Plasma 25-Hydroxyvitamin D Levels Are Favorably Associated With β-Cell Function

被引:47
作者
Karnchanasorn, Rudruidee [1 ,2 ]
Ou, Horng-Yih [3 ]
Chiu, Ken C. [1 ,2 ]
机构
[1] City Hope Natl Med Ctr, Dept Clin Diabet Endocrinol & Metab, Duarte, CA 91010 USA
[2] Harbor UCLA Med Ctr, Dept Internal Med, Div Endocrinol Metab & Nutr, Torrance, CA 90509 USA
[3] Natl Cheng Kung Univ, Med Coll & Hosp, Dept Internal Med, Div Endocrinol & Metab, Tainan 70101, Taiwan
关键词
type; 2; diabetes; beta-cell function; insulin resistance; vitamin D; VITAMIN-D DEFICIENCY; DEPENDENT DIABETES-MELLITUS; 1,25 DIHYDROXYVITAMIN D-3; INSULIN SENSITIVITY; SERUM; 25-HYDROXYVITAMIN-D; GLUCAGON-SECRETION; NATIONAL-HEALTH; US POPULATION; TARGET-CELLS; RESISTANCE;
D O I
10.1097/MPA.0b013e31823c947c
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Objective: The association of hypovitaminosis D with type 2 diabetes is well recognized. Although hypovitaminosis D is associated with insulin resistance, there is much less information about its impact on beta-cell function in humans. Methods: We enrolled 150 healthy, glucose-tolerant subjects for the assessment of beta-cell function (acute insulin response) and insulin sensitivity index (ISI) using a hyperglycemic clamp. Adjusted beta-cell function (ABCF) was defined as the product of acute insulin response and ISI. The relations of plasma 25-hydroxyvitamin D [25(OH)D] level with insulin sensitivity and ABCF were examined. Results: Plasma 25(OH) D levels were positively associated with ABCF (P = 0.00004) and ISI (P < 0.00001). The associations remained significant after adjustment for age, sex, body mass index, physical activity, ethnicity, and season of study. Conclusions: Plasma 25(OH)D levels are positively association with both beta-cell function and insulin sensitivity. Our observations suggest the roles of vitamin D deficiency in the dual defect of type 2 diabetes.
引用
收藏
页码:863 / 868
页数:6
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