a Department of Food Science and Nutrition , Zhejiang University , Hangzhou , China.
b Institute of Nutrition and Health , Qingdao University , Qingdao , China.
Crit Rev Food Sci Nutr. 2018;58(17):3016-3029. doi: 10.1080/10408398.2017.1349076. Epub 2017 Sep 21.
The results of randomized controlled trials (RCTs) investigating resveratrol supplementation on risk factors of non-communicable diseases (NCDs) have been inconsistent. The present meta-analysis aimed to quantitatively evaluate the effects of resveratrol intervention on risk factors of NCDs. PubMed and Scopus databases were searched up to June 2017. Weighted mean differences were calculated for net changes in risk factors of NCDs by using a random-effects model. Pre-specified subgroup and univariate meta-regression analyses were carried out to explore the sources of heterogeneity. Twenty-nine studies (30 treatment arms) with 1069 participants were identified. Resveratrol supplementation significantly reduced the concentrations of fasting glucose (-4.77 mg/dL; 95% CI: -9.33 to -0.21 mg/dL; P = 0.040), total cholesterol (TC) (-9.75 mg/dL; 95% CI: -17.04 to -2.46 mg/dL; P = 0.009), and C-reactive protein (CRP) (-0.81 mg/L; 95% CI: -1.42 to -0.21 mg/L; P = 0.009). Resveratrol intervention exerted significant reductions in systolic blood pressure (SBP) and diastolic blood pressure (DBP) in subjects with type 2 diabetes mellitus (T2DM). Subgroup analysis also showed that the trials with resveratrol intervention ≥3 months significantly reduced the low-density lipoprotein cholesterol (LDL-C), DBP, and glycated hemoglobin (HbA1c) values. The results did not support that resveratrol intervention had favorable effects in altering high-density lipoprotein cholesterol (HDL-C), triglyceride (TAG), and homeostasis model assessment of insulin resistance (HOMA-IR). The present study provides substantial evidence that resveratrol supplementation has favorable effects on several risk factors of NCDs.
随机对照试验(RCTs)研究白藜芦醇补充剂对非传染性疾病(NCDs)危险因素的结果一直不一致。本荟萃分析旨在定量评估白藜芦醇干预对 NCDs 危险因素的影响。检索了 PubMed 和 Scopus 数据库,截至 2017 年 6 月。使用随机效应模型计算 NCDs 危险因素净变化的加权均数差值。进行了预先指定的亚组和单变量荟萃回归分析,以探讨异质性的来源。确定了 29 项研究(30 个治疗组),共 1069 名参与者。白藜芦醇补充剂显著降低空腹血糖浓度(-4.77mg/dL;95%CI:-9.33 至-0.21mg/dL;P=0.040)、总胆固醇(TC)(-9.75mg/dL;95%CI:-17.04 至-2.46mg/dL;P=0.009)和 C 反应蛋白(CRP)(-0.81mg/L;95%CI:-1.42 至-0.21mg/L;P=0.009)。白藜芦醇干预可显著降低 2 型糖尿病患者的收缩压(SBP)和舒张压(DBP)。亚组分析还表明,干预时间≥3 个月的试验可显著降低低密度脂蛋白胆固醇(LDL-C)、DBP 和糖化血红蛋白(HbA1c)值。结果不支持白藜芦醇干预对改变高密度脂蛋白胆固醇(HDL-C)、三酰甘油(TAG)和稳态模型评估的胰岛素抵抗(HOMA-IR)有有利影响。本研究提供了大量证据表明,白藜芦醇补充剂对 NCDs 的多个危险因素有有利影响。