Endocrinology & metabolism research centre, Tehran university of medical sciences, Tehran, Iran.
Daru. 2012 Oct 4;20(1):47. doi: 10.1186/2008-2231-20-47.
The clustering of metabolic abnormalities defined as metabolic syndrome is now both a public health and a clinical problem .While interest in herbal medicine has greatly increased, lack of human evidence to support efficacies shown in animals does exist. This clinical trial study designed to investigate whether herbal medicine, Anethum graveolens (dill) extract, could improve metabolic components in patients with metabolic syndrome.
A double-blind, randomized, placebo-controlled trial using a parallel design was conducted. 24 subjects who had metabolic syndrome diagnostic criteria (update of ATP III) were randomly assigned to either dill extract (n = 12) or placebo (n = 12) for 3 months.
Across lipid component of metabolic syndrome, no significant differences in triglyceride (TG) concentration and high density lipoprotein cholesterol were seen between the two groups. However TG improved significantly from baseline (257.0 vs. 201.5p = 0.01) with dill treatment but such a significant effect was not observed in placebo group. Moreover, no significant differences in waist circumference, blood pressure and fasting blood sugar were seen between two groups after 3 months follow up period.
In this small clinical trial in patients with metabolic syndrome, 12 weeks of dill extract treatment had a beneficial effect in terms of reducing TG from baseline. However dill treatment was not associated with a significant improvement in metabolic syndrome related markers compared to control group. Larger studies might be required to prove the efficacy and safety of long-term administration of dill to resolve metabolic syndrome components.
代谢异常的聚集被定义为代谢综合征,现在既是公共卫生问题,也是临床问题。虽然对草药的兴趣大大增加,但在动物身上显示出的疗效缺乏人体证据。本临床试验旨在研究草药莳萝(葛缕子)提取物是否可以改善代谢综合征患者的代谢成分。
采用双盲、随机、安慰剂对照的平行设计进行了一项临床试验。24 名符合代谢综合征诊断标准(ATP III 更新)的患者被随机分为莳萝提取物组(n = 12)或安慰剂组(n = 12),疗程为 3 个月。
在代谢综合征的脂质成分方面,两组间甘油三酯(TG)浓度和高密度脂蛋白胆固醇无显著差异。然而,与安慰剂组相比,莳萝治疗组 TG 从基线显著改善(257.0 对 201.5,p = 0.01),但安慰剂组未观察到这种显著效果。此外,两组在 3 个月随访期间腰围、血压和空腹血糖均无显著差异。
在这项代谢综合征患者的小型临床试验中,12 周的莳萝提取物治疗在降低 TG 方面具有有益的效果。然而,与对照组相比,莳萝治疗与代谢综合征相关标志物的显著改善无关。可能需要更大的研究来证明长期服用莳萝来解决代谢综合征成分的疗效和安全性。