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α-硫辛酸(ALA)作为减肥补充剂:随机对照试验的荟萃分析结果

Alpha-lipoic acid (ALA) as a supplementation for weight loss: results from a meta-analysis of randomized controlled trials.

作者信息

Kucukgoncu S, Zhou E, Lucas K B, Tek C

机构信息

Department of Psychiatry, School of Medicine, Yale University, New Haven, USA.

出版信息

Obes Rev. 2017 May;18(5):594-601. doi: 10.1111/obr.12528. Epub 2017 Mar 13.

Abstract

OBJECTIVES

Obesity is associated with significant morbidity and mortality rates. Even modest weight loss may be associated with health benefits. Alpha-lipoic acid (ALA) is a naturally occurring antioxidant. Studies have suggested anti-obesity properties of ALA; however, results are inconsistent. The purpose of this study is to conduct a meta-analysis of the effect of ALA on weight and body mass index (BMI).

METHODS

A comprehensive, systematic literature search identified 10 articles on randomized, double-blind, placebo-controlled studies involving ALA. We conducted a meta-analysis of mean weight and BMI change differences between ALA and placebo treatment groups.

RESULTS

Alpha-lipoic acid treatment coincided with a statistically significant 1.27 kg (confidence interval = 0.25 to 2.29) greater mean weight loss compared with the placebo group. A significant overall mean BMI difference of -0.43 kg/ m (confidence interval = -0.82 to -0.03) was found between the ALA and placebo groups. Meta-regression analysis showed no significance in ALA dose on BMI and weight changes. Study duration significantly affected BMI change, but not weight change.

CONCLUSIONS

Alpha-lipoic acid treatment showed small, yet significant short-term weight loss compared with placebo. Further research is needed to examine the effect of different doses and the long-term benefits of ALA on weight management.

摘要

目的

肥胖与显著的发病率和死亡率相关。即使是适度的体重减轻也可能对健康有益。α-硫辛酸(ALA)是一种天然存在的抗氧化剂。研究表明ALA具有抗肥胖特性;然而,结果并不一致。本研究的目的是对ALA对体重和体重指数(BMI)的影响进行荟萃分析。

方法

通过全面、系统的文献检索,确定了10篇关于ALA的随机、双盲、安慰剂对照研究的文章。我们对ALA治疗组和安慰剂治疗组之间的平均体重和BMI变化差异进行了荟萃分析。

结果

与安慰剂组相比,α-硫辛酸治疗导致平均体重减轻1.27千克,差异具有统计学意义(置信区间为0.25至2.29)。ALA组和安慰剂组之间的总体平均BMI差异显著,为-0.43千克/米²(置信区间为-0.82至-0.03)。荟萃回归分析表明,ALA剂量对BMI和体重变化无显著影响。研究持续时间显著影响BMI变化,但不影响体重变化。

结论

与安慰剂相比,α-硫辛酸治疗显示出少量但显著的短期体重减轻。需要进一步研究以检验不同剂量的效果以及ALA对体重管理的长期益处。

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