Effects of Vitamin D Supplementation in Obesity
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Purpose
Obesity is an increasing health problem with numerous metabolic complications. Vitamin D deficiency is common in obesity, and in epidemiological studies vitamin D deficiency has been linked to metabolic complications, such as type 2 diabetes, insulin resistance and cardiovascular disease, as well as myopathy, osteoporosis and depression. In obesity, a low grade inflammation is present in the fat tissue, thereby releasing inflammatory molecules to the blood stream. In cell line studies as well as small clinical studies vitamin D has been shown to have the ability to reduce inflammation and cell growth.
In the present study the investigators wish to investigate the effect of vitamin D on fat-, muscle and bone metabolism. 30 healthy obese subjects will be treated with cholecalciferol 175 micrograms daily for 6 months and will be compared with 30 healthy obese subjects treated with placebo.
The investigators hypothesize that restoring vitamin D levels in vitamin D deficient obese subject will reduce inflammation and thereby reduce obesity-related complications.
The effect will be evaluated as follows:
- Levels of circulating inflammatory markers will be examined in blood samples collected prior to and after treatment.
- Effects on fat- and muscle metabolism will be evaluated in fat- and muscle samples taken before and after treatment.
- Effects on fat distribution will be evaluated by MRI scan before and after treatment.
- Effects on insulin sensitivity will be evaluated by hyperinsulinaemic euglycaemic clamp performed on a subgroup of subjects with impaired fasting glucose.
- Effects on bone marrow density will be evaluated by DEXA scans before and after treatment.
- Effects on quality of life and depression score will be evaluated by questionnaires used before and after treatment.
| Condition | Intervention | Phase |
|---|---|---|
|
Vitamin D Deficiency Obesity |
Drug: Cholecalciferol Drug: placebo |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Treatment |
| Official Title: | Effects of Vitamin D Supplementation in Vitamin D Deficient Obese Subject. |
- Effect on circulating inflammatory markers [ Time Frame: 6 months ] [ Designated as safety issue: No ]
- change in fat distribution [ Time Frame: 6 months ] [ Designated as safety issue: No ]
- change in insulin sensitivity [ Time Frame: 6 months ] [ Designated as safety issue: No ]
- change in bone mineral density [ Time Frame: 6 months ] [ Designated as safety issue: No ]
- change in quality of life [ Time Frame: 6 months ] [ Designated as safety issue: No ]
- change in depression score [ Time Frame: 6 months ] [ Designated as safety issue: No ]
- change in muscle function [ Time Frame: 6 months ] [ Designated as safety issue: No ]
- change in fat- and muscle metabolism [ Time Frame: 6 months ] [ Designated as safety issue: No ]
| Enrollment: | 55 |
| Study Start Date: | January 2010 |
| Study Completion Date: | July 2012 |
| Primary Completion Date: | December 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Active Comparator: cholecalciferol |
Drug: Cholecalciferol
oral cholecalciferol tablets of 175 micrograms daily for 6 months
Other Name: vitamin D
|
| Placebo Comparator: placebo |
Drug: placebo
oral placebo tablets similar to active comparator
|
Eligibility| Ages Eligible for Study: | 18 Years to 50 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Healthy obese (BMI 30 - 45 kg/m2)
- 25(OH) vitamin D < 50 nmol/l
Exclusion Criteria:
- Diabetes,
- Pregnancy or non-safe contraception,
- Vitamin D treatment within 3 months,
- Hypercalcaemia, renal failure,
- Liver failure, non eligibility for MRI-scan,
- Severe osteomalacia,
- Allergy towards study drug
Contacts and Locations| Denmark | |
| Dept. of Endocrinology and Metabolism, Aarhus University Hospital | |
| Aarhus, Denmark | |
| Principal Investigator: | Louise Wamberg, Dr. | Aarhus University Hospital |
More Information
No publications provided
| Responsible Party: | University of Aarhus |
| ClinicalTrials.gov Identifier: | NCT01037140 History of Changes |
| Other Study ID Numbers: | 2008-005581-31 |
| Study First Received: | December 8, 2009 |
| Last Updated: | August 1, 2012 |
| Health Authority: | Denmark: The Regional Committee on Biomedical Research Ethics Denmark: Danish Medicines Agency Denmark: Danish Dataprotection Agency |
Additional relevant MeSH terms:
|
Obesity Vitamin D Deficiency Overnutrition Nutrition Disorders Overweight Body Weight Signs and Symptoms Avitaminosis Deficiency Diseases Malnutrition |
Cholecalciferol Vitamin D Ergocalciferols Vitamins Micronutrients Growth Substances Physiological Effects of Drugs Pharmacologic Actions Bone Density Conservation Agents |
ClinicalTrials.gov processed this record on June 17, 2013