Chromium deficiency may cause insulin resistance, hyperinsulinemia, impaired glucose tolerance, and hyperlipidemia, recovered by chromium supplementation. The effect of chromium supplementation on serum lipids and glucose tolerance was tested in a double-blind 12-wk study of 23 healthy adult men aged 31 to 60 yr. Either 200 micrograms trivalent chromium in 5 ml water (Cr) or 5 ml plain water (W) was ingested daily 5 days each week. Half the subjects volunteered for glucose tolerance tests with insulin levels. At 12 wk high-density lipoprotein cholesterol increased in the Cr group from 35 to 39 mg/dl (p less than 0.05) but did not change in the water group (34 mg/dl). The largest increase in high-density lipoprotein cholesterol and decreases in insulin and glucose were found in those subjects having normal glucose levels together with elevated insulin levels at base-line. The data are thus consistent with the hypothesis that Cr supplementation raises high-density lipoprotein cholesterol and improves insulin sensitivity in those with evidence of insulin resistance but normal glucose tolerance.
铬缺乏可能导致胰岛素抵抗、高胰岛素血症、糖耐量受损和高脂血症,补充铬可使其恢复。在一项针对23名年龄在31至60岁的健康成年男性进行的为期12周的双盲研究中,测试了补充铬对血脂和糖耐量的影响。每周5天,每天摄入5毫升水中含200微克三价铬(Cr组)或5毫升纯水(W组)。一半的受试者自愿进行含胰岛素水平检测的糖耐量测试。12周时,Cr组的高密度脂蛋白胆固醇从35毫克/分升增加到39毫克/分升(p<0.05),而水组(34毫克/分升)没有变化。在基线时血糖水平正常但胰岛素水平升高的受试者中,高密度脂蛋白胆固醇的增加量最大,胰岛素和血糖的降低幅度也最大。因此,这些数据与以下假设相符:在有胰岛素抵抗迹象但糖耐量正常的人群中,补充铬可提高高密度脂蛋白胆固醇并改善胰岛素敏感性。