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锌在2型糖尿病患者血糖控制中的作用:一项系统综述。

Zinc's role in the glycemic control of patients with type 2 diabetes: a systematic review.

作者信息

de Carvalho Gabrielli Barbosa, Brandão-Lima Paula Nascimento, Maia Carla Soraya Costa, Barbosa Kiriaque Barra Ferreira, Pires Liliane Viana

机构信息

Graduation in Nutrition, Department of Nutrition, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.

Health Sciences Post-graduation Program, Department of Medicine, Federal University of Sergipe, Aracaju, Sergipe, Brazil.

出版信息

Biometals. 2017 Apr;30(2):151-162. doi: 10.1007/s10534-017-9996-y. Epub 2017 Jan 30.

Abstract

Past research has shown the importance of zinc in several metabolic processes, such as the glucidic metabolism. The present systematic review aims to discuss zinc's participation in the glycemic control of type 2 diabetes mellitus (DM2) patients. In order to accomplish that, a systematic search was performed in the Pubmed database using the following indexed and theme-related descriptors: "zinc" AND "type 2 diabetes mellitus", AND MeSH terms related to glycemic control combined with the boolean operator OR. In total, 1078 articles were retrieved from the research, of which 15 articles of original studies conducted with DM2 patients were included, with three being about the effect of mineral supplementation and 12 reporting observational studies. The main findings of these studies consisted of low body contents of zinc and high excretion of zinc in urine. Hyperglycemia was one of the mechanisms that caused these alterations owing to its interference in zinc reabsorption via renal cells. Another evidence was the negative correlation between the glycated hemoglobin percentage (%HbA1c) and the plasma zinc levels. Additionally, it has been observed that zinc supplementation in DM2 patients has improved glycemic control, since the %HbA1c significantly reduced in these individuals. This present review shows the positive effect of adequate zinc levels on glycemic control, whether it is through dietetic ingestion or supplementation, since its role in insulin homeostasis is clear.

摘要

过去的研究表明锌在多种代谢过程中具有重要作用,比如糖代谢。本系统综述旨在探讨锌在2型糖尿病(DM2)患者血糖控制中的作用。为了实现这一目标,我们在PubMed数据库中进行了系统检索,使用了以下索引词和主题相关描述词:“锌” AND “2型糖尿病”,以及与血糖控制相关的医学主题词(MeSH)并结合布尔运算符OR。总共从检索中获取了1078篇文章,其中纳入了15篇对DM2患者进行的原始研究文章,其中3篇关于矿物质补充剂的效果,12篇报告观察性研究。这些研究的主要发现包括体内锌含量低和尿锌排泄高。高血糖是导致这些改变的机制之一,因为它会干扰锌通过肾细胞的重吸收。另一个证据是糖化血红蛋白百分比(%HbA1c)与血浆锌水平之间的负相关。此外,已经观察到DM2患者补充锌改善了血糖控制,因为这些个体的%HbA1c显著降低。本综述表明,无论通过饮食摄入还是补充,充足的锌水平对血糖控制都有积极作用,因为其在胰岛素稳态中的作用是明确的。

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