维生素D和Omega-3脂肪酸共补充对妊娠糖尿病患者血糖控制和脂质浓度的影响。
摘要来源:
j clin lipidol。 2017年3月 - 4月; 11(2):459-468。 EPUB 2017 2月2日。PMID: 28502503 28502503
摘要作者:
Mehri Jamilian,Mansoohe Samimi,Faraneh Afshar Ebrahimi,Teibeh Hashemi,Mohsen Taghizadeh,Maryamalsadat Razavi,Marziehhami,Marziehsanami,Zatollah Asemi Asemi Asemi Asemi
Article Affiliation:Mehri Jamilian
Abstract:OBJECTIVE: This study was performed to evaluate the effects of vitamin D and omega-3 fatty acids co-supplementation on glucose metabolism and lipid concentrations in gestational diabetes (GDM)患者。
方法: 这个随机的双盲安慰剂对照临床试验是D140名GDM患者之一。将参与者随机分为4组接受:(1)1000 mg omega-3脂肪酸,含有360 mg eicosapentaenoic酸和240 mg docosahecahexaenoic Acid(DHA)每天两次+维生素D lentbo(n = 35); (2)每2周一次50,000 IU维生素D+Omega-3脂肪酸安慰剂(n = 35); (3)每2周每2周+1000 mg omega-3脂肪酸每天两次(n = 35)和(4)维生素D安慰剂+omega-3脂肪酸安慰剂(n = 35),持续6周。
RESULTS: After 6 weeks of intervention, patients who received combined vitamin D and omega-3 fatty acids supplements compared with vitamin D, omega-3 fatty acids, and placebo had significantly decreased fasting plasma glucose (-7.3 ± 7.8, -6.9 ± 6.6, -4.0 ± 2.5,和+1.0±11.4 mg/dl,分别为p <.001),血清胰岛素水平(-1.9±1.9,-1.3±6.3,-0.4±6.3,分别为+2.6±6.5μIU/ml,分别为I的评估模型nsulin resistance (-0.7 ± 0.6, -0.5 ± 1.4, -0.2 ± 1.5, and +0.6 ± 1.5, respectively, P < .001) and increased quantitative insulin sensitivity check index (+0.01 ± 0.01, +0.008 ± 0.02, +0.002 ± 0.02, and -0.005 ± 0.02, respectively, p = .001)。此外,血清甘油三酸酯的变化(-8.2±41.0,+7.6±31.5,+3.6±29.9和+20.1±29.6 mg/dl,p = .006)和脂蛋白密度非常低的脂蛋白胆固醇(-1.6±8.2,8.2,6.3,6.3,6.3,1.3,6.3,1.3,6.3,1.3±6.3,3.3,8.2维生素D和欧米茄-3脂肪酸组中的+4.0±5.9 mg/dL分别与维生素D,omega-3脂肪酸和安慰剂组的这些指标的变化显着不同。
结论: 总体而言,GDM患者6周的维生素D和Omega-3脂肪酸共补充,对禁食血浆葡萄糖,血清葡萄糖,血清胰岛素水平,评估胰岛素抑制,胰岛素胰岛素的稳态,对禁食血浆葡萄糖具有有益的影响。检查指数,血清甘油三酸酯和非常低密度的脂蛋白胆固醇水平。