Title
Lower levels of vitamin D are associated with an increase in insulin resistance in obese Brazilian women
Date Issued
2021
Access level
open access
Resource Type
journal article
Author(s)
Schleu M.F.
Barreto-Duarte B.
Araujo-Pereira M.
Ladeia A.M.
Andrade B.B.
Lima M.L.
Instituto Gonçalo Moniz
Publisher(s)
MDPI
Abstract
Adult women are more likely to be obese than men. Moreover, there is evidence that obesity is a risk factor for increased insulin resistance (IR) and hypovitaminosis D (VITD), conditions related to metabolic and endocrinologic disturbance. We performed a cross-sectional study with 103 women diagnosed with obesity, recruited between 2009 and 2013, in an obesity referral outpatient clinic in Bahia, Brazil. Laboratory and clinical characteristics were compared between the groups according to the degree of obesity (I, II and III), and levels of 25-hydroxyvitamin D [25(OH)D] were used to define the VITD status (insufficiency and no insufficiency). We calculated the homeostatic model assessment-IR (HOMA-IR) index to assess insulin resistance in the groups. Our analyses revealed that HOMA-IR values and VITD levels were inversely correlated. Furthermore, we observed a distinct expression profile of values of laboratory markers according to 25(OH)D levels. Negative correlations were found between HOMA-IR and body mass index (BMI) in VITD insufficient participants but not in those with the sufficiency. Furthermore, multivariate regression demonstrated independent associations between lower levels of 25(OH)D and increased values of HOMA-IR. These findings suggests that lower levels of VITD are strongly associated with the increased IR in obese women.
Volume
13
Issue
9
Language
English
OCDE Knowledge area
Endocrinología, Metabolismo (incluyendo diabetes, hormonas)
Subjects
Scopus EID
2-s2.0-85113540710
PubMed ID
Source
Nutrients
ISSN of the container
20726643
Sponsor(s)
Funding: This study was supported by the National Institutes of Health (NIH U01 AI069923 and NIAID 1 P30AI110527-03), CCASAnet and RePORT-Brazil Tennessee Center for AIDS Research (TNCFAR). BB-D and MA-P received a research fellowship from the Coordenação de Aperfeiçoa-mento de Pessoal de Nível Superior (CAPES) (Finance code: 001). MBA received a fellowship from the Fundação de Amparo à Pesquisa da Bahia (FAPESB). The work of BBA is supported by the Intramural Research Program of the Oswaldo Cruz Foundation (FIOCRUZ) and the National Council for Scientific and Technological Development (CNPq), Brazil.
Sources of information:
Directorio de Producción Científica
Scopus