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一项关于一种专利降脂营养补充剂治疗血脂异常的安慰剂对照试验。

A placebo-controlled trial of a proprietary lipid-lowering nutraceutical supplement in the management of dyslipidemia.

作者信息

Houston M, Rountree R, Lamb J, Phipps S, Meng S, Zhang B

机构信息

Hypertension Institute of Nashville, Saint Thomas Hospital, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.

Thorne Research, Inc., Sandpoint, Idaho, USA.

出版信息

J Biol Regul Homeost Agents. 2016 Oct-Dec;30(4):1115-1123.

Abstract

There is an ever growing emergence in the popularity of patient-driven care. As this health and wellness model grows, inquiries into diet, lifestyle, and supplemental approaches will continue to become a focal point for the healthcare consumer. Because of this, the aim of this study is to determine the tolerability, and overall effectiveness of a proprietary multi-ingredient lipid-lowering supplement in subjects with dyslipidemia. Forty participants were recruited for a single-center, double-blind randomized, placebocontrolled trial. Study participants were recruited between December 2014 and March 2015. Initial screening included a physical examination, renal and hepatic function, serum lipid, serum electrolytes, complete blood counts, and urine analysis. The 40 participants were randomly assigned to receive either the proprietary multi-ingredient lipid-lowering supplement (PMILLS) n= 20 or placebo n= 20. The trial consisted of a screening visit, a two-week run-in, and a four-month treatment period. Samples were taken at baseline, one month and four months of treatment. Results from the trial showed that the PMILLS significantly reduced total cholesterol (TC), low density lipoprotein (LDL-C), very low density lipoprotein (VLDL-C), oxidized LDL (oxLDL), Apo-lipoprotein B, triglycerides (TG), LDL particle number (LDL-P), heart rate, and diastolic blood pressure compared to placebo at one month and four months. The PMILLS significantly increased high density lipoprotein (HDL) particle number (HDL-P), and low density lipoprotein (LDL) particle size from dense type III and IV to larger type I and II LDL particle, compared to placebo at one month and four months. In addition, the PMILLS significantly reduced high sensitivity C-reactive protein (hs-CRP), tumor necrosis alpha (TNF-α), and interleukin 6 (IL-6) within the treatment group from baseline. There were no adverse effects noted in the treatment group after four months of supplementation. The present study demonstrates this PMILLS improves all relevant lipid parameters, such as particle numbers and particles sizes, as well as showing a significant reduction in inflammatory markers linked to cardiovascular health. With such combined changes in lipids, lipid sub-fractions, and inflammation, which are considered among the most effective means of reducing coronary heart disease (CHD), this PMILLS represents a new addition to safe and effective lipid-modifying strategies.

摘要

患者驱动型护理的受欢迎程度正日益提高。随着这种健康模式的发展,对饮食、生活方式和补充方法的探究将继续成为医疗消费者关注的焦点。因此,本研究的目的是确定一种专利多成分降脂补充剂在血脂异常患者中的耐受性和总体有效性。40名参与者被招募参加一项单中心、双盲随机、安慰剂对照试验。研究参与者于2014年12月至2015年3月期间招募。初始筛查包括体格检查、肾功能和肝功能、血脂、血清电解质、全血细胞计数和尿液分析。40名参与者被随机分配接受专利多成分降脂补充剂(PMILLS)(n = 20)或安慰剂(n = 20)。该试验包括一次筛查访视、两周的导入期和四个月的治疗期。在基线、治疗的一个月和四个月时采集样本。试验结果表明,与安慰剂相比,在治疗一个月和四个月时,PMILLS显著降低了总胆固醇(TC)、低密度脂蛋白(LDL-C)、极低密度脂蛋白(VLDL-C)、氧化低密度脂蛋白(oxLDL)、载脂蛋白B、甘油三酯(TG)、低密度脂蛋白颗粒数量(LDL-P)、心率和舒张压。与安慰剂相比, 在治疗一个月和四个月时,PMILLS显著增加了高密度脂蛋白(HDL)颗粒数量(HDL-P),并将低密度脂蛋白(LDL)颗粒大小从致密的III型和IV型转变为更大的I型和II型LDL颗粒。此外,在治疗组中,PMILLS从基线开始显著降低了高敏C反应蛋白(hs-CRP)、肿瘤坏死因子α(TNF-α)和白细胞介素6(IL-6)。补充四个月后,治疗组未发现不良反应。本研究表明,这种PMILLS改善了所有相关的血脂参数,如颗粒数量和颗粒大小,同时还显著降低了与心血管健康相关的炎症标志物。鉴于脂质、脂质亚组分和炎症的这种综合变化被认为是降低冠心病(CHD)最有效的手段之一,这种PMILLS是安全有效的脂质调节策略的新补充。

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