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ω-3 脂肪酸补充剂对 2 型糖尿病患者血清肿瘤坏死因子-α、C 反应蛋白和白细胞介素-2水平的影响。

Efficacy of omega-3 fatty acid supplementation on serum levels of tumour necrosis factor-alpha, C-reactive protein and interleukin-2 in type 2 diabetes mellitus patients.

机构信息

Faculty of Veterinary Medicine, University of Tehran, Tehran, Iran.

出版信息

Singapore Med J. 2012 Sep;53(9):615-9.

Abstract

INTRODUCTION

Consumption of omega-3 fatty acids can alter the inflammatory response in diabetic patients. This study aimed to determine the effects of omega-3 fatty acid supplementation on the serum levels of C-reactive protein (CRP), interleukin (IL)-2 and tumour necrosis factor-alpha (TNF-α) in type 2 diabetes mellitus patients.

METHODS

A randomised, double-blind, placebo-controlled clinical trial was conducted on 84 subjects aged 45-85 years with at least a two-year history of type 2 diabetes mellitus. Participants were randomly assigned to the treatment or control group. Each subject in the treatment group received three omega-3 capsules per day (eicosapentaenoic acid 1,548 mg; docosahexaenoic acid 828 mg; other omega-3 fatty acids 338 mg), while each subject in the control group received three placebo capsules (sunflower oil 2,100 mg) for a period of eight weeks. At the beginning of the study and post intervention, fasting blood samples were taken and serum concentrations of IL-2, TNF-α and CRP were assessed and compared.

RESULTS

Serum IL-2 and TNF-α levels were significantly reduced in the treatment group compared to the controls (p < 0.01). There was no significant change in serum CRP levels.

CONCLUSION

Short-term omega-3 fatty acid supplementation (3 g/day for eight weeks) can decrease the serum levels of TNF-α and IL-2 in diabetic patients, with no change in CRP levels. Consumption of omega-3 fatty acid supplements is highly recommended to alleviate inflammation caused by type 2 diabetes mellitus.

摘要

简介

ω-3 脂肪酸的摄入可以改变糖尿病患者的炎症反应。本研究旨在探讨ω-3 脂肪酸补充对 2 型糖尿病患者血清 C 反应蛋白(CRP)、白细胞介素(IL)-2 和肿瘤坏死因子-α(TNF-α)水平的影响。

方法

对 84 名年龄在 45-85 岁之间、患有 2 型糖尿病至少两年的患者进行了一项随机、双盲、安慰剂对照的临床试验。参与者被随机分为治疗组和对照组。治疗组每天服用 3 粒 ω-3 胶囊(二十碳五烯酸 1548mg;二十二碳六烯酸 828mg;其他 ω-3 脂肪酸 338mg),对照组每天服用 3 粒安慰剂胶囊(葵花籽油 2100mg),为期 8 周。在研究开始和干预后,采集空腹血样,评估并比较血清中 IL-2、TNF-α 和 CRP 的浓度。

结果

与对照组相比,治疗组血清 IL-2 和 TNF-α 水平显著降低(p<0.01)。血清 CRP 水平无明显变化。

结论

短期 ω-3 脂肪酸补充(每天 3g,持续 8 周)可降低糖尿病患者血清 TNF-α 和 IL-2 水平,但对 CRP 水平无影响。建议糖尿病患者食用 ω-3 脂肪酸补充剂以缓解炎症。

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