PMID- 32359741 OWN - NLM STAT- MEDLINE DCOM- 20210924 LR - 20210924 IS - 2405-4577 (Electronic) IS - 2405-4577 (Linking) VI - 37 DP - 2020 Jun TI - The effects of vitamin D and curcuminoids supplementation on anthropometric measurements and blood pressure in type 2 diabetic patients with coexisting hypovitaminosis D: A double-blind, placebo-controlled randomized clinical trial. PG - 178-186 LID - S2405-4577(20)30037-1 [pii] LID - 10.1016/j.clnesp.2020.02.017 [doi] AB - BACKGROUND AND AIMS: Curcuminoids and vitamin D have been shown to improve blood pressure and body weight in diabetic animals; however, consistent findings in type 2 diabetes mellitus (T2DM) patients are limited. This study was performed to evaluate the effects of curcuminoids and vitamin D, simultaneously or singly on anthropometric measurements and blood pressure in T2DM patients with insufficient vitamin D level. METHODS: In this randomized, placebo-controlled clinical trial, eighty T2DM patients were randomly assigned into 4 groups receiving (1) 500 mg/day curcuminoids; (2) 50,000 IU/week vitamin D(3); (3) 50,000 IU/week vitamin D(3) plus 500 mg/d curcuminoids; or (4) placebos for 12 weeks. Blood pressure and anthropometric measurements were evaluated before and after intervention. RESULTS: Intergroup comparisons showed that Vitamin D (main effect) significantly reduced systolic blood pressure (SBP) and diastolic blood pressure (DBP) (P = 0/000). Curcuminoids (main effect) significantly reduced DBP (P = 0/001). Interaction effects showed that curcuminoids significantly prevented the effect of vitamin D on the reduction of SBP (P = 0.006). Whereas, vitamin D and curcuminoids had a synergistic effect on DBP reduction (P = 0.006). The comparison of changes in anthropometric measurements between the four groups showed no significant differences in the raw and adjusted models. In-group comparisons showed that SBP, DBP, waist to hip circumference (WHR), body fat mass (BFM), percent body fat (PBF) and visceral fat area (VFA) values were significantly reduced in all groups except the placebo group compared to baseline values. Only in the CR-D group, there was a significant reduction in body weight (P = 0/047). CONCLUSIONS: Curcuminoids and vitamin D may have beneficial effects on blood pressure and anthropometric measurements in T2DM patients. CLINICAL REGISTRATION: http://www.IRCT.ir:IRCT2017041213678N22. CI - Copyright (c) 2020 European Society for Clinical Nutrition and Metabolism. Published by Elsevier Ltd. All rights reserved. FAU - Ebrahimkhani, Shirin AU - Ebrahimkhani S AD - Student Research Committee, Urmia University of Medical Sciences, Urmia, Iran; Department of Human Nutrition, Faculty of Medicine, Urmia University of Medical Sciences, Urmia, Iran. FAU - Ghavamzadeh, Saeid AU - Ghavamzadeh S AD - Department of Human Nutrition, Faculty of Medicine, Urmia University of Medical Sciences, Urmia, Iran; Food and Beverages Safety Research Center, Urmia University of Medical Sciences, Urmia, Iran. Electronic address: Ghavamzadeh.saeid2019@gmail.com. FAU - Mehdizadeh, Alireza AU - Mehdizadeh A AD - Department of Internal Medicine, Imam-Khomeini Training Hospital, Urmia University of Medical Sciences, Urmia, Iran. LA - eng SI - IRCT/IRCT2017041213678N22 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20200320 PL - England TA - Clin Nutr ESPEN JT - Clinical nutrition ESPEN JID - 101654592 RN - 0 (Diarylheptanoids) RN - 1406-16-2 (Vitamin D) SB - IM MH - Blood Pressure MH - *Diabetes Mellitus, Type 2/complications/drug therapy MH - Diarylheptanoids MH - Dietary Supplements MH - Humans MH - Vitamin D MH - *Vitamin D Deficiency/complications/drug therapy OTO - NOTNLM OT - Anthropometric measurements OT - Blood pressure OT - Curcuminoids OT - Type 2 diabetes OT - Vitamin D COIS- Declaration of Competing Interest None. EDAT- 2020/05/04 06:00 MHDA- 2021/09/25 06:00 CRDT- 2020/05/04 06:00 PHST- 2019/12/02 00:00 [received] PHST- 2020/02/20 00:00 [revised] PHST- 2020/02/25 00:00 [accepted] PHST- 2020/05/04 06:00 [entrez] PHST- 2020/05/04 06:00 [pubmed] PHST- 2021/09/25 06:00 [medline] AID - S2405-4577(20)30037-1 [pii] AID - 10.1016/j.clnesp.2020.02.017 [doi] PST - ppublish SO - Clin Nutr ESPEN. 2020 Jun;37:178-186. doi: 10.1016/j.clnesp.2020.02.017. Epub 2020 Mar 20.