Hostname: page-component-cd9895bd7-gvvz8 Total loading time: 0 Render date: 2024-12-27T13:31:55.809Z Has data issue: false hasContentIssue false

Associations between concentrations of α- and γ-tocopherol and concentrations of glucose, glycosylated haemoglobin, insulin and C-peptide among US adults

Published online by Cambridge University Press:  08 March 2007

E. S. Ford*
Affiliation:
Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Highway, MS K66, Atlanta, GA 30341, USA
A. H. Mokdad
Affiliation:
Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Highway, MS K66, Atlanta, GA 30341, USA
U. A. Ajani
Affiliation:
Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Highway, MS K66, Atlanta, GA 30341, USA
S. Liu
Affiliation:
Division of Preventive Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA
*
*Corresponding author: Dr E. S. Ford, fax +1 770 488 8150, email eford@cdc.gov
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Our objective was to study the cross-sectional associations between concentrations of α- and γ-tocopherol and concentrations of glucose, glycosylated haemoglobin, insulin and C-peptide among US adults. We used data for 1289 participants without self-reported diabetes who were aged ≥20 years in the National Health and Nutrition Examination Survey 1999–2000. α-Tocopherol concentration was inversely associated with glucose concentration (β per mmol/l=−0·01064, se 0·00356, P=0·004) after adjusting for age, sex, race or ethnicity, education, smoking status, concentrations of total cholesterol and triacylglycerols, systolic blood pressure, waist circumference, alcohol use, physical activity, time watching television or videos or using a computer, and use of vitamin/mineral/dietary supplements. Among 659 participants who did not report using supplements, this association was no longer significant whereas the concentration of α-tocopherol was inversely associated with concentration of C-peptide (β per mmol/l=−0·01121, se 0·00497, P=0·024). γ-Tocopherol concentration was positively associated with concentration of glucose (β per mmol/l=0·09169, se 0·02711, P=0·001) and glycosylated haemoglobin (β per mmol/l=0·04954, se 0·01284, P<0·001), but not insulin or C-peptide. The relationships between physiologic concentrations of the various forms of vitamin E and measures of glucose intolerance deserve additional investigation.

