Center of Preventive Cardiology, 2nd Medical Department, Medical Faculty in Pilsen and Faculty Hospital, Charles University Prague, Pilsen, Czech Republic.
Institute of Clinical Biochemistry and Hematology, Medical Faculty in Pilsen and Faculty Hospital, Charles University Prague, Pilsen, Czech Republic.
Biol Trace Elem Res. 2018 Jun;183(2):192-199. doi: 10.1007/s12011-017-1128-6. Epub 2017 Aug 30.
Chromium (Cr) is considered as an important mineral, involved in biochemical reactions in human metabolic pathways. Organically bound Cr supplementation has been suggested to improve glycemia especially in patients with type 2 diabetes mellitus, but there are conflicting reports on efficacy. Effect of Cr is not clear in prediabetes status. Seventy patients with metabolic syndrome and impaired glucose tolerance (IGT), who are observed and treated in the Center of Preventive Cardiology of the University Hospital in Pilsen, were included in the prospective, randomized, double-blind, and placebo-controlled clinical study. Effect of Cr-enriched yeast (200 μg of elementary Cr in the morning and 100 μg in the evening) on glucose, lipid metabolism, fat tissue hormones, oxidative stress, and DNA damage markers was analyzed. There were no significant changes in glucose and lipid parameters, oxidative stress, or other laboratory markers. Only resting heart rate was significantly reduced in patients treated by Cr yeast, reflecting reduced sympathetic activity. This could represent an important cardiovascular risk reduction in patients with high cardiometabolic risk.
铬(Cr)被认为是一种重要的矿物质,参与人体代谢途径中的生化反应。有机结合的 Cr 补充剂被认为可以改善血糖,特别是 2 型糖尿病患者的血糖,但关于其疗效存在相互矛盾的报告。Cr 在糖尿病前期状态下的作用尚不清楚。
70 名代谢综合征和糖耐量受损(IGT)患者在皮尔森大学医院预防心脏病中心接受观察和治疗,他们被纳入前瞻性、随机、双盲、安慰剂对照的临床研究。分析了富含铬酵母(早晨 200μg 元素 Cr,晚上 100μg)对葡萄糖、脂代谢、脂肪组织激素、氧化应激和 DNA 损伤标志物的影响。葡萄糖和脂质参数、氧化应激或其他实验室标志物均无显著变化。只有服用 Cr 酵母的患者静息心率显著降低,反映出交感神经活动减少。这可能代表高心脏代谢风险患者的心血管风险降低的一个重要方面。