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食用非大豆类豆类对C反应蛋白的影响:一项系统评价和荟萃分析。

Effects of non-soy legume consumption on C-reactive protein: a systematic review and meta-analysis.

作者信息

Salehi-Abargouei Amin, Saraf-Bank Sahar, Bellissimo Nick, Azadbakht Leila

机构信息

Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran; Nutrition and Food Security Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran; Department of Nutrition, Faculty of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran; Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Nutrition. 2015 May;31(5):631-9. doi: 10.1016/j.nut.2014.10.018. Epub 2014 Nov 7.

DOI:10.1016/j.nut.2014.10.018
PMID:25837205
Abstract

OBJECTIVES

Because of conflicting results of presented studies, the aim of this systematic review and meta-analysis of randomized clinical trials (RCTs) was to examine the effect of non-soy legume intake on inflammatory markers and C-reactive protein (CRP).

METHODS

We searched Pubmed, ISI Web of Knowledge, SCOPUS, and Google Scholar for relevant studies up to July 2013, using medical subject headings [MeSH] and other related keywords. Nine RCTs were systematically reviewed to examine the effect of non-soy legume consumption on inflammatory markers. Eight studies involving 464 participants were included in the meta-analysis.

RESULTS

The results of the meta-analysis showed that non-soy legume consumption had a trend toward a significant effect on decreasing CRP and high-sensitivity (hs)-CRP concentrations (mean difference (MD) = -0.21; 95% confidence interval [CI], -0.44 to 0.02; P = 0.068). There was no overall effect of non-soy legume consumption on CRP or hs-CRP levels in either the parallel or crossover study designs. Our subgroup analysis of CRP type and study design, showed that non-soy legume intake had a significant effect on CRP levels in parallel studies (MD = -1.01; 95% CI, -1.78 to -0.23; P = 0.011) and a significant effect on hs-CRP levels (MD = -0.53; 95% CI, -0.95 to -0.11; P = 0.014) and in the crossover sub group (MD = -0.68; 95% CI, -1.28 to -0.08; P = 0.026).

CONCLUSIONS

This review of RCTs showed that non-soy legume consumption may contribute to reductions in CRP and hs-CRP concentrations. However, further controlled clinical trials are needed to investigate the effect of non-soy legume intake on other inflammatory markers.

摘要

目的

鉴于现有研究结果相互矛盾,本系统评价和随机临床试验(RCT)的荟萃分析旨在研究非大豆类豆类摄入对炎症标志物和C反应蛋白(CRP)的影响。

方法

我们使用医学主题词(MeSH)和其他相关关键词,在PubMed、ISI Web of Knowledge、SCOPUS和谷歌学术上检索截至2013年7月的相关研究。系统评价了9项RCT,以研究非大豆类豆类消费对炎症标志物的影响。荟萃分析纳入了8项涉及464名参与者的研究。

结果

荟萃分析结果显示,非大豆类豆类消费对降低CRP和高敏(hs)-CRP浓度有显著影响的趋势(平均差异(MD)=-0.21;95%置信区间[CI],-0.44至0.02;P=0.068)。在平行或交叉研究设计中,非大豆类豆类消费对CRP或hs-CRP水平均无总体影响。我们对CRP类型和研究设计的亚组分析表明,非大豆类豆类摄入在平行研究中对CRP水平有显著影响(MD=-1.01;95%CI,-1.78至-0.23;P=0.011),对hs-CRP水平有显著影响(MD=-0.53;95%CI,-0.95至-0.11;P=0.014),在交叉亚组中也有显著影响(MD=-0.

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