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姜黄素补充剂对 2 型糖尿病患者高敏 C 反应蛋白、血清脂联素和血脂谱的影响:一项随机、双盲、安慰剂对照试验。

The effects of curcumin supplementation on high-sensitivity C-reactive protein, serum adiponectin, and lipid profile in patients with type 2 diabetes: A randomized, double-blind, placebo-controlled trial.

机构信息

Clinical Nutrition and dietetics Department, Faculty of Nutrition Sciences and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Biochemistry and Diet Therapy, Nutrition Research Center, School of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

Phytother Res. 2019 May;33(5):1374-1383. doi: 10.1002/ptr.6328. Epub 2019 Mar 12.

DOI:10.1002/ptr.6328
PMID:30864188
Abstract

Diabetes mellitus is one of the most common and important metabolic diseases in human. Curcumin, which is a natural polyphenol found in turmeric, can be used in treatment of diabetes complications for its antidiabetic, anti-inflammatory, and antioxidant properties. In this double-blind randomized clinical trial, 44 patients with Type 2 diabetes randomly assigned to curcumin or placebo group. Patients consumed either 1,500-mg curcumin or placebo daily for 10 weeks. Anthropometric measurements were measured at baseline and at the end of the study. Serum concentrations of triglyceride (TG), total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, high-sensitivity C-reactive protein, and adiponectin were determined after 12-hr fasting at the beginning and end of study. The mean serum level of TG decreased in curcumin group compared with baseline (109 ± 36 vs. 124 ± 36; p < 0.05). At the end of study, the mean concentration of high-sensitivity C-reactive protein decreased in the curcumin group compared to the control (2.9 ± 2.9 vs. 3.4 ± 4.2; p < 0.05). The mean serum concentration of adiponectin increased (64 ± 3 vs. 63 ± 4; p < 0.05) in the treatment group compared with the placebo at the end of the study. The results of the current study indicate that curcumin consumption may reduce diabetes complications through decreasing TG level as well as indicators of inflammation.

摘要

糖尿病是人类最常见和最重要的代谢疾病之一。姜黄素是一种天然存在于姜黄中的多酚,可以用于治疗糖尿病并发症,因为它具有抗糖尿病、抗炎和抗氧化作用。在这项双盲随机临床试验中,44 名 2 型糖尿病患者随机分为姜黄素组或安慰剂组。患者每天分别服用 1500 毫克姜黄素或安慰剂,持续 10 周。在研究开始和结束时,测量基线和研究结束时的人体测量学指标。在研究开始和结束时禁食 12 小时后,测定血清三酰甘油(TG)、总胆固醇、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇、高敏 C 反应蛋白和脂联素的浓度。与基线相比,姜黄素组的血清 TG 水平降低(109±36 与 124±36;p<0.05)。在研究结束时,与对照组相比,姜黄素组的高敏 C 反应蛋白浓度降低(2.9±2.9 与 3.4±4.2;p<0.05)。与安慰剂组相比,治疗组的血清脂联素浓度在研究结束时升高(64±3 与 63±4;p<0.05)。本研究结果表明,姜黄素的摄入可能通过降低 TG 水平以及炎症指标来减轻糖尿病并发症。

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