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食用黑籽南瓜和益生菌酸奶对2型糖尿病患者血糖、血脂及炎症标志物的影响

Effect of Cucurbita ficifolia and Probiotic Yogurt Consumption on Blood Glucose, Lipid Profile, and Inflammatory Marker in Type 2 Diabetes.

作者信息

Bayat Azade, Azizi-Soleiman Fatemeh, Heidari-Beni Motahar, Feizi Awat, Iraj Bijan, Ghiasvand Reza, Askari Gholamreza

机构信息

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

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

出版信息

Int J Prev Med. 2016 Feb 2;7:30. doi: 10.4103/2008-7802.175455. eCollection 2016.

Abstract

BACKGROUND

Control of blood sugar, hypertension, and dyslipidemia are key factors in diabetes management. Cucurbita ficifolia (pumpkin) is a vegetable which has been used traditionally as a remedy for diabetes in Iran. In addition, consumption of probiotics may have beneficial effects on people with Type 2 diabetes. The aim of this study was an investigation of the effects of C. ficifolia and probiotic yogurt consumption alone or at the same time on blood glucose and serum lipids in diabetic patients.

METHODS

Eighty eligible participants randomly were assigned to four groups: 1 - green C. ficifolia (100 g); 2 - probiotic yogurt (150 g); 3 - C. ficifolia plus probiotic yogurt (100 g C. ficifolia plus 150 g yogurt); and 4 -control (dietary advice) for 8 weeks. Blood pressure, glycemic response, lipid profile, and high-sensitive C-reactive protein (hsCRP) were measured before and after the intervention.

RESULTS

Total cholesterol (TC) decreased significantly in yogurt and yogurt plus C. ficifolia groups (within groups P = 0.010, and P < 0.001, respectively). C. ficifolia plus yogurt consumption resulted in a decrease in triglyceride (TG) and an increase in high-density lipoprotein cholesterol (HDL-C) (within groups P < 0.001 and P = 0.001, respectively). All interventions led to a significant decrease in blood sugar, hemoglobin A1c (HbA1c), hsCRP, and low-density lipoprotein cholesterol (LDL-C) level within groups. Blood pressure decreased significantly in Cucurbita group and yogurt group (within groups P < 0.001, and P = 0.001 for systolic blood pressure [SBP] and P < 0.001, and P = 0.004 for diastolic blood pressure [DBP], respectively). All variables changed between groups significantly except LDL-C level.

CONCLUSIONS

Variables including TG, HDL-C, TC, fasting blood sugar, HbA1c, SBP, DBP, and hsCRP changed beneficially between groups. It seems that consumption of C. ficifolia and probiotic yogurt may help treatment of diabetic patients.

摘要

背景

血糖、高血压和血脂异常的控制是糖尿病管理的关键因素。黑籽南瓜是一种蔬菜,在伊朗传统上被用作糖尿病的治疗药物。此外,食用益生菌可能对2型糖尿病患者有有益影响。本研究的目的是调查单独食用黑籽南瓜和益生菌酸奶或同时食用二者对糖尿病患者血糖和血脂的影响。

方法

80名符合条件的参与者被随机分为四组:1组-绿色黑籽南瓜(100克);2组-益生菌酸奶(150克);3组-黑籽南瓜加益生菌酸奶(100克黑籽南瓜加150克酸奶);4组-对照组(饮食建议),为期8周。在干预前后测量血压、血糖反应、血脂谱和高敏C反应蛋白(hsCRP)。

结果

酸奶组和酸奶加黑籽南瓜组的总胆固醇(TC)显著降低(组内P分别为0.010和P<0.001)。食用黑籽南瓜加酸奶导致甘油三酯(TG)降低,高密度脂蛋白胆固醇(HDL-C)升高(组内P分别<0.001和P = 0.001)。所有干预措施均导致组内血糖、糖化血红蛋白(HbA1c)、hsCRP和低密度脂蛋白胆固醇(LDL-C)水平显著降低。黑籽南瓜组和酸奶组的血压显著降低(收缩压[SBP]组内P<0.001和P = 0.001,舒张压[DBP]组内P<0.001和P = 0.004)。除LDL-C水平外,所有变量在组间均有显著变化。

结论

包括TG、HDL-C、TC、空腹血糖、HbA1c、SBP、DBP和hsCRP在内的变量在组间有有益变化。似乎食用黑籽南瓜和益生菌酸奶可能有助于糖尿病患者的治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f459/4763470/3af437805000/IJPVM-7-30-g001.jpg

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