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 in | Diabetes care Vol. 37; no. 8; pp. 2123 - 2131 |
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Main Authors | , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Alexandria, VA
American Diabetes Association
01.08.2014
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Subjects | |
Online Access | Get full text |
ISSN | 0149-5992 1935-5548 1935-5548 |
DOI | 10.2337/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. |
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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 |
Author_xml | – sequence: 1 givenname: Stina Therese surname: Sollid fullname: Sollid, Stina Therese 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: 2 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 – sequence: 4 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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Copyright | 2015 INIST-CNRS 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. Copyright American Diabetes Association Aug 2014 |
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Keywords | Human Nutrition Vitamin D Risk factor Cardiovascular risk Metabolic diseases Cardiovascular disease Supplementation High dose Endocrinology Glycemia |
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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 |
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