Atefi Masoumeh, Pishdad Gholam Reza, Faghih Shiva
1Nutrition Research Center, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
2Endocrine and Metabolism Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
J Diabetes Metab Disord. 2018 May 23;17(2):85-91. doi: 10.1007/s40200-018-0343-9. eCollection 2018 Dec.
A number of studies have shown that consumption of vegetable oils may improve diabetes complications including inflammatory response and oxidative stress, but no study has been done on the effects of canola oil (CO) and olive oil (OO) consumption in patients with type 2 diabetes. This clinical trial was done to compare the effects of CO and OO on insulin resistance, inflammation and oxidative stress in women with type 2 diabetes.
This randomized controlled clinical trial was done on 77 type 2 diabetic women. 4 weeks before the intervention, lipid-lowering drugs intakes were cut under the supervision of an endocrinologist. The participants were randomly divided into 2 intervention groups (Balanced diet +30 g/day CO or OO) and one control group (Balanced diet +30 g/day of sunflower oil (SFO)). Dietary intakes were assessed using three 24-h food records at baseline and at weeks 4 and 8 of the interventions. At baseline and after 8 weeks, height, weight, waist circumference, fasting blood sugar (FBS), serum insulin, C-reactive protein (CRP) and malondialdehyde (MDA) were measured.
After the intervention in the inter-group analysis, CRP level was reduced significantly in CO and OO groups but no significant changes were observed in other factors. CRP reductions were also significant between all of the groups but not for other factors.
Replacing CO and OO with SFO as part of daily dietary fat in the diet of people with type 2 diabetes is recommended for reducing Inflammation and Oxidative Stress. This study is approved by the Ethics Committee of Shiraz University of Medical Sciences (IR.SUMS.REC.1394.27) and is recorded in the Iranian Registry of Clinical Trials (IRCT2015062722818N1).
多项研究表明,食用植物油可能改善糖尿病并发症,包括炎症反应和氧化应激,但尚未有关于食用菜籽油(CO)和橄榄油(OO)对2型糖尿病患者影响的研究。本临床试验旨在比较CO和OO对2型糖尿病女性胰岛素抵抗、炎症和氧化应激的影响。
本随机对照临床试验针对77名2型糖尿病女性进行。在干预前4周,在内分泌科医生的监督下减少降脂药物的摄入量。参与者被随机分为2个干预组(均衡饮食+每天30克CO或OO)和1个对照组(均衡饮食+每天30克葵花籽油(SFO))。在基线以及干预的第4周和第8周,使用三份24小时食物记录评估饮食摄入量。在基线和8周后,测量身高、体重、腰围、空腹血糖(FBS)、血清胰岛素、C反应蛋白(CRP)和丙二醛(MDA)。
组间分析干预后,CO组和OO组的CRP水平显著降低,但其他因素未观察到显著变化。所有组之间CRP的降低也具有显著性,但其他因素则不然。
建议2型糖尿病患者在日常饮食脂肪中用CO和OO替代SFO,以减轻炎症和氧化应激。本研究已获得设拉子医科大学伦理委员会批准(IR.SUMS.REC.1394.27),并记录在伊朗临床试验注册中心(IRCT2015062722818N1)。