1. Vitamin D affects insulin sensitivity and β-cell function in obese non-diabetic youths
- Author
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Chiara Zusi, Elena Fornari, Francesca Olivieri, Emanuele Miraglia del Giudice, Riccardo C. Bonadonna, Maurizio Rossini, Domenico Corica, Claudio Maffeis, Massimiliano Corradi, Claudia Piona, Davide Gatti, Marco Marigliano, Anita Morandi, Corica, D., Zusi, C., Olivieri, F., Marigliano, M., Piona, C., Fornari, E., Morandi, A., Corradi, M., Del Giudice, E. M., Gatti, D., Rossini, M., Bonadonna, R. C., and Maffeis, C.
- Subjects
Male ,Vitamin ,Pediatric Obesity ,medicine.medical_specialty ,Adolescent ,Endocrinology, Diabetes and Metabolism ,030209 endocrinology & metabolism ,Carbohydrate metabolism ,Overweight ,obese children ,Polymorphism, Single Nucleotide ,Childhood obesity ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Endocrinology ,vitamin d, glucose, obese children ,Internal medicine ,Vitamin D and neurology ,Humans ,Medicine ,Glucose homeostasis ,Outpatient clinic ,glucose ,Vitamin D ,Child ,Cross-Sectional Studie ,B-Lymphocytes ,business.industry ,B-Lymphocyte ,General Medicine ,Vitamin D Deficiency ,medicine.disease ,Obesity ,Cross-Sectional Studies ,chemistry ,030220 oncology & carcinogenesis ,Female ,Insulin Resistance ,medicine.symptom ,business ,Human - Abstract
Objective Vitamin D may potentially play a central role in glucose homeostasis and β-cell function (BCF), although studies are not consistent. Aim of our study was to test the hypotheses of a direct relationship between vitamin D, insulin sensitivity (IS) and BCF in overweight and obese non-diabetic children. Design and methods Cross-sectional study carried out at the Childhood Obesity Outpatient Clinic, University Hospital of Verona. One hundred twenty-two Caucasian overweight and obese children (age: 12.8 ± 0.2 years) were enrolled. Exclusion criteria: genetic or endocrine causes of obesity, chronic diseases or therapies. Patients underwent oral glucose tolerance test. HOMA-IR, Matsuda index and insulinogenic index were calculated. BCF was reconstructed by mathematical modeling and described by Derivative and Proportional Control. Total 25-hydroxyvitamin D and vitamin D-binding protein (VDBP) were measured. Two SNPs (rs4588 and rs7041) in the VDBP gene were studied, and bioavailable vitamin D (BVD) was calculated. Results Hypovitaminosis D was documented in 90% of patients. Forty-seven subjects were homozygous for both SNPs. Total vitamin D was positively correlated with Matsuda index (P = 0.002), VDBP (P = 0.045), and negatively with BMI SDS (P = 0.043), HOMA-IR (P = 0.008), HOMA-B (P = 0.001), IGI (P = 0.007), derivative control (P = 0.036) and proportional control (P = 0.018). Total vitamin D, adjusted for age, gender, BMI SDS, puberty and seasonality of vitamin D measurement, was a predictor of Matsuda index, HOMA-IR, HOMA-B, IGI, proportional control (all P P P = 0.041). Conclusions Hypovitaminosis D negatively influences BCF and IS, suggesting that vitamin D levels might be implicated in glucose metabolism impairment in overweight and obese individuals.
- Published
- 2019
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