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马黛茶(巴拉圭冬青)改善 2 型糖尿病和糖尿病前期个体的血糖和血脂谱:一项初步研究。

Mate tea (Ilex paraguariensis) improves glycemic and lipid profiles of type 2 diabetes and pre-diabetes individuals: a pilot study.

机构信息

Department of Clinical Analysis, CCS, Federal University of Santa Catarina, Campus Universitario s/n, Trindade, Brazil.

出版信息

J Am Coll Nutr. 2011 Oct;30(5):320-32. doi: 10.1080/07315724.2011.10719975.

Abstract

OBJECTIVES

Yerba mate (Ilex paraguariensis) infusions have been shown to reduce plasma glucose in animals and serum lipids in humans. The aim of this study was to evaluate the effects of roasted mate tea consumption, with or without dietary counseling, on the glycemic and lipid profiles of individuals with type 2 diabetes mellitus (T2DM) or pre-diabetes.

METHODS

Twenty-nine T2DM and 29 pre-diabetes subjects were divided into 3 groups: mate tea, dietary intervention, and mate tea and dietary intervention. Individuals drank 330 mL of roasted mate tea 3 times a day and/or received nutritional counseling over 60 days. Blood samples were collected and food intake was assessed at baseline and after 20, 40, and 60 days of treatments.

RESULTS

Mate tea consumption decreased significantly the levels of fasting glucose (25.0 mg/dL), glycated hemoglobin A(1c) (HbA(1c)) (0.85%), and low-density lipoprotein cholesterol (LDL-c) (13.5 mg/dL) of T2DM subjects (p < 0.05); however, it did not change the intake of total energy, protein, carbohydrate, cholesterol, and fiber. In pre-diabetes individuals, mate tea consumption combined with nutritional counseling diminished significantly the levels of LDL-c (11 mg/dL), non-high-density lipoprotein cholesterol (HDL-c) (21.5 mg/dL), and triglycerides (53.0 mg/dL) (p < 0.05). Individuals of this group decreased significantly their consumption of total fat (14%), cholesterol (28%), and saturated (23.8%) and monounsaturated (28.0%) fatty acids, and increased their fiber intake by 35% (p < 0.05).

CONCLUSIONS

Mate tea consumption improved the glycemic control and lipid profile of T2DM subjects, and mate tea consumption combined with nutritional intervention was highly effective in decreasing serum lipid parameters of pre-diabetes individuals, which may reduce their risk of developing coronary disease.

摘要

目的

研究显示,饮用冬青叶(Ilex paraguariensis)浸剂可降低动物的血浆葡萄糖和人体的血清脂质。本研究旨在评估饮用烤马黛茶(mate tea)及其与饮食指导相结合对 2 型糖尿病(T2DM)或糖尿病前期患者血糖和血脂谱的影响。

方法

将 29 例 T2DM 和 29 例糖尿病前期患者分为 3 组:马黛茶组、饮食干预组和马黛茶与饮食干预组。患者每天饮用 330 毫升烤马黛茶 3 次,或接受 60 天的营养咨询。在基线、治疗 20、40 和 60 天后采集血样并评估食物摄入量。

结果

马黛茶的摄入可显著降低 T2DM 患者的空腹血糖(25.0 mg/dL)、糖化血红蛋白 A1c(HbA1c)(0.85%)和低密度脂蛋白胆固醇(LDL-c)(13.5 mg/dL)(p<0.05);然而,它并未改变总能量、蛋白质、碳水化合物、胆固醇和纤维的摄入量。在糖尿病前期患者中,马黛茶与饮食咨询相结合可显著降低 LDL-c(11 mg/dL)、非高密度脂蛋白胆固醇(HDL-c)(21.5 mg/dL)和甘油三酯(53.0 mg/dL)(p<0.05)。该组患者显著减少了总脂肪(14%)、胆固醇(28%)和饱和(23.8%)和单不饱和(28.0%)脂肪酸的摄入量,同时纤维摄入量增加了 35%(p<0.05)。

结论

马黛茶的摄入可改善 T2DM 患者的血糖控制和血脂谱,而马黛茶与饮食干预相结合可有效降低糖尿病前期患者的血清血脂参数,从而降低其患冠心病的风险。

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