The effect of 25-hydroxyvitamin D on insulin sensitivity in obesity: is it mediated via adiponectin?

Can J Physiol Pharmacol. 2013 Jun;91(6):496-501. doi: 10.1139/cjpp-2012-0436. Epub 2013 Mar 11.

Abstract

There has been substantial recent interest in using vitamin D to improve insulin sensitivity and preventing/delaying diabetes in those at risk. There is little consensus on the physiological mechanisms and whether the association is direct or indirect through enhanced production of insulin-sensitising chemicals, including adiponectin. We examined cross-sectional associations between serum 25-hydroxyvitamin D (25(OH)D) and insulin sensitivity (Matsuda index), parathyroid hormone (PTH), waist circumference, body mass index (BMI), triglycerides (TG), total and high molecular weight (HMW) adiponectin, HMW : total adiponectin ratio (HMW : total adiponectin), and total cholesterol : HDL cholesterol ratio (TC:HDL cholesterol) in 137 Caucasian adults of mean age 43.3 ± 8.3 years and BMI 38.8 ± 6.9 kg/m(2). Total adiponectin (standardised β = 0.446; p < 0.001), waist circumference (standardised β = -0.216; p < 0.05), BMI (standardised β = -0.212; p < 0.05), and age (standardised β = -0.298; p < 0.001) were independently associated with insulin sensitivity. Serum 25(OH)D (standardised β = 0.114; p = 0.164) was not associated with insulin sensitivity, total or HMW adiponectin, HMW : total adiponectin, or lipids. Our results provide the novel finding that 25(OH)D is not associated with HMW adiponectin or HMW : total adiponectin in nondiabetic, obese adults and support the lack of association between 25(OH)D and lipids noted by others in similar groups of patients.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adiponectin / blood*
  • Adult
  • Blood Glucose / analysis
  • Body Mass Index
  • Cholesterol / blood
  • Cross-Sectional Studies
  • Female
  • Humans
  • Insulin / blood*
  • Insulin Resistance*
  • Male
  • Multivariate Analysis
  • Obesity / blood*
  • Obesity / metabolism
  • Triglycerides / blood
  • Vitamin D / analogs & derivatives*
  • Vitamin D / blood

Substances

  • ADIPOQ protein, human
  • Adiponectin
  • Blood Glucose
  • Insulin
  • Triglycerides
  • Vitamin D
  • Cholesterol
  • 25-hydroxyvitamin D