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肉桂补充剂对肥胖有积极影响:一项随机对照试验的系统评价和剂量反应荟萃分析。

Cinnamon supplementation positively affects obesity: A systematic review and dose-response meta-analysis of randomized controlled trials.

机构信息

Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran; Students' Scientific Research Center (SSRC), Tehran University of Medical Sciences (TUMS), Tehran, Iran.

Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Clin Nutr. 2020 Jan;39(1):123-133. doi: 10.1016/j.clnu.2019.02.017. Epub 2019 Feb 15.

Abstract

BACKGROUND & AIMS: Data about the effects of cinnamon supplementation on obesity measures are conflicting. This systematic review and meta-analysis of randomized controlled trials (RCTs) was conducted to summarize the effects of cinnamon intake on body weight (BW), Body Mass Index (BMI), Waist Circumference (WC), and fat mass (FM) in adults.

METHODS

Online electronic search engines including PubMed, SCOPUS, Cochrane Library, and Google Scholar were searched to find pertinent articles until September 2018. Data were pooled using the random-effects method and were expressed as weighted mean difference (WMD) and 95% confidence intervals (CI). The non-linear association was assessed using fractional polynomial modeling.

RESULTS

Out of 679 records, 12 trials that enrolled 786 subjects were included. The pooled results showed that cinnamon administration significantly decreased BW (WMD: -1.02 kg, 95% CI: -1.66 to -0.38, P = 0.002), BMI (WMD: -0.51 kg/m, 95% CI: -0.74, -0.28, P < 0.001), WC (WMD: -2.40 cm, 95% CI: -4.48, -0.33, P = 0.02), and FM (WMD: -1.02%, 95% CI: -1.80, -0.24, P = 0.01). Greater effects on BW were observed in subjects aged <50 years old and those with a baseline BMI of ≥30 kg/m. The cinnamon administrations significantly reduced FM at the dosages of ≥2 g/d, when administered for ≥12 weeks. Cinnamon administration resulted in BW and WC reduction in non-linear fashion (P = 0.04).

CONCLUSIONS

Cinnamon supplementation significantly affects obesity measures. It could be recommended as a weight-reducing supplement in obesity management.

摘要

背景与目的

关于肉桂补充剂对肥胖指标影响的数据存在争议。本系统评价和荟萃分析对随机对照试验(RCT)进行了研究,旨在总结肉桂摄入对成年人体重(BW)、体重指数(BMI)、腰围(WC)和体脂肪(FM)的影响。

方法

在线电子搜索引擎包括 PubMed、SCOPUS、Cochrane Library 和 Google Scholar 被用来查找相关文章,直到 2018 年 9 月。使用随机效应方法汇总数据,并表示为加权均数差(WMD)和 95%置信区间(CI)。使用分数多项式模型评估非线性关联。

结果

在 679 条记录中,纳入了 12 项共纳入 786 名受试者的试验。汇总结果表明,肉桂给药显著降低 BW(WMD:-1.02kg,95%CI:-1.66 至-0.38,P=0.002)、BMI(WMD:-0.51kg/m,95%CI:-0.74,-0.28,P<0.001)、WC(WMD:-2.40cm,95%CI:-4.48,-0.33,P=0.02)和 FM(WMD:-1.02%,95%CI:-1.80,-0.24,P=0.01)。在年龄<50 岁和基线 BMI≥30kg/m 的受试者中,BW 的影响更大。在剂量≥2g/d 且给药≥12 周时,肉桂给药可显著降低 FM。肉桂给药对 BW 和 WC 的影响呈非线性(P=0.04)。

结论

肉桂补充剂对肥胖指标有显著影响。它可以作为肥胖管理中减肥补充剂的推荐。

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