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单盲、多中心、随机对照试验:测试一种新型营养保健品化合物对血浆脂质和心血管危险因素的影响——中期分析结果

Single blind, multicentre, randomized, controlled trial testing the effects of a novel nutraceutical compound on plasma lipid and cardiovascular risk factors: Results of the interim analysis.

作者信息

Trimarco V, Battistoni A, Tocci G, Coluccia R, Manzi M V, Izzo R, Volpe M

机构信息

Hypertension Research Center, Federico II University, Naples, Italy; Department of Neurosciences, Federico II University, Naples, Italy.

Division of Cardiology, Department of Clinical and Molecular Medicine, Faculty of Medicine and Psychology, University of Rome Sapienza, Sant'Andrea Hospital, Rome, Italy.

出版信息

Nutr Metab Cardiovasc Dis. 2017 Oct;27(10):850-857. doi: 10.1016/j.numecd.2017.08.003. Epub 2017 Aug 14.

Abstract

BACKGROUND AND AIMS

The clustering of high levels of LDL cholesterol (LDL-C) and other risk factors represents a predisposing condition for atherosclerotic disease development. Cardiovascular prevention is based on effective control of these conditions. In adult subjects with mild hypercholesterolemia we compared in the real life the effects of a new combination of nutraceuticals on lipid and glucose metabolism and blood pressure with those of an established nutraceutical combination.

METHOD AND RESULTS

This multicenter, controlled, randomized, single-blind trial was designed to compare the effect of Armolipid Plus versus that of LopiGLIK on lipid and glucose levels and blood pressure (BP) in subjects with mild hypercholesterolemia not on statin therapy. Primary outcome was the proportion of subjects achieving therapeutic targets of LDL-C (<130 mg/dl); secondary outcomes were the effects on HDL-C, glycated haemoglobin and insulin levels. Data from an overall sample of 359 adult individuals (age 55.2 ± 11.1 years, women 57.7%, LDL-C 157.3 ± 22.6 mg/dl, HDL-C 50.7 ± 13.0 mg/dl) are reported. 72% of subjects treated with LopiGLIK and 43% treated with Armolipid Plus achieved the primary endpoint (p < 0.0001). Both treatments reduced plasma levels of total and LDL-C and triglycerides (p < 0.001 for all comparisons). The treatments also reduced systolic and diastolic blood pressure, plasma levels of glycated haemoglobin, insulin and HOMA index. The changes induced by LopiGLIK in all these metabolic parameters were greater than those obtained with Armolipid Plus.

CONCLUSIONS

The present analysis shows that LopiGLIK may represent a more effective tool for clinical management of CV risk factors in subjects with mild hypercholesterolemia.

摘要

背景与目的

高水平低密度脂蛋白胆固醇(LDL-C)与其他危险因素的聚集是动脉粥样硬化疾病发生的易感条件。心血管疾病的预防基于对这些情况的有效控制。在患有轻度高胆固醇血症的成年受试者中,我们在现实生活中比较了一种新的营养保健品组合与一种已确立的营养保健品组合对脂质、葡萄糖代谢及血压的影响。

方法与结果

本多中心、对照、随机、单盲试验旨在比较Armolipid Plus与LopiGLIK对未接受他汀类治疗的轻度高胆固醇血症患者的脂质、葡萄糖水平及血压(BP)的影响。主要结局是达到LDL-C治疗目标(<130mg/dl)的受试者比例;次要结局是对高密度脂蛋白胆固醇(HDL-C)、糖化血红蛋白及胰岛素水平的影响。报告了来自359名成年个体(年龄55.2±11.1岁,女性占57.7%,LDL-C 157.3±22.6mg/dl,HDL-C 50.7±13.0mg/dl)总体样本的数据。接受LopiGLIK治疗的受试者中有72%达到主要终点,接受Armolipid Plus治疗的受试者中有43%达到主要终点(p<0.0001)。两种治疗均降低了总胆固醇、LDL-C及甘油三酯的血浆水平(所有比较p<0.001)。治疗还降低了收缩压和舒张压、糖化血红蛋白、胰岛素的血浆水平及胰岛素抵抗指数(HOMA指数)。LopiGLIK在所有这些代谢参数上引起的变化大于Armolipid Plus。

结论

本分析表明,LopiGLIK可能是临床管理轻度高胆固醇血症患者心血管危险因素的更有效工具。

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