Effects of a healthy Nordic diet on plasma 25-hydroxyvitamin D concentration in subjects with metabolic syndrome: a randomized, placebo-controlled trial (SYSDIET).

Purpose: At northern latitudes, vitamin D is not synthesized endogenously during winter, causing low plasma 25-hydroxyvitamin D (25(OH)D) concentrations. Therefore, we evaluated the effects of a healthy Nordic diet based on Nordic nutrition recommendations (NNR) on plasma 25(OH)D and explored its di...

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Publicado en:European Journal of Nutrition Vol. 53; no. 4; pp. 1123 - 1135
Autores principales: Brader, Lea, Rejnmark, Lars, Carlberg, Carsten, Schwab, Ursula, Kolehmainen, Marjukka, Rosqvist, Fredrik, Cloetens, Lieselotte, Landin-Olsson, Mona, Gunnarsdottir, Ingibjorg, Poutanen, Kaisa, Herzig, Karl-Heinz, Risérus, Ulf, Savolainen, Markku, Thorsdottir, Inga, Uusitupa, Matti, Hermansen, Kjeld
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Springer Nature Jun2014
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2014
      vid: 53
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00394-014-0674-3
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        atl: Effects of a healthy Nordic diet on plasma 25-hydroxyvitamin D concentration in subjects with metabolic syndrome: a randomized, placebo-controlled trial (SYSDIET).
      aug:
        au:
          Brader, Lea
          Rejnmark, Lars
          Carlberg, Carsten
          Schwab, Ursula
          Kolehmainen, Marjukka
          Rosqvist, Fredrik
          Cloetens, Lieselotte
          Landin-Olsson, Mona
          Gunnarsdottir, Ingibjorg
          Poutanen, Kaisa
          Herzig, Karl-Heinz
          Risérus, Ulf
          Savolainen, Markku
          Thorsdottir, Inga
          Uusitupa, Matti
          Hermansen, Kjeld
        affil: Department of Endocrinology and Internal Medicine, Aarhus University Hospital, Tage-Hansens Gade 2 8000 Århus C Denmark
      sug:
        subj:
          Vitamin D Blood
          Forecasting Scandinavia
          Nutritional Status Scandinavia
          Metabolic Syndrome X Diet Therapy
          Human
          Randomized Controlled Trials
          Random Assignment
          Intervention Trials
          Pretest-Posttest Design
          Funding Source
          Multicenter Studies
          Vitamin D Blood
          Parathyroid Hormones Blood
          Vitamin D Deficiency Diagnosis
          Eicosapentaenoic Acid
          Docosahexaenoic Acids
          Dietary Supplementation
          Vitamin D Administration and Dosage
          Eicosapentaenoic Acid Blood
          Docosahexaenoic Acids Blood
          Fish
          Body Mass Index Evaluation
          Adult
          Middle Age
          Aged
          Male
          Female
          Descriptive Statistics
          Life Style Evaluation
          Health Behavior Evaluation
          Data Analysis Software
          Unpaired T-Tests
          Wilcoxon Signed Rank Test
          Mann-Whitney U Test
          Fisher's Exact Test
          Chi Square Test
          Linear Regression
          Multiple Linear Regression
          Two-Tailed Test
          Finland
          Iceland
          Sweden
          Denmark
          Scandinavia
          Diet Standards
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Purpose: At northern latitudes, vitamin D is not synthesized endogenously during winter, causing low plasma 25-hydroxyvitamin D (25(OH)D) concentrations. Therefore, we evaluated the effects of a healthy Nordic diet based on Nordic nutrition recommendations (NNR) on plasma 25(OH)D and explored its dietary predictors. Methods: In a Nordic multi-centre trial, subjects ( n = 213) with metabolic syndrome were randomized to a control or a healthy Nordic diet favouring fish (≥300 g/week, including ≥200 g/week fatty fish), whole-grain products, berries, fruits, vegetables, rapeseed oil and low-fat dairy products. Plasma 25(OH)D and parathyroid hormone were analysed before and after 18- to 24-week intervention. Results: At baseline, 45 % had vitamin D inadequacy (<50 nmol/l), whereas 8 % had deficiency (<25 nmol/l). Dietary vitamin D intake was increased by the healthy Nordic diet ( P < 0.001). The healthy Nordic and the control diet reduced the prevalence of vitamin D inadequacy by 42 % ( P < 0.001) and 19 % ( P = 0.002), respectively, without between-group difference ( P = 0.142). Compared with control, plasma 25(OH)D ( P = 0.208) and parathyroid hormone ( P = 0.207) were not altered by the healthy Nordic diet. Predictors for 25(OH)D were intake of vitamin D, eicosapentaenoic acids (EPA), docosahexaenoic acids (DHA), vitamin D supplement, plasma EPA and plasma DHA. Nevertheless, only vitamin D intake and season predicted the 25(OH)D changes. Conclusion: Consuming a healthy Nordic diet based on NNR increased vitamin D intake but not plasma 25(OH)D concentration. The reason why fish consumption did not improve vitamin D status might be that many fish are farmed and might contain little vitamin D or that frying fish may result in vitamin D extraction. Additional ways to improve vitamin D status in Nordic countries may be needed.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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