocrine Research Group, The University of Tromsø - The Arctic University of Norway, Tromsø, Norway, Division of Internal Medicine, University Hospital of North Norway, Tromsø, Norway, Department of Clinical Medicine, The University of Tromsø - The Arctic University of Norway, Tromsø, Norway
– sequence: 9
  givenname: Elena
  surname: Kamycheva
  fullname: Kamycheva, Elena
  organization: Tromsø Endocrine Research Group, The University of Tromsø - The Arctic University of Norway, Tromsø, Norway, Division of Internal Medicine, University Hospital of North Norway, Tromsø, Norway
– sequence: 10
  givenname: Rolf
  surname: Jorde
  fullname: Jorde, Rolf
  organization: Tromsø Endocrine Research Group, The University of Tromsø - The Arctic University of Norway, Tromsø, Norway, Division of Internal Medicine, University Hospital of North Norway, Tromsø, Norway, Department of Clinical Medicine, The University of Tromsø - The Arctic University of Norway, Tromsø, Norway
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2014 by the American Diabetes Association. Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered.
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IsPeerReviewed true
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Issue 8
Keywords Human
Nutrition
Vitamin D
Risk factor
Cardiovascular risk
Metabolic diseases
Cardiovascular disease
Supplementation
High dose
Endocrinology
Glycemia
Language English
License CC BY 4.0
2014 by the American Diabetes Association. Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered.
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PublicationTitle Diabetes care
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Snippet In observational studies, low serum 25-hydroxyvitamin D [25(OH)D] concentrations have been associated with insulin resistance and other risk factors for...
OBJECTIVE In observational studies, low serum 25-hydroxyvitamin D [25(OH)D] concentrations have been associated with insulin resistance and other risk factors...
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SubjectTerms 25-Hydroxyvitamin D 2 - metabolism
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Blood pressure
Blood Pressure - physiology
Calcifediol - metabolism
Cardiovascular disease
Cholecalciferol - administration & dosage
Diabetes Mellitus, Type 2 - blood
Diabetes Mellitus, Type 2 - prevention & control
Diabetes. Impaired glucose tolerance
Diabetic Angiopathies - prevention & control
Dietary Supplements
Double-Blind Method
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Female
Glucose Intolerance - prevention & control
Glucose Tolerance Test
Glycemic index
Humans
Insulin - metabolism
Insulin resistance
Insulin Resistance - physiology
Lipids - blood
Male
Medical sciences
Metabolic diseases
Metabolism
Middle Aged
Prediabetic State - blood
Prediabetic State - prevention & control
Risk Factors
Vitamin D
Vitamin D - analogs & derivatives
Vitamin D - metabolism
Vitamin D Deficiency - blood
Vitamin D Deficiency - diet therapy
Vitamins - administration & dosage
Young Adult
Title No Effect of High-Dose Vitamin D Supplementation on Glycemic Status or Cardiovascular Risk Factors in Subjects With Prediabetes
URI https://www.ncbi.nlm.nih.gov/pubmed/24947792
https://www.proquest.com/docview/1550135185
https://www.proquest.com/docview/1548637186
https://www.proquest.com/docview/1609511671
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