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白藜芦醇干预对超重和肥胖受试者心血管健康风险标志物的影响:随机对照试验的汇总分析

The effects of resveratrol intervention on risk markers of cardiovascular health in overweight and obese subjects: a pooled analysis of randomized controlled trials.

作者信息

Huang Haohai, Chen Guangzhao, Liao Dan, Zhu Yongkun, Pu Rong, Xue Xiaoyan

机构信息

Department of Clinical Pharmacy, Department of Scientific Research and Education, Dongguan Third People's Hospital, Affiliated Dongguan Shilong People's Hospital of Southern Medical University, Dongguan, Guangdong, China.

Department of Pharmacy, Guangdong Province Agricultural Reclamation Central Hospital, Zhanjiang, Guangdong, China.

出版信息

Obes Rev. 2016 Dec;17(12):1329-1340. doi: 10.1111/obr.12458. Epub 2016 Jul 26.

DOI:10.1111/obr.12458
PMID:27456934
Abstract

BACKGROUND

Potential effects of resveratrol consumption on cardiovascular disease risk factors and body weight in overweight/obese adults have not been fully elucidated. Our present analysis was to evaluate the effects of resveratrol consumption on risk markers related to cardiovascular health in overweight/obese Individuals.

METHODS

Multiple literature databases were systematically searched, and 21 studies were included. Effect sizes were expressed as weighted mean difference (WMD) and 95% confidence interval (CI), and heterogeneity was assessed with the I2 test. Publication bias and subgroup analyses were also performed.

RESULTS

There were variations in reporting quality of included studies. Resveratrol intervention significantly lowered total cholesterol (WMD, -0.19 mmol/L; 95% CI, -0.32 to -0.06; P = 0.004), systolic blood pressure (WMD, -2.26 mmHg; 95% CI, -4.82 to -0.49; P = 0.02), and fasting glucose (WMD, -0.22 mmol/L; 95% CI, -0.42 to -0.03; P = 0.03). Heterogeneity was noted for these outcomes (35.6%, 38.7% and 71.4%, respectively). Our subgroup analysis showed significant reductions in total cholesterol, systolic blood pressure, diastolic blood pressure, glucose, and insulin in subjects ingesting higher dose of resveratrol (≥300 mg/day).

CONCLUSION

Our finding provides evidence that daily resveratrol consumption might be a candidate as an adjunct to pharmacological management to better prevent and control cardiovascular disease in overweight/obese individuals.

摘要

背景

白藜芦醇摄入对超重/肥胖成年人心血管疾病风险因素和体重的潜在影响尚未完全阐明。我们目前的分析旨在评估白藜芦醇摄入对超重/肥胖个体心血管健康相关风险标志物的影响。

方法

系统检索多个文献数据库,纳入21项研究。效应大小以加权平均差(WMD)和95%置信区间(CI)表示,并用I2检验评估异质性。还进行了发表偏倚和亚组分析。

结果

纳入研究的报告质量存在差异。白藜芦醇干预显著降低了总胆固醇(WMD,-0.19 mmol/L;95%CI,-0.32至-0.06;P = 0.004)、收缩压(WMD,-2.26 mmHg;95%CI,-4.82至-0.49;P = 0.02)和空腹血糖(WMD,-0.22 mmol/L;95%CI,-0.42至-0.03;P = 0.03)。这些结果存在异质性(分别为35.6%、38.7%和71.4%)。我们的亚组分析显示,摄入较高剂量白藜芦醇(≥300 mg/天)的受试者的总胆固醇、收缩压、舒张压、血糖和胰岛素显著降低。

结论

我们的研究结果提供了证据,表明每日摄入白藜芦醇可能作为药物治疗的辅助手段,以更好地预防和控制超重/肥胖个体的心血管疾病。

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