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绿茶能做到吗?临床证据的文献综述。

Can green tea do that? A literature review of the clinical evidence.

机构信息

Pharmacology Unit, Faculty of Medical Sciences, The University of the West Indies, St. Augustine, Trinidad and Tobago.

出版信息

Prev Med. 2009 Aug-Sep;49(2-3):83-7. doi: 10.1016/j.ypmed.2009.05.005. Epub 2009 May 22.

Abstract

OBJECTIVE

Habitual green tea consumption has long been associated with health benefits including chemoprevention and cardiovascular protection. This non-systematic literature review presents the clinical evidence to date.

METHOD

A literature review of peer-reviewed articles on observational and interventional studies was conducted to include green tea, its extract or its purified polyphenol (-)-epigallocatechin-3-gallate (EGCG). Electronic databases searched included PubMed (1966-2009) and the Cochrane Library (Issue 4, 2008).

RESULTS

Observational studies are inconclusive on the benefits of habitual consumption of green tea in the prevention of most cancers. However, there are trends towards prevention in breast and prostate cancers. Interventional studies have demonstrated reduction in relapses following surgical resection in colorectal adenomas and increased survival rates in epithelial ovarian cancer. Observational studies indicate that green tea may provide protection against hypertension and reduce the risk for stroke, and interventional studies are providing biochemical and physiological evidence.

CONCLUSION

Although the overall clinical evidence is inconclusive, habitual green tea consumption may be providing some level of chemoprevention in prostate and breast cancer. Green tea may also attenuate the risk factors association with the development of atherosclerosis thus reducing the incidence of cardiovascular events and stoke.

摘要

目的

长期以来,习惯性饮用绿茶与健康益处相关,包括化学预防和心血管保护。本非系统性文献综述介绍了迄今为止的临床证据。

方法

对观察性和干预性研究的同行评议文章进行文献回顾,以纳入绿茶、其提取物或其纯化多酚(-)-表没食子儿茶素-3-没食子酸酯(EGCG)。检索的电子数据库包括 PubMed(1966-2009)和 Cochrane 图书馆(2008 年第 4 期)。

结果

观察性研究对于习惯性饮用绿茶预防大多数癌症的益处尚无定论。然而,在乳腺癌和前列腺癌的预防方面存在趋势。干预性研究表明,绿茶可减少结直肠腺瘤手术后的复发,并提高上皮性卵巢癌的生存率。观察性研究表明,绿茶可能有助于预防高血压和降低中风风险,而干预性研究正在提供生化和生理学证据。

结论

尽管总体临床证据尚无定论,但习惯性饮用绿茶可能在前列腺癌和乳腺癌的化学预防方面提供了一定程度的益处。绿茶还可能减轻与动脉粥样硬化发展相关的风险因素,从而降低心血管事件和中风的发生率。

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