Ebrahimi Fatemeh, Aryaeian Naheed, Pahlavani Naseh, Abbasi Davood, Hosseini Agha Fatemeh, Fallah Soudabeh, Moradi Nariman, Heydari Iraj
Skull Base Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Nutrition, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.
Avicenna J Phytomed. 2019 Jul-Aug;9(4):322-333.
Microalbuminuria and hypertension are the risk factors for diabetic nephropathy, and increased levels of liver enzymes are prevalent among diabetic patients. The aim of this research was to examine the effects of supplementation on nephropathy indices, liver enzymes, and blood pressure in patients with type 2 diabetes (T2D).
This placebo-controlled, randomized clinical trial was performed among 80 T2D patients. Subjects were randomly assigned to either (n = 40) or placebo (n = 40) groups and treated with and or placebo for 12 weeks, respectively. Alkaline phosphatase (ALP), aspartate aminotransferase (AST), alanine aminotransferase (ALT), serum urea, creatinine, 24-hr urine albumin, systolic blood pressure (SBP), diastolic blood pressure (DBP), physical activity, and dietary intakes were measured and blood samples were taken at baseline and after the 12‑week intervention to assess the differences between the two groups.
supplementation compared with the placebo resulted in a significant reduction of SBP (P<0.005). However, changes in other indices including liver enzymes, serum creatinine, serum urea, and 24-hr urine albumin, and DBP were not significantly different between the two groups (p>0.05). Also, no significant changes in dietary intakes and physical activity were seen between the two groups.
This report shows that daily supplementation with 100 mg powder improved SBP. However, it did not considerably improve DBP, nephropathy indices and liver functions in T2D patients after 12 weeks of administration.
微量白蛋白尿和高血压是糖尿病肾病的危险因素,糖尿病患者中肝酶水平升高很常见。本研究的目的是检验补充剂对2型糖尿病(T2D)患者的肾病指标、肝酶和血压的影响。
本安慰剂对照、随机临床试验在80例T2D患者中进行。受试者被随机分为补充剂组(n = 40)或安慰剂组(n = 40),分别接受补充剂或安慰剂治疗12周。测量碱性磷酸酶(ALP)、天冬氨酸转氨酶(AST)、丙氨酸转氨酶(ALT)、血清尿素、肌酐、24小时尿白蛋白、收缩压(SBP)、舒张压(DBP)、身体活动和饮食摄入量,并在基线和12周干预后采集血样,以评估两组之间的差异。
与安慰剂相比,补充剂使SBP显著降低(P<0.005)。然而,两组之间其他指标的变化,包括肝酶、血清肌酐、血清尿素、24小时尿白蛋白和DBP,差异均无统计学意义(p>0.05)。此外,两组之间饮食摄入量和身体活动也无显著变化。
本报告显示,每日补充100毫克粉末可改善SBP。然而,给药12周后,它并未显著改善T2D患者的DBP、肾病指标和肝功能。