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Clinical Nutrition Experimental最新文献

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The effect of a single mega dose injection of vitamin D on serum adiponectin concentration at first gestational diabetes mellitus: A randomized controlled clinical trial 单次大剂量注射维生素D对初妊娠糖尿病患者血清脂联素浓度的影响:一项随机对照临床试验
Pub Date : 2019-08-21 DOI: 10.21203/rs.2.13094/v1
M. Hosseinzadeh, Elham Razmpush, Elham Shareghfarid, E. Hosseinzadeh, H. Hadinedoushan, M. Salami, M. Khosravi, M. Amini, H. Mozaffari‐khosravi
Background: vitamin D is being increasingly recognized for its important non-skeletal functions including endocrine actions. This study investigated if a single, large, intramuscular post‐artum injection of vitamin D improve adiponectin levels among women with gestational diabetes mellitus (GDM).Methods: A total of 45 pregnant women with GDM participated in this randomized clinical trial. They were randomly divided into intervention and control group. The intervention group received an intramuscular injection of 300,000 IU of vitamin D during 3 to 10 days after their child delivery, but controls did not. Serum 25‐hydroxyvitamin D, fasting blood glucose, HbA1c and serum adiponectin were measured at baseline and after 3 months of intervention.Results: Serum 25 OH vitamin D increase significantly in the intervention but not in the control group from 24.25 to 62.10 (nmol/l) (p-value< 0.01). Comparison in within group showed that adiponectin level increased significantly only among intervention group after the vitamin D injection from 7.45 to 8.98 (ngr/dl) (P-value=0.01), while between group comparisons showed no significant differences in adiponectin concentration after the intervention (P-value<0.05). Between and within group comparisons reported no significant alterations in the levels of glycated hemoglobin (HbA1c) and FPG (fasting plasma glucose), as well.Conclusions: The 300,000 IU single dose of intramuscular injection of vitamin D is regarded as an effective procedure to improve vitamin D status which significantly increased the adiponectin levels among mothers with gestational diabetes after delivery.Trial registration: The trial was registered in Iranian Registry of Clinical Trials available at http://www.irct.ir. The reference number is IRCT138902113840N1.
背景:维生素D因其重要的非骨骼功能(包括内分泌作用)而越来越受到重视。本研究调查了妊娠期糖尿病(GDM)妇女单次大剂量肌内注射维生素D是否能改善脂联素水平。方法:对45例妊娠期GDM患者进行随机临床试验。随机分为干预组和对照组。干预组在分娩后3至10天内肌肉注射300,000 IU的维生素D,而对照组则没有。在基线和干预3个月后测量血清25 -羟维生素D、空腹血糖、HbA1c和血清脂联素。结果:干预组血清25 OH维生素D从24.25 (nmol/l)显著升高至62.10 (nmol/l),对照组无显著升高(p值< 0.01)。组内比较显示,注射维生素D后,脂联素水平仅干预组间有显著升高(p值=0.01),干预后脂联素浓度组间比较差异无统计学意义(p值<0.05)。组间和组内比较报告糖化血红蛋白(HbA1c)和空腹血糖(FPG)水平也没有显著变化。结论:30万IU单次肌注维生素D可有效改善妊娠期糖尿病孕妇的维生素D水平,显著提高妊娠期糖尿病孕妇的脂联素水平。试验注册:该试验已在http://www.irct.ir的伊朗临床试验注册中心注册。参考编号为IRCT138902113840N1。
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引用次数: 3
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Clinical Nutrition Experimental
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