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稳定米糠对 2 型糖尿病患者的改善作用。

Ameliorative effects of stabilized rice bran on type 2 diabetes patients.

机构信息

Taipei Medical University, Taiwan, ROC.

出版信息

Ann Nutr Metab. 2010;56(1):45-51. doi: 10.1159/000265850. Epub 2009 Dec 15.

Abstract

BACKGROUND/AIM: While it has been demonstrated that rice bran might lower the cholesterol level in hypercholesterolemic individuals, its effects on the levels of adiponectin and glycated hemoglobin (HbA1c) in patients with type 2 diabetes mellitus remain unknown.

METHODS

Twenty-eight volunteers with type 2 diabetes were randomly divided into 2 groups, one of which received a dietary supplement of 20 g of stabilized rice bran and the other placebo once daily for 12 weeks. Parameters such as the level of HbA1c, glucose, insulin, homeostasis model assessment for estimation of relative insulin resistance, high-density and low-density lipoprotein (LDL) cholesterol and adiponectin were evaluated.

RESULTS

At the end of the study period, postprandial glucose and the area under the glucose curve of the rice bran group were significantly lower than baseline levels by 14.4 and 15.7%, respectively. Compared to baseline, the HbA1c values in the rice bran group were also significantly lower. Serum total cholesterol and LDL cholesterol concentrations in the rice bran group were 9.2 and 13.7% lower, respectively, than in the placebo group. The plasma free fatty acid and adiponectin concentrations were 20% lower and 40% higher in the rice bran group compared to the placebo group.

CONCLUSIONS

This study demonstrated that stabilized rice bran can lower the level of HbA1c and blood lipids and increase blood adiponectin concentrations in type 2 diabetic subjects. In light of this, we conclude that stabilized rice bran may represent an important functional nutrient to ameliorate lipid and glycemic anomalies in type 2 diabetic subjects.

摘要

背景/目的:虽然已有研究表明米糠可能降低高胆固醇血症个体的胆固醇水平,但米糠对 2 型糖尿病患者脂联素和糖化血红蛋白(HbA1c)水平的影响尚不清楚。

方法

28 名 2 型糖尿病志愿者随机分为两组,一组每天服用 20 克稳定化米糠膳食补充剂,另一组服用安慰剂,持续 12 周。评估 HbA1c、血糖、胰岛素、稳态模型评估胰岛素抵抗指数、高密度脂蛋白和低密度脂蛋白(LDL)胆固醇和脂联素等参数。

结果

研究结束时,米糠组餐后血糖和血糖曲线下面积分别比基线水平低 14.4%和 15.7%。与基线相比,米糠组的 HbA1c 值也明显降低。米糠组的血清总胆固醇和 LDL 胆固醇浓度分别比安慰剂组低 9.2%和 13.7%。与安慰剂组相比,米糠组的血浆游离脂肪酸和脂联素浓度分别降低 20%和升高 40%。

结论

本研究表明,稳定化米糠可降低 2 型糖尿病患者的 HbA1c 和血脂水平,并增加血液中脂联素的浓度。因此,我们得出结论,稳定化米糠可能是改善 2 型糖尿病患者脂代谢和糖代谢异常的重要功能性营养素。

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