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Vitamin D-fortified yoghurt improves weight and blood sugar control in diabetics

Posted Feb 25 2011 12:59pm

Previously in this blog I have covered some of the evidence linking vitamin D with positive health outcomes, including a reduced risk of cardiovascular disease and several forms of cancer. Vitamin D has also been linked with diabetes, in that some studies have found those with higher levels of vitamin D to be a reduced risk of this condition. There has also been a little evidence that supplementation with vitamin D and/or calcium may have some benefit in terms of blood sugar control. There’s a hint, therefore, that higher intakes of these nutrients might reduce the risk of type 2 diabetes.

Recently, a study was published which assessed the impact of giving nutrient fortified yoghurt to individuals with type 2 diabetes. 90 individuals were treated with one of the following each day:

  1. 500 mls of plain yoghurt
  2. 500 mls of plain yoghurt containing 1000 IU of vitamin D and 300 mg of calcium
  3. 500 mls plain yoghurt containing 1000 IU of vitamin D and 500 mg of calcium

A range of body and biochemical measurements were assessed at the beginning and end of the study.

At the beginning of the study, about three-quarters of the study participants were deemed to be ‘insufficient’ in vitamin D (vitamin D3 level 27.5 – >50.0 nmol/l = 11.0-20.0 ng/ml). About 40 per cent were deemed to have severe deficiency (<27.5 nmol/l = 11.0 ng/ml). At the end of the study, vitamin D levels had risen significantly in groups 2. and 3. Relative rise was about 75 per cent in both groups, which corresponded to an absolute rise of 30-35 nmol/l (12.0-14.0 ng/ml).

Those in groups 2. and 3. saw significant reductions in:

  • Weight
  • Body mass index
  • Waist circumference
  • Fasting blood sugar (glucose) level
  • HbA1c level (gives a guide to blood sugar levels over the preceding 2-3 months)

As well as improvement in markers of insulin sensitivity (to an extent comparable to treatment with the diabetes drug metformin).

The authors of this study conclude that vitamin D fortified yoghurt (with or without additional calcium) helped blood sugar control in type 2 diabetics probably through direct effects on insulin sensitivity and indirectly also through improvements in weight.

One interest thing to note about this study was just how effective vitamin D-supplemented yoghurt was in raising vitamin D levels. Vitamin D is fat-soluble, and it’s just possible, I suppose, that the fat in the yoghurt enhanced the absorption and ‘bioavailability’ of the vitamin D.

References:

1. Nikooyeh B, Daily consumption of vitamin D- or vitamin D + calcium-fortified yogurt drink improved glycemic control in patients with type 2 diabetes: a randomized clinical trial.

Neyestani TR, Farvid M, Alavi-Majd H, Houshiarrad A, Kalayi A, Shariatzadeh N, Gharavi A, Heravifard S, Tayebinejad N, Salekzamani S, Zahedirad M. Am J Clin Nutr. 2011 Feb 2. [Epub ahead of print]

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