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The Effects of Calcium and Vitamin D Supplementation on Blood Glucose and Markers of Inflammation in Nondiabetic Adults
Abstract
OBJECTIVE: We sought to compare the effects of combined calcium and vitamin D supplementation versus placebo on blood glucose and markers of inflammation in nondiabetic adults aged > or =65 years. RESEARCH DESIGN AND METHODS: A total of 314 Caucasian adults without diabetes received either 500 mg calcium citrate and 700 IU vitamin D(3) or placebos daily for 3 years in a double-blind, randomized, controlled trial designed for bone-related outcomes. In a post hoc analysis, fasting plasma glucose (FPG), insulin sensitivity (estimated by homeostasis model assessment of insulin resistance [HOMA-IR]), plasma C-reactive protein, and interleukin-6, were measured at baseline and 3 years. RESULTS: The effects of combined calcium-vitamin D supplementation on 3-year change in FPG depended on baseline FPG (P = 0.02 for interaction). Therefore, we conducted analyses separately in participants with normal fasting glucose (NFG) (FPG <5.6 mmol/l, n = 222) and impaired fasting glucose (IFG) (FPG 5.6-6.9 mmol/l, n = 92) at baseline. Among participants with IFG at baseline, those who took combined calcium-vitamin D supplements had a lower rise in FPG at 3 years compared with those on placebo (0.02 mmol/l [0.4 mg/dl] vs. 0.34 mmol/l [6.1 mg/dl], respectively, P = 0.042) and a lower increase in HOMA-IR (0.05 vs. 0.91, P = 0.031). In the NFG subgroup, there was no difference in the change in FPG or HOMA-IR between the two treatment arms. There were no differences in C-reactive protein or interleukin-6 between the two treatment arms in either subgroup. CONCLUSIONS: In healthy, older adults with IFG, supplementation with calcium and vitamin D may attenuate increases in glycemia and insulin resistance that occur over time. However, our findings should be considered hypothesis generating and need to be confirmed in randomized trials specifically designed for the outcomes of interest.
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“There is some epidemiological evidence that higher Fe intake, particularly that of haem Fe, and higher Fe status are associated with increased risk of type 2 diabetes, atherosclerosis and CHD (702 -714) , although not all of the literature is consistent.”
From Dietary factors and low-grade inflammation in relation to overweight and obesity (2011) · cites this paper as [703]
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Krans, H. M. J. (2009) · F1000 Medicine Reports · doi:10.3410/m1-85 · Cited by 3
The Role of Vitamin D in Type 2 Diabetes and Hypertension
Pittas, A. G., & Dawson-Hughes, B. F. (2011) · Elsevier eBooks · doi:10.1016/b978-0-12-381978-9.10098-8 · Cited by 3
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Vitamin D: Cardiovascular Function and Disease
Scragg, R. K. R. (2010) · Springer eBooks · doi:10.1007/978-1-4419-7188-3_6 · Cited by 3
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Metadata
- Authors
- Pittas, A. G., Harris, S. S., Stark, P. C., & Dawson-Hughes, B.
- Affiliations
- Tufts Medical Center (US)
- Tufts University (US)
- Department of Endocrinology, Diabetes, and Metabolism, Tufts–New England Medical Center, Boston, Massachusetts
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 2007-04-01
- Volume
- 30
- Issue
- 4
- Pages
- 980-986
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- OpenAlex
- W2129327282
- Cited by
- 643
- References
- 58
- Citations by year
- 2026: 9 · 2025: 6 · 2024: 12 · 2023: 12 · 2022: 13 · 2021: 26 · 2020: 17 · 2019: 23 · 2018: 35 · 2017: 48 · 2016: 48 · 2015: 39 · 2014: 60 · 2013: 52 · 2012: 55
- FWCI
- 30.44
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetes Care (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (K23 DK 61506, R01DK076092, K23DK061506)
- National Center for Research Resources (M01 RR-00054, M01RR000054)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Vitamin D Research Studies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutrition and Health Studies
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
- Keywords
- calcium supplementation, vitamin D supplementation, calcium citrate, vitamin D3, blood glucose, fasting blood glucose, insulin resistance, HOMA-IR, impaired fasting glucose, inflammation, C-reactive protein, interleukin-6, older adults, non-diabetic adults
- MeSH terms
- Aged, Blood Glucose, Body Weight, Calcium, Dietary, Female, Humans, Hyperglycemia, Inflammation, Insulin, Male, Reference Values, Vitamin D, Biomarkers, Body Mass Index, Dietary Supplements
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