25-Hydroxyvitamin D in Obese Youth Across the Spectrum of Glucose Tolerance From Normal to Prediabetes to Type 2 Diabetes
Identifieur interne : 007B07 ( Main/Merge ); précédent : 007B06; suivant : 007B0825-Hydroxyvitamin D in Obese Youth Across the Spectrum of Glucose Tolerance From Normal to Prediabetes to Type 2 Diabetes
Auteurs : Javier De Las Heras [Espagne, États-Unis] ; Kumaravel Rajakumar [États-Unis] ; Sojung Lee [États-Unis] ; Fida Bacha [États-Unis] ; Michael F. Holick [États-Unis] ; Silva A. Arslanian [États-Unis]Source :
- Diabetes care [ 0149-5992 ] ; 2013.
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Abstract
OBJECTIVE-To 1) determine if plasma 25-hydroxyvitamin D (25[OH]D) concentrations differ among obese youth with normal glucose tolerance (NGT) versus prediabetes versus type 2 diabetes and 2) assess the relationships between 25(OH)D and in vivo insulin sensitivity and β-cell function in this cohort. RESEARCH DESIGN AND METHODS-Plasma 25(OH)D concentrations were examined in banked specimens in 9- to 20-year-old obese youth (n = 175; male 42.3%, black 46.3%) (NGT, n = 105; impaired glucose tolerance [IGT], n = 43; type 2 diabetes, n = 27) who had in vivo insulin sensitivity and secretion measured by hyperinsulinemic-euglycemic and hyperglycemic clamp techniques and had an assessment of total body composition and abdominal adiposity. RESULTS-The mean age and BMI of the subjects were 14.3 ± 2.1 years and 35.7 ± 5.6 kg/m2, respectively. BMI, plasma 25(OH)D, and the proportion of vitamin D-deficient and -insufficient children did not differ across the three groups. Furthermore, there was no association between 25(OH)D and in vivo insulin sensitivity or β-cell function relative to insulin sensitivity (disposition index) in all groups combined or in each group separately. CONCLUSIONS-Our data in obese youth show 1) no differences in plasma 25(OH)D concentrations across the glucose tolerance groups and 2) no relationship between 25(OH)D and in vivo insulin sensitivity and β-cell function relative to insulin sensitivity in any of the groups. It remains uncertain if enhancement of the vitamin D status could improve pathophysiological mechanisms of prediabetes and type 2 diabetes in obese youth.
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<author><name sortKey="Arslanian, Silva A" sort="Arslanian, Silva A" uniqKey="Arslanian S" first="Silva A." last="Arslanian">Silva A. Arslanian</name>
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<series><title level="j" type="main">Diabetes care</title>
<title level="j" type="abbreviated">Diabetes care</title>
<idno type="ISSN">0149-5992</idno>
<imprint><date when="2013">2013</date>
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<seriesStmt><title level="j" type="main">Diabetes care</title>
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<idno type="ISSN">0149-5992</idno>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term>
<term>Cholecalciferol(25-hydroxy)</term>
<term>Endocrinology</term>
<term>Glucose</term>
<term>Metabolic diseases</term>
<term>Normal</term>
<term>Nutrition</term>
<term>Nutritional status</term>
<term>Obesity</term>
<term>Tolerance</term>
<term>Type 2 diabetes</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Obésité</term>
<term>Cholécalciférol(25-hydroxy)</term>
<term>Adolescent</term>
<term>Diabète de type 2</term>
<term>Glucose</term>
<term>Tolérance</term>
<term>Normal</term>
<term>Endocrinologie</term>
<term>Maladie métabolique</term>
<term>Nutrition</term>
<term>Etat nutritionnel</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Glucose</term>
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<front><div type="abstract" xml:lang="en">OBJECTIVE-To 1) determine if plasma 25-hydroxyvitamin D (25[OH]D) concentrations differ among obese youth with normal glucose tolerance (NGT) versus prediabetes versus type 2 diabetes and 2) assess the relationships between 25(OH)D and in vivo insulin sensitivity and β-cell function in this cohort. RESEARCH DESIGN AND METHODS-Plasma 25(OH)D concentrations were examined in banked specimens in 9- to 20-year-old obese youth (n = 175; male 42.3%, black 46.3%) (NGT, n = 105; impaired glucose tolerance [IGT], n = 43; type 2 diabetes, n = 27) who had in vivo insulin sensitivity and secretion measured by hyperinsulinemic-euglycemic and hyperglycemic clamp techniques and had an assessment of total body composition and abdominal adiposity. RESULTS-The mean age and BMI of the subjects were 14.3 ± 2.1 years and 35.7 ± 5.6 kg/m<sup>2</sup>
, respectively. BMI, plasma 25(OH)D, and the proportion of vitamin D-deficient and -insufficient children did not differ across the three groups. Furthermore, there was no association between 25(OH)D and in vivo insulin sensitivity or β-cell function relative to insulin sensitivity (disposition index) in all groups combined or in each group separately. CONCLUSIONS-Our data in obese youth show 1) no differences in plasma 25(OH)D concentrations across the glucose tolerance groups and 2) no relationship between 25(OH)D and in vivo insulin sensitivity and β-cell function relative to insulin sensitivity in any of the groups. It remains uncertain if enhancement of the vitamin D status could improve pathophysiological mechanisms of prediabetes and type 2 diabetes in obese youth.</div>
</front>
</TEI>
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<li>États-Unis</li>
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<region><li>Massachusetts</li>
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<tree><country name="Espagne"><noRegion><name sortKey="De Las Heras, Javier" sort="De Las Heras, Javier" uniqKey="De Las Heras J" first="Javier" last="De Las Heras">Javier De Las Heras</name>
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<country name="États-Unis"><region name="Pennsylvanie"><name sortKey="De Las Heras, Javier" sort="De Las Heras, Javier" uniqKey="De Las Heras J" first="Javier" last="De Las Heras">Javier De Las Heras</name>
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<name sortKey="Arslanian, Silva A" sort="Arslanian, Silva A" uniqKey="Arslanian S" first="Silva A." last="Arslanian">Silva A. Arslanian</name>
<name sortKey="Arslanian, Silva A" sort="Arslanian, Silva A" uniqKey="Arslanian S" first="Silva A." last="Arslanian">Silva A. Arslanian</name>
<name sortKey="Bacha, Fida" sort="Bacha, Fida" uniqKey="Bacha F" first="Fida" last="Bacha">Fida Bacha</name>
<name sortKey="Bacha, Fida" sort="Bacha, Fida" uniqKey="Bacha F" first="Fida" last="Bacha">Fida Bacha</name>
<name sortKey="Holick, Michael F" sort="Holick, Michael F" uniqKey="Holick M" first="Michael F." last="Holick">Michael F. Holick</name>
<name sortKey="Lee, Sojung" sort="Lee, Sojung" uniqKey="Lee S" first="Sojung" last="Lee">Sojung Lee</name>
<name sortKey="Rajakumar, Kumaravel" sort="Rajakumar, Kumaravel" uniqKey="Rajakumar K" first="Kumaravel" last="Rajakumar">Kumaravel Rajakumar</name>
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