2012 ©
             Publication
Journal Publication
Title of Article Effects of oral vitamin C treatment on metabolism at rest and in response to an acute exercise in patients with poorly controlled type 2 diabetes mellitus 
Date of Acceptance 29 March 2020 
Journal
     Title of Journal Archives of Allied Health Sciences 
     Standard TCI 
     Institute of Journal ,มหาวิทยาลัยขอนแก่น 
     ISBN/ISSN 730-1990 
     Volume 2020 
     Issue 32 
     Month may-august
     Year of Publication 2020 
     Page 36-50 
     Abstract Metabolic disturbances at rest and in responses to exercise are the hallmarks of type 2 diabetes mellitus (T2DM). Although vitamin C was shown to improve resting glycemia and lipid profile in patients with T2DM, a study investigating the effects of vitamin C treatment on the metabolic responses at rest and to low-intensity exercise in poorly controlled T2DM patients has not been conducted yet. This study aimed to investigate the effects of oral vitamin C treatment on metabolism at rest and in response to an acute exercise in patients. Twenty T2DM patients randomly participated in the following two six-week arms with a six-week washout period: either daily placebo or 1000 mg vitamin C. On the first and last day of each session, they performed 20-min low-intensity cycling. Five-min expired gas was collected before starting and finishing the exercise. Immediately before and after the exercise, venous blood samples were collected. Vitamin C decreased resting cholesterol concentration compared with placebo treatment (p-value < 0.05) without any effect after the exercise. Post-vitamin C treatment, fat oxidation rate was higher during exercise than baseline (p-value < 0.05). Resting total cholesterol/high-density lipoprotein-cholesterol and glucose concentrations in plasma at rest and after exercise were lower at post- compared with pre-vitamin C treatment (p-value <0.05). Additionally, pre- and post-treatment, rates of oxygen consumption and carbohydrate oxidation, and energy expenditure were higher during exercise than baseline in both treatment arms (p-value <0.05). The findings suggest that daily treatment with 1000 mg of vitamin C for six weeks reduced the resting cholesterol concentration in patients with poorly glycemic controlled T2DM. However, this effect was not observed immediately after exercise. Nonetheless, post-vitamin C treatment, fat utilization during exercise was higher than baseline. Besides, low-intensity exercise increased oxygen consumption rate, carbohydrate oxidation rate, and energy expenditure, pre- and post- both treatment arms. 
     Keyword Ascorbic acid;Hyperglycemia;Insulin resistance;Lipid oxidation;Physical activity 
Author
547100012-4 Miss CHONGCHIRA BOONTHONGKAEW [Main Author]
Graduate School Doctoral Degree
547100026-3 Miss YUPAPORN KANPETTA
Graduate School Doctoral Degree
547100013-2 Miss NISA CHUANGCHOT
Graduate School Doctoral Degree

Reviewing Status มีผู้ประเมินอิสระ 
Status ตีพิมพ์แล้ว 
Level of Publication ชาติ 
citation false 
Part of thesis true 
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