Health
Vitamin supplement may delay diabetes in select groups, researchers say
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High-dose vitamin D supplements could help reduce diabetes risk among certain groups, according to new research from Tufts University.
In a large clinical trial, researchers performed genetic testing of more than 2,000 U.S. adults with prediabetes after they received 4,000 units per day of vitamin D supplements, then compared them to a placebo group.
An earlier study showed no significant reduction in diabetes risk in the group receiving vitamin D supplementation, but when the researchers looked closer, they found a benefit for certain genetic groups.
High-dose vitamin D supplements could help reduce diabetes risk among certain groups, according to new research from Tufts University. (iStock)
For the new study, the Tufts researchers compared participants who appeared to benefit from vitamin D supplementation to those who did not, then examined how outcomes differed across three common variants of the vitamin D receptor gene.
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People who had certain versions of a vitamin D-related gene (called AC or CC) were 19% less likely to get diabetes when they took vitamin D compared to people who took a placebo, according to a university press release.
Participants with another genetic variant (AA) showed no benefit from supplementation.
People who had certain versions of a vitamin D-related gene (called AC or CC) were 19% less likely to get diabetes when they took vitamin D compared to people who took a placebo. (iStock)
Vitamin D seems to work by attaching to a specific “receiver” in the body called the vitamin D receptor, the researchers discovered. These receptors are found in many places, including the pancreas, the organ that makes insulin.
The findings were published last week in JAMA Network Open.
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“Our finding is an example of the emerging science of precision nutrition or precision medicine, in which an intervention can be tailored to the needs of individuals according to their genetic makeup and disease risk,” Bess Dawson-Hughes, the study’s lead author and a senior scientist at the Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University, told Fox News Digital.
“Taking a vitamin D supplement daily is an easy, inexpensive and generally safe approach to reducing diabetes risk,” she added. “In principle, this could involve a single, relatively inexpensive genetic test.”
“It is too early to make specific recommendations for the general population.”
There were some limitations to the study, the researchers noted, including that this was a secondary analysis rather than a primary randomized comparison.
“Like any other first observation, this finding needs to be replicated in a future study,” the researcher said.
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The study only included individuals with prediabetes, which could limit relevance to broader populations. The results seen in specific genetic groups need to be confirmed in more studies before doctors can use them in patient care.
“I would not advise older adults to take a daily dose of 4,000 IU of vitamin D without first consulting with their doctors,” the researchers said. (iStock)
The authors emphasized that people should not start taking high doses of vitamin D as a diabetes prevention strategy based on this study.
“It is too early to make specific recommendations for the general population,” Dawson-Hughes said.
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Current recommendations suggest that most adults get about 600 IU of vitamin D daily (ages 1–70) and 800 IU for those over 70. However, previous studies have shown that taking very high doses can be harmful for older adults.
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“There is some evidence, from my laboratory and others, that the relatively high blood levels of 25-hydroxyvitamin D needed to achieve the diabetes risk reduction have been associated with an increased risk of falling in older adults,” Dawson-Hughes noted.
“I would not advise older adults to take a daily dose of 4,000 IU of vitamin D without first consulting with their doctors.”
Adults with prediabetes also have an increased risk of cardiovascular disease, the researcher noted. (iStock)
This new study raises another question, according to Dawson-Hughes: Would vitamin D supplementation in adults with the responsive genotypes lower the risk of developing prediabetes, the forerunner to Type 2 diabetes?
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“This is important because prediabetes is not a benign condition,” she said. “Adults with prediabetes also have an increased risk of cardiovascular disease.”
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Specific bacteria in the gut could predict a person’s risk of developing Parkinson’s disease years before symptoms appear, new research suggests.
Led by researchers from University College London (UCL), an observational study analyzed the gut microbes of 271 patients in the U.K. who had been diagnosed with Parkinson’s.
Also included in the study were 43 carriers of the GBA1 variant, which has been linked to an almost 30 times higher risk of Parkinson’s disease. These participants did not have symptoms of the disease. There was also a control group of 150 healthy participants without the gene.
