Faraji Hossein
Department of Clinical Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran.
Int J Prev Med. 2018 Dec 24;9:112. doi: 10.4103/ijpvm.IJPVM_343_17. eCollection 2018.
As an important group of health problems, glucose metabolism disorders are associated with a number of diseases as well as mortality rate. Recently, studies have demonstrated that the consumption of decaffeinated coffee-enriched chlorogenic acid (CGA) can reduce the risk of diabetes and blood glucose rise, while the results of some previous studies have shown an opposite effect. Hence, a systematic search was conducted based on literature search and appropriate keywords through PubMed, Google Scholar, Web of Knowledge, Science direct, Medline, Cochrane, and Scopus databases from 2003 to 2018. After searching, 1593 articles were found. Then, we excluded papers based on the duplication and relevant for title and abstract, whereas 25 relevant articles remained for checking eligibility criteria. Since only randomized clinical trials studies (RCTs) could be included in the current study, six RCTs remained in end-stage for qualitative synthesis. The results of reviewed studies showed no significant effect of decaffeinated coffee-enriched CGA on blood glucose concentration. Although recent studies have suggested the effectiveness of decaffeinated coffee-enriched CGA on blood glucose in animals, and there are various mechanisms for this effect, and the result of our review showed that there is not sufficient evidence for this claim in healthy humans. Hence, further research in this area seems necessary.
作为健康问题的一个重要类别,糖代谢紊乱与多种疾病以及死亡率相关。最近,研究表明,饮用富含绿原酸(CGA)的脱咖啡因咖啡可以降低糖尿病风险和血糖升高,而此前一些研究结果却显示出相反的效果。因此,通过PubMed、谷歌学术、Web of Knowledge、Science direct、Medline、Cochrane和Scopus数据库,基于文献检索和适当的关键词,对2003年至2018年期间的研究进行了系统检索。检索后,共找到1593篇文章。然后,我们根据重复情况以及标题和摘要的相关性排除了一些论文,最终剩下25篇相关文章用于检查纳入标准。由于本研究仅纳入随机临床试验(RCT),最终有6项RCT进入定性综合分析的最后阶段。综述研究结果显示,富含CGA的脱咖啡因咖啡对血糖浓度没有显著影响。尽管最近的研究表明,富含CGA的脱咖啡因咖啡对动物血糖有影响,且这种影响存在多种机制,但我们的综述结果显示,在健康人群中,尚无足够证据支持这一说法。因此,该领域似乎有必要进行进一步研究。