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绿茶对超重或肥胖人群脂代谢的影响:一项随机对照试验的荟萃分析。

Effects of green tea on lipid metabolism in overweight or obese people: A meta-analysis of randomized controlled trials.

机构信息

Institute of Integrated Traditional Chinese and Wertern Medicine, Tongji Hospital, Tongji Medical College, HuaZhong University of Science and Technology, Wuhan, Hubei, China.

出版信息

Mol Nutr Food Res. 2018 Jan;62(1). doi: 10.1002/mnfr.201601122. Epub 2017 Aug 15.

Abstract

SCOPE

The effects of green tea on lipid metabolism were inconsistent. The objective of this meta-analysis was to evaluate the effects of green tea on lipid metabolism in overweight or obese people.

METHODS AND RESULTS

We searched randomized controlled trials (RCTs) comparing green tea with a control on lipid metabolism on PUBMED and WEB OF SCIENCE (January 1990 to September 2016), COCHRANE and EMBASE (updated to October 2016), and the Chinese databases CNKI, WanFang and CBMD. Twenty-one articles studying 1704 overweight or obese subjects were selected for this meta-analysis. The pooled results demonstrated that green tea significantly decreased plasma total cholesterol (TC) and low-density lipoprotein cholesterol (LDL) levels in overweight or obese people. The weighted mean difference was -3.38 mg/dl for TC (95% CI: -6.42,  -0.33 mg/dL) and -5.29 mg/dL for LDL (95% CI: -7.92, -2.6 6 mg/dL), respectively. Green tea intake, however, showed no effect on plasma triglyceride (TG) and high-density lipoprotein cholesterol(HDL) levels in overweight or obese people with a relatively high heterogeneity.

CONCLUSION

The meta-analysis shows that drinking green tea can lower plasma TC and LDL levels significantly. Nevertheless, green tea's effect on plasma TG and HDL must be further evaluated by additional high-quality and large-scale RCTs.

摘要

范围

绿茶对脂质代谢的影响并不一致。本荟萃分析的目的是评估绿茶对超重或肥胖人群脂质代谢的影响。

方法和结果

我们在 PUBMED 和 WEB OF SCIENCE(1990 年 1 月至 2016 年 9 月)、COCHRANE 和 EMBASE(更新至 2016 年 10 月)以及中国的 CNKI、万方和 CBM 数据库中搜索了比较绿茶与对照在脂质代谢方面的随机对照试验(RCT)。选择了 21 项研究超重或肥胖人群的文章进行荟萃分析。汇总结果表明,绿茶可显著降低超重或肥胖人群的血浆总胆固醇(TC)和低密度脂蛋白胆固醇(LDL)水平。TC 的加权均数差为-3.38mg/dl(95%可信区间:-6.42,-0.33mg/dL),LDL 为-5.29mg/dL(95%可信区间:-7.92,-2.66mg/dL)。然而,绿茶摄入对超重或肥胖人群的血浆甘油三酯(TG)和高密度脂蛋白胆固醇(HDL)水平没有影响,且异质性较高。

结论

荟萃分析表明,饮用绿茶可显著降低血浆 TC 和 LDL 水平。然而,绿茶对血浆 TG 和 HDL 的影响还需要更多高质量、大规模 RCT 进一步评估。

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