Type
Research Article
Copyright
Copyright © The Nutrition Society 2005

References

Boeing, H, Weisgerber, UM, Jeckel, A, Rose, HJ & Kroke, A (2000) Association between glycated hemoglobin and diet and other lifestyle factors in a nondiabetic population: cross-sectional evaluation of data from the Potsdam cohort of the European Prospective Investigation into Cancer and Nutrition Study. Am J Clin Nutr 71, 11151122.CrossRefGoogle Scholar
Burton, GW, Traber, MG, Acuff, RV, Walters, DN, Kayden, H, Hughes, L & Ingold, KU (1998) Human plasma and tissue α-tocopherol concentrations in response to supplementation with deuterated natural and synthetic vitamin E. Am J Clin Nutr 67, 669684.CrossRefGoogle ScholarPubMed
Centers for, Disease Control & and Prevention (2001) National Health and Nutrition Examination Survey, laboratory procedures manual. http://www.cdc.gov/nchs/data/nhanes/LAB7-11.pdf.Google Scholar
Centers for, Disease Control & and Prevention (2002) National Health and Nutrition Examination Survey 19992000, public data release file documentation. http://www.cdc.gov/nchs/about/major/nhanes/currentnhanes.htm.Google Scholar
Ceriello, A, Giugliano, D, Quatraro, A, Donzella, C, Dipalo, G & Lefebvre, PJ (1991) Vitamin E reduction of protein glycosylation in diabetes. New prospect for prevention of diabetic complications?. Diabetes Care 14, 6872.CrossRefGoogle ScholarPubMed
Decsi, T, Molnar, D & Koletzko, B (1996) Lipid corrected plasma alpha-tocopherol values are inversely related to fasting insulinaemia in obese children. Int J Obes Relat Metab Disord 20, 970972.Google ScholarPubMed
Devaraj, S & Traber, MG (2003) Gamma-tocopherol, the new vitamin E?. Am J Clin Nutr 77, 530531.CrossRefGoogle ScholarPubMed
Duncan, BB, Schmidt, MI, Offenbacher, S, Wu, KK, Savage, PJ & Heiss, G (1999) Factor VIII and other hemostasis variables are related to incident diabetes in adults. The Atherosclerosis Risk in Communities (ARIC) study. Diabetes Care 22, 767772.CrossRefGoogle ScholarPubMed
Evans, JL, Goldfine, ID, Maddux, BA & Grodsky, GM (2002) Oxidative stress and stress-activated signaling pathways: a unifying hypothesis of type 2 diabetes. Endocr Rev 23, 599622.CrossRefGoogle ScholarPubMed
Facchini, F, Coulston, AM & Reaven, GM (1996) Relation between dietary vitamin intake and resistance to insulin-mediated glucose disposal in healthy volunteers. Am J Clin Nutr 63, 946949.CrossRefGoogle ScholarPubMed
Facchini, FS, Humphreys, MH, DoNascimento, CA, Abbasi, F & Reaven, GM (2000) Relation between insulin resistance and plasma concentrations of lipid hydroperoxides, carotenoids, and tocopherols. Am J Clin Nutr 72, 776779.CrossRefGoogle ScholarPubMed
Fenster, CP, Weinsier, RL, Darley-Usmar, VM & Patel, RP (2002) Obesity, aerobic exercise, and vascular disease: the role of oxidant stress. Obes Res 10, 964968.CrossRefGoogle ScholarPubMed
Fuller, CJ, Chandalia, M, Garg, A, Grundy, SM & Jialal, I (1996) RRR-alpha-tocopheryl acetate supplementation at pharmacologic doses decreases low-density-lipoprotein oxidative susceptibility but not protein glycation in patients with diabetes mellitus. Am J Clin Nutr 63, 753759.CrossRefGoogle Scholar
Gokkusu, C, Palanduz, S, Ademoglu, E & Tamer, S (2001) Oxidant and antioxidant systems in NIDDM patients: influence of vitamin E supplementation. Endocr Res 27, 377386.CrossRefGoogle ScholarPubMed
Gomez-Perez, FJ, Valles-Sanchez, VE, Lopez-Alvarenga, JC, Choza-Romero, R, Ibarra, Pascuali, JJ, Gonzalez, Orellana, R, Perez, Ortiz, OB, Rodriguez, Padilla, EG, Aguilar, Salinas, CA Rull, JA (1996) Vitamin E modifies neither fructosamine nor HbA1c levels in poorly controlled diabetes. Rev Invest Clin 48, 421424.Google ScholarPubMed
Institute of MedicineInstitute of Medicine (2000) Dietary Reference Intakes for Vitamin C, Vitamin E, Selenium, and Carotenoids Washington, DC: National Academy Press.Google Scholar
Jain, SK, McVie, R, Jaramillo, JJ, Palmer, M & Smith, T (1996) Effect of modest vitamin E supplementation on blood glycated hemoglobin and triglyceride levels and red cell indices in type I diabetic patients. J Am Coll Nutr 15, 458461.CrossRefGoogle ScholarPubMed
Jiang, Q & Ames, BN (2003) Gamma-tocopherol, but not alpha-tocopherol, decreases proinflammatory eicosanoids and inflammation damage in rats. FASEB J 17, 816822.CrossRefGoogle Scholar
Jiang, Q, Christen, S, Shigenaga, MK & Ames, BN (2001) Gamma-tocopherol, the major form of vitamin E in the US diet, deserves more attention. Am J Clin Nutr 74, 714722.CrossRefGoogle ScholarPubMed
Jiang, Q, Elson-Schwab, I, Courtemanche, C & Ames, BN (2000) Gamma-tocopherol and its major metabolite, in contrast to alpha-tocopherol, inhibit cyclooxygenase activity in macrophages and epithelial cells. Proc Natl Acad Sci USA 97, 1149411499.CrossRefGoogle ScholarPubMed
Keaney, JF, Jr, Larson, MG, Vasan, RS, Wilson, PW, Lipinska, I, Corey, D, Massaro, JM, Sutherland, P, Vita, JA Benjamin, EJ (2003) Obesity and systemic oxidative stress: clinical correlates of oxidative stress in the Framingham Study. Arterioscler Thromb Vasc Biol 23, 434439.CrossRefGoogle ScholarPubMed
