Phylloquinone intake, insulin sensitivity, and glycemic status in men and women.

Phylloquinone intake, insulin sensitivity, and glycemic status in men and women.
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DOI:
10.1093/ajcn/88.1.210
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发表时间:
2008-07
期刊:
The American journal of clinical nutrition
影响因子:
--
通讯作者:
Jacques PF
Jacques PF
中科院分区:
其他
文献类型:
--
作者:
Yoshida M;Booth SL;Meigs JB;Saltzman E;Jacques PF

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Limited evidence suggests that vitamin K may have a beneficial role in glucose homeostasis. No observational data exist on the associations between vitamin K intake and insulin sensitivity. The aim was to examine associations between vitamin K intake and measures of insulin sensitivity and glycemic status in men and women, aged 26-81 y. We assessed the cross-sectional associations between self-reported phylloquinone (vitamin K1) intake and insulin sensitivity, and with glycemic status in the Framingham Offspring Cohort. Dietary and supplemental phylloquinone intakes were assessed by food-frequency questionnaire. Insulin sensitivity was measured by fasting and 2-h post oral glucose tolerance test (OGTT) insulin, the homeostasis model assessment of insulin resistance (HOMA-IR) and the insulin sensitivity index (ISI0,120). Glycemic status was assessed by fasting and 2-h post OGTT glucose and hemoglobin A1c (HbA1c). Higher phylloquinone intake was associated with greater insulin sensitivity and glycemic status, as measured by 2-h post OGTT insulin and glucose, and ISI0,120, after adjustment for age, sex, waist circumference, lifestyle characteristics and diet quality (2-h post OGTT insulin: lowest vs. highest quintile, 81.0 vs. 72.7 μU/mL, P for trend = 0.003; ISI0,120: 26.3 vs. 27.3 mg·L2/mmol·mU·min, P for trend = 0.01; 2-h post OGTT glucose: 106.3 vs. 101.9 mg/dL, P for trend = 0.01). Phylloquinone intake was not associated with fasting insulin and glucose concentrations, HOMA-IR and HbA1c. Our findings support a potential beneficial role for phylloquinone in glucose homeostasis in adult men and women.
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