PMID- 32617013 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220415 IS - 1178-7007 (Print) IS - 1178-7007 (Electronic) IS - 1178-7007 (Linking) VI - 13 DP - 2020 TI - Effects of MK-7 Supplementation on Glycemic Status, Anthropometric Indices and Lipid Profile in Patients with Type 2 Diabetes: A Randomized Controlled Trial. PG - 2239-2249 LID - 10.2147/DMSO.S253014 [doi] AB - BACKGROUND: Type 2 diabetes mellitus (T2DM) is a prevalent disorder which accounts for 90-95% of diabetic patients. The aim of this study was to assess the effects of menaquinone (MK-7) supplementation on glycemic indices, anthropometric indices and lipid profile, among patients with T2DM. METHODS: In this double-blind placebo-controlled randomized clinical trial, 60 men and women with T2DM were allocated equally into either the MK-7 (200 microg/day) or the placebo group. Physical activity level and dietary intake were assessed using the international physical activity questionnaire-short form (IPAQ-SF) and a 3-day food record, pre- and post-intervention. Anthropometric measures, blood pressure, glycemic indices and lipid profile including fasting blood sugar (FBS), hemoglobin A1c (HBA1C), fasting insulin (FI), homeostatic model assessment insulin resistance index (HOMA-IR), triglycerides (TG), total cholesterol (TC), high-density lipoprotein (HDL-C) and low-density lipoprotein (LDL-C) were measured at baseline and after twelve weeks. RESULTS: Forty-five patients completed the trial. There were no significant between-group differences for calorie intake, macronutrient intake, physical activity level or anthropometric measures at baseline and at the end of the study. Dietary vitamin K intake increased significantly at the end of the study in the MK-7 (p: 0.02) and placebo (p: 0.001) groups, but intergroup differences were not significant (p: 0.86). FBS (p: 0.01), HbA1c (p: 0.002), fasting insulin (p: 0.01) and HOMA-IR (p: 0.007) decreased significantly in the MK-7 group. Furthermore, after adjustment for the baseline values and changes of vitamin K intake at the end of study, FBS and HbA1C showed significant intergroup changes, and they were significantly lower in the MK-7 group compared to the placebo group. Lipid profile (TG, TC, LDL-C, HDL-C and LDL-C/HDL-C) did not change significantly within or between groups. CONCLUSION: MK-7 supplementation seems to be effective in the improvement of glycemic indices, but not the lipid profile of patients with T2DM. CLINICAL TRIAL REGISTRATION: The present study was prospectively registered at the Iranian Registry of Clinical Trials on May 2019 (ID: IRCT20100123003140N22). CI - (c) 2020 Karamzad et al. FAU - Karamzad, Nahid AU - Karamzad N AUID- ORCID: 0000-0003-1628-1348 AD - Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran. AD - Department of Biochemistry and Diet Therapy, Faculty of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Iran. AD - Nutrition Research Center, Faculty of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Iran. FAU - Faraji, Esmaeil AU - Faraji E AD - Endocrine Research Center, Tabriz University of Medical Sciences, Tabriz, Iran. FAU - Adeli, Shaghayegh AU - Adeli S AD - Department of Biochemistry and Diet Therapy, Faculty of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Iran. FAU - Carson-Chahhoud, Kristin AU - Carson-Chahhoud K AD - Australian Centre for Precision Health, School of Health Sciences, University of South Australia, Adelaide, South Australia, Australia. AD - School of Medicine, University of Adelaide, Adelaide, South Australia, Australia. FAU - Azizi, Samaneh AU - Azizi S AUID- ORCID: 0000-0003-4577-9487 AD - Department of Biochemistry and Diet Therapy, Faculty of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Iran. FAU - Pourghassem Gargari, Bahram AU - Pourghassem Gargari B AUID- ORCID: 0000-0001-7667-099X AD - Department of Biochemistry and Diet Therapy, Faculty of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Iran. AD - Nutrition Research Center, Faculty of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Iran. LA - eng PT - Journal Article DEP - 20200626 PL - New Zealand TA - Diabetes Metab Syndr Obes JT - Diabetes, metabolic syndrome and obesity : targets and therapy JID - 101515585 PMC - PMC7326202 OTO - NOTNLM OT - MK-7 OT - anthropometric indices OT - diabetes OT - dyslipidemia OT - glycemic status OT - menaquinone OT - phylloquinone OT - vitamin K COIS- The authors declare no conflict of interest. EDAT- 2020/07/04 06:00 MHDA- 2020/07/04 06:01 PMCR- 2020/06/26 CRDT- 2020/07/04 06:00 PHST- 2020/03/08 00:00 [received] PHST- 2020/06/11 00:00 [accepted] PHST- 2020/07/04 06:00 [entrez] PHST- 2020/07/04 06:00 [pubmed] PHST- 2020/07/04 06:01 [medline] PHST- 2020/06/26 00:00 [pmc-release] AID - 253014 [pii] AID - 10.2147/DMSO.S253014 [doi] PST - epublish SO - Diabetes Metab Syndr Obes. 2020 Jun 26;13:2239-2249. doi: 10.2147/DMSO.S253014. eCollection 2020.