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Based on fecal samples, more than one-quarter of gut microbes — bacteria and other microorganisms in the digestive tract — were in different amounts for people with Parkinson’s disease compared to healthy individuals, according to a press release.
Non-symptomatic people carrying the Parkinson’s gene also had microbial changes that resembled an “intermediate” stage of the disease, which suggests that microbial changes may happen prior to symptoms emerging.
Specific bacteria in the gut could predict a person’s risk of developing Parkinson’s disease years before symptoms appear, new research suggests. (iStock)
Those who reported eating a more diverse and balanced diet were less likely to have microbiome patterns associated with higher Parkinson’s risk, the researchers found.
The findings, which were published in Nature Medicine, were also seen in over 1,400 participants across the U.K., Korea and Turkey, suggesting that the microbial changes are consistent across different cultures and dietary patterns.
“There is an urgent need to develop treatments that can stop or slow the disease’s progression.”
“Parkinson’s disease is a major cause of disability worldwide, and the fastest growing neurodegenerative disease in terms of prevalence and mortality,” lead author professor Anthony Schapira of the UCL Queen Square Institute of Neurology said in the release.
“There is an urgent need to develop treatments that can stop or slow the disease’s progression.”
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Patients with Parkinson’s are known to have “significant gut abnormalities,” according to Dr. Earnest Lee Murray, a board-certified neurologist at Jackson-Madison County General Hospital in Jackson, Tennessee.
One of those is severe constipation, which can occur several years before tremors and other symptoms.
Those who reported eating a more diverse and balanced diet were less likely to have microbiome patterns associated with higher Parkinson’s risk, the researchers found. (iStock)
“There has long been a theory about the gut-brain axis and whether or not the pathology for Parkinson’s starts in the gut decades before stereotypical features are noted,” Murray, who was not involved in the research, told Fox News Digital.
The neurologist said the study sets the stage for additional research exploring the gut-brain axis theory, which could determine whether early pre-symptomatic treatments could prevent or mitigate the risk of developing Parkinson’s later in life.
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“With an aging population that is living longer, the prevalence of Parkinson’s is increasing significantly, which underscores the importance of studies like this that attempt to prevent this debilitating neurodegenerative disease,” Murray added.
“With an aging population that is living longer, the prevalence of Parkinson’s is increasing significantly,” according to Dr. Earnest Lee Murray. (iStock)
Dr. Aaron Ellenbogen, medical director of the Parkinson’s Disease & Movement Disorders Center at the Michigan Institute for Neurological Disorders, said it is not surprising that a change in the organisms living in the GI tract can be a signature of evolving Parkinson’s pathology.
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“In general, people with GBA mutations tend to have Parkinson’s symptoms evolve in a way that is more consistent with a gut-first presentation,” Ellenbogen, who also was not involved in the study, told Fox News Digital.
Others may experience a different set of symptoms, including loss of sense of smell, before developing signs of motor Parkinson’s disease, he noted.
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“In fact, many of these people don’t develop the symptoms of constipation and REM behavior disorder until later in their disease course,” Ellenbogen said. “These people may actually have a form of Parkinson’s that starts in the brain.”
Potential limitations
There were some limitations to the study, the researchers acknowledged. Because it was observational in design, it could not prove that the microbiome changes directly caused Parkinson’s.
The researchers also noted that not everyone with at-risk microbiome profiles will develop the disease, as other genetic or environmental factors could play a role.
The researchers also noted that not everyone with at-risk microbiome profiles will develop the disease, as other genetic or environmental factors could play a role. (iStock)
Additionally, differences in microbiomes across various populations could skew the results.
“To enable both the research and eventual use of such treatments, we need to develop the means for very early detection of people who will, or likely will, go on to develop the disease,” Schapira said.
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The study was funded by the Michael J. Fox Foundation for Parkinson’s Research and the UK Medical Research Council.
Fox News Digital reached out to the researchers for comment.
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