Mayer-Davis, EJ, Costacou, T, King, I, Zaccaro, DJ & Bell, RA (2002) Plasma and dietary vitamin E in relation to incidence of type 2 diabetes: The Insulin Resistance and Atherosclerosis Study (IRAS). Diabetes Care 25, 21722177.CrossRefGoogle ScholarPubMed
Meydani, SN, Meydani, M, Blumberg, JB, Leka, LS, Pedrosa, M, Diamond, R & Schaefer, EJ (1998) Assessment of the safety of supplementation with different amounts of vitamin E in healthy older adults. Am J Clin Nutr 68, 311318.CrossRefGoogle ScholarPubMed
Meydani, SN, Meydani, M, Rall, LC, Morrow, F & Blumberg, JB (1994) Assessment of the safety of high-dose, short-term supplementation with vitamin E in healthy older adults. Am J Clin Nutr 60, 704709.CrossRefGoogle ScholarPubMed
Miller, ER, Appel, LJ, Levander, OA, Levine, DM (1997) The effect of antioxidant vitamin supplementation on traditional cardiovascular risk factors. J Cardiovasc Risk 4, 1924.CrossRefGoogle ScholarPubMed
Montonen, J, Knekt, P, Jarvinen, R & Reunanen, A (2004) Dietary antioxidant intake and risk of type 2 diabetes. Diabetes Care 27, 362366.CrossRefGoogle ScholarPubMed
Mustad, VA, Smith, CA, Ruey, PP, Edens, NK & DeMichele, SJ (2002) Supplementation with 3 compositionally different tocotrienol supplements does not improve cardiovascular disease risk factors in men and women with hypercholesterolemia. Am J Clin Nutr 76, 12371243.CrossRefGoogle Scholar
Paolisso, G, D'Amore, A, Galzerano, D, Balbi, V, Giugliano, D, Varricchio, M, D'Onofrio, F (1993a) Daily vitamin E supplements improve metabolic control but not insulin secretion in elderly type II diabetic patients. Diabetes Care 16, 14331437.CrossRefGoogle Scholar
Paolisso, G, D'Amore, A, Giugliano, D, Ceriello, A, Varricchio, M, D'Onofrio, F (1993b) Pharmacologic doses of vitamin E improve insulin action in healthy subjects and non-insulin-dependent diabetic patients. Am J Clin Nutr 57, 650656.CrossRefGoogle ScholarPubMed
Paolisso, G, Di, Maro, G, Galzerano, D, Cacciapuoti, F, Varricchio, G, Varricchio, M, D'Onofrio F (1994) Pharmacological doses of vitamin E and insulin action in elderly subjects. Am J Clin Nutr 59, 12911296.CrossRefGoogle ScholarPubMed
Paolisso, G, Gambardella, A, Giugliano, D, Galzerano, D, Amato, L, Volpe, C, Balbi, V, Varricchio, M, D'Onofrio, F (1995) Chronic intake of pharmacological doses of vitamin E might be useful in the therapy of elderly patients with coronary heart disease. Am J Clin Nutr 61, 848852.CrossRefGoogle ScholarPubMed
Perticone, F, Ceravolo, R, Candigliota, M, Ventura, G, Iacopino, S, Sinopoli, F & Mattioli, PL (2001) Obesity and body fat distribution induce endothelial dysfunction by oxidative stress: protective effect of vitamin C. Diabetes 50, 159165.CrossRefGoogle ScholarPubMed
Pickup, JC & Crook, MA (1998) Is type II diabetes mellitus a disease of the innate immune system?. Diabetologia 41, 12411248.CrossRefGoogle ScholarPubMed
Reaven, PD, Herold, DA, Barnett, J & Edelman, S (1995) Effects of vitamin E on susceptibility of low-density lipoprotein and low-density lipoprotein subfractions to oxidation and on protein glycation in NIDDM. Diabetes Care 18, 807816.CrossRefGoogle ScholarPubMed
Reunanen, A, Knekt, P, Aaran, RK & Aromaa, A (1998) Serum antioxidants and risk of non-insulin dependent diabetes mellitus. Eur J Clin Nutr 52, 8993.CrossRefGoogle ScholarPubMed
Ruhe, RC & McDonald, RB (2001) Use of antioxidant nutrients in the prevention and treatment of type 2 diabetes. J Am Coll Nutr 20 Suppl., 363S369SCrossRefGoogle ScholarPubMed
Salonen, JT, Nyyssonen, K, Tuomainen, TP, Maenpaa, PH, Korpela, H, Kaplan, GA, Lynch, J, Helmrich, SP & Salonen, R (1995) Increased risk of non-insulin dependent diabetes mellitus at low plasma vitamin E concentrations: a four year follow up study in men. Br Med J 311, 11241127.CrossRefGoogle ScholarPubMed
Sanchez-Lugo, L, Mayer-Davis, EJ, Howard, G, Ayad, MF, Rewers, M & Haffner, S (1997) Insulin sensitivity and intake of vitamins E and C in African American, Hispanic, and non-Hispanic white men and women: the Insulin Resistance and Atherosclerosis Study (IRAS). Am J Clin Nutr 66, 12241231.CrossRefGoogle Scholar
Sjoholm, A, Berggren, PO & Cooney, RV (2000) Gamma-tocopherol partially protects insulin-secreting cells against functional inhibition by nitric oxide. Biochem Biophys Res Commun 277, 334340.CrossRefGoogle ScholarPubMed
Skrha, J, Sindelka, G, Kvasnicka, J & Hilgertova, J (1999) Insulin action and fibrinolysis influenced by vitamin E in obese Type 2 diabetes mellitus. Diabetes Res Clin Pract 44, 2733.CrossRefGoogle ScholarPubMed
Traber, MG (1999) Vitamin E. In: Modern Nutrition in Health and Disease, pp. 9th ed.347362 [Shils, ME, Olson, JA, Shike, M, Ross, AC, editors]. Baltimore, MD: Williams & Wilkens.Google Scholar
Upritchard, JE, Sutherland, WH & Mann, JI (2000) Effect of supplementation with tomato juice, vitamin E, and vitamin C on LDL oxidation and products of inflammatory activity in type 2 diabetes. Diabetes Care 23, 733738.CrossRefGoogle ScholarPubMed
Ylonen, K, Alfthan, G, Groop, L, Saloranta, C, Aro, A & Virtanen, SM (2003) Dietary intakes and plasma concentrations of carotenoids and tocopherols in relation to glucose metabolism in subjects at high risk of type 2 diabetes: the Botnia Dietary Study. Am J Clin Nutr 77, 14341441.CrossRefGoogle ScholarPubMed