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ω-3对血液透析患者血脂谱的影响。

The effect of omega-3 on serum lipid profile in hemodialysis patients.

作者信息

Omrani Hamid Reza, Pasdar Yahya, Raisi Daryosh, Najafi Farid, Esfandiari Ardeshir

机构信息

Department of Internal Medicine, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Department of Nutrition, School of Public Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.

出版信息

J Renal Inj Prev. 2015 Sep 1;4(3):68-72. doi: 10.12861/jrip.2015.14. eCollection 2015.

Abstract

INTRODUCTION

One of the major complications in hemodialysis patients is cardiovascular disease. Lipid abnormality is an important factor in the development of cardiovascular disease.

OBJECTIVES

To investigate the effect of omega-3 supplementation on serum lipid profile in hemodialysis patients.

PATIENTS AND METHODS

This randomized clinical trial study included 2 groups of patients: those who received omega-3 supplementation (experimental group; 30 cases) and those who received placebo (control group; 30 cases). They received these for 10 weeks and serum lipid profile (triglyceride, high-density lipoprotein [HDL-C], low-density lipoprotein [LDL-C], and total cholesterol) was assessed 2 times, first before initiating supplementation and then at the end of 10-week study period.

RESULTS

Mean (±SD) serum total cholesterol levels at the beginning was 163 (±47) mg/dL in experimental group and 143 (±25) mg/dL in control group (P> 0.05). These values decreased to 124 mg/dL and 132 mg/dL in control and experimental groups (P< 0.05). There was no significant difference of HDL-C, LDL-C, or triglyceride levels between experimental and control groups after 10 weeks of treatment.

CONCLUSION

Omega-3 supplementation in hemodialysis patients only showed significant decrease of serum total cholesterol level, but not other lipids.

摘要

引言

血液透析患者的主要并发症之一是心血管疾病。脂质异常是心血管疾病发展的一个重要因素。

目的

研究补充ω-3对血液透析患者血脂谱的影响。

患者与方法

这项随机临床试验研究包括两组患者:接受ω-3补充剂的患者(实验组;30例)和接受安慰剂的患者(对照组;30例)。他们接受这些治疗10周,并评估血脂谱(甘油三酯、高密度脂蛋白[HDL-C]、低密度脂蛋白[LDL-C]和总胆固醇)2次,第一次在开始补充之前,然后在10周研究期结束时。

结果

实验组开始时血清总胆固醇平均(±标准差)水平为163(±47)mg/dL,对照组为143(±25)mg/dL(P>0.05)。对照组和实验组这些值分别降至124mg/dL和132mg/dL(P<0.05)。治疗10周后,实验组和对照组之间的HDL-C、LDL-C或甘油三酯水平无显著差异。

结论

血液透析患者补充ω-3仅显示血清总胆固醇水平显著降低,而其他脂质无变化。

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本文引用的文献

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Lipid disorders in uremia and dialysis.
Contrib Nephrol. 2012;178:100-105. doi: 10.1159/000337821. Epub 2012 May 25.

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