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与葵花籽油相比,米糠油和菜籽油可改善2型糖尿病女性的血脂:一项随机、单盲、对照试验。

Rice bran oil and canola oil improve blood lipids compared to sunflower oil in women with type 2 diabetes: A randomized, single-blind, controlled trial.

作者信息

Salar Azadeh, Faghih Shiva, Pishdad Gholam Reza

机构信息

Nutrition and Food Sciences Research Center, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.

Nutrition and Food Sciences Research Center, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

J Clin Lipidol. 2016 Mar-Apr;10(2):299-305. doi: 10.1016/j.jacl.2015.11.016. Epub 2015 Dec 7.

Abstract

BACKGROUND

Hypolipidemic effects of vegetable oils have been demonstrated in a number of studies, but there is no study, which compares the effects of canola oil (CO) and rice bran oil (RBO) on diabetic patient. We aimed to compare the effects of CO and RBO consumption on blood lipids in women with type 2 diabetes.

METHODS

Seventy-five postmenopausal women with type 2 diabetes participated in this single-center, randomized, controlled, parallel-group trial in Shiraz, Iran. Participants were randomly allocated to three groups including a control group (balance diet + 30 g/d sunflower oil) and two intervention groups (balance diet + 30 g/day CO or RBO). At baseline and after 8 weeks, serum total cholesterol (TC), triglyceride (TG), low-density lipoprotein cholesterol (LDL-C), and high-density lipoprotein cholesterol (HDL-C) were measured.

RESULTS

At 8 weeks, mean of serum levels of TG (mg/dL), TC (mg/dL), and LDL-C (mg/dL) significantly decreased in the CO group (-23.66, P < .001; -11.92, P < .001; and -6.33, P = .013, respectively) and RBO group (-38.62, P < .001; -17.25, P < .001; and -8.90, P = .002, respectively) compared with the controls (7.01, 4.06, and 2.90, respectively). Also, in comparison with CO group, the changes of TG, LDL-C, and non-HDL-C levels were significantly more in the RBO group (P = .007, P = .012, and P = .011, respectively). Levels of serum HDL-C remained unchanged in all groups at the end of study.

CONCLUSIONS

Substitution of RBO or CO for sunflower oil could attenuate lipid disorders in type 2 diabetes women. Moreover, RBO could improve lipid profile more efficiently than CO.

摘要

背景

多项研究已证实植物油具有降血脂作用,但尚无研究比较菜籽油(CO)和米糠油(RBO)对糖尿病患者的影响。我们旨在比较食用CO和RBO对2型糖尿病女性血脂的影响。

方法

75名绝经后2型糖尿病女性参与了在伊朗设拉子进行的这项单中心、随机、对照、平行组试验。参与者被随机分为三组,包括一个对照组(均衡饮食 + 30克/天向日葵油)和两个干预组(均衡饮食 + 30克/天CO或RBO)。在基线和8周后,测量血清总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)和高密度脂蛋白胆固醇(HDL-C)。

结果

8周时,与对照组(分别为7.01、4.06和2.90)相比,CO组(分别为-23.66,P <.001;-11.92,P <.001;和-6.33,P =.013)和RBO组(分别为-38.62,P <.001;-17.25,P <.001;和-8.90,P =.002)的血清TG(毫克/分升)、TC(毫克/分升)和LDL-C(毫克/分升)水平显著降低。此外,与CO组相比,RBO组的TG、LDL-C和非HDL-C水平变化显著更大(分别为P =.007、P =.012和P =.011)。研究结束时,所有组的血清HDL-C水平均未改变。

结论

用RBO或CO替代向日葵油可减轻2型糖尿病女性的脂质紊乱。此外,RBO比CO能更有效地改善血脂状况。

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