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大蒜补充剂对体重减轻的影响:随机对照试验的系统评价和荟萃分析。

The effects of garlic supplementation on weight loss: A systematic review and 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 (TUMS), Tehran, Iran.

Students' Scientific Research Center (SSRC), Tehran University of Medical Sciences (TUMS), Tehran, Iran.

出版信息

Int J Vitam Nutr Res. 2021 Jun;91(3-4):370-382. doi: 10.1024/0300-9831/a000607. Epub 2019 Jul 30.

Abstract

Obesity is related to increase in the incidence of morbidity and mortality. Studies have suggested anti-obesity properties of garlic; however, results are inconsistent. This systematic review and meta-analysis is done to summarize the data obtained from available randomized clinical trials on the effect of garlic supplementation on body weight, Body Mass Index (BMI), and Waist Circumference (WC). The online databases of Scopus, PubMed, Google Scholar and Cochrane library were searched until March 2018 for related publications using relevant keywords. Effect sizes of eligible studies were pooled using random-effects models. Cochran's Q-test and I index were used for assessing heterogeneity. We found 1241 records in our initial search, of which 13 randomized clinical trials (RCTs) with 15 treatment arms were included. Pooled analysis showed that garlic administration might significantly decrease WC (Weighed Mean Difference (WMD): -1.10 cm, 95% CI: -2.13, -0.07, P = 0.03, I = 0%). However, garlic intervention had no significant effect on body weight (WMD): -0.17 kg, 95% CI: -0.75 to 0.39, P = 0.54, I = 0%) and BMI (WMD: -0.17 kg/m, 95% CI: -0.52, 0.16, P = 0.30, I = 44.5%) as compared to controls. From Subgroup analysis, it was ascertained that the effect of garlic supplementation on BMI was significant in trials with duration < 12 weeks (WMD: -0.58 kg/m, 95% CI: -1.08, -0.08, I = 19.8%, P = 0.02) compared to those with higher duration (>12 weeks). The current meta-analysis results suggest that garlic supplementation seems to reduce waist circumference unlike body weight and BMI.

摘要

肥胖与发病率和死亡率的增加有关。研究表明大蒜具有抗肥胖作用;然而,结果并不一致。本系统评价和荟萃分析旨在总结现有随机临床试验中关于大蒜补充剂对体重、体重指数(BMI)和腰围(WC)影响的数据。使用相关关键词在 Scopus、PubMed、Google Scholar 和 Cochrane 图书馆的在线数据库中搜索截至 2018 年 3 月的相关出版物。使用随机效应模型汇总合格研究的效应大小。使用 Cochran's Q 检验和 I 指数评估异质性。我们在最初的搜索中发现了 1241 条记录,其中包括 13 项随机临床试验(RCT),共有 15 个治疗组。荟萃分析表明,大蒜给药可能显著降低 WC(加权均数差(WMD):-1.10cm,95%CI:-2.13,-0.07,P=0.03,I=0%)。然而,大蒜干预对体重(WMD:-0.17kg,95%CI:-0.75 至 0.39,P=0.54,I=0%)和 BMI(WMD:-0.17kg/m,95%CI:-0.52,0.16,P=0.30,I=44.5%)与对照组相比没有显著影响。从亚组分析来看,与持续时间较长的试验(>12 周)相比,持续时间<12 周的试验中大蒜补充剂对 BMI 的影响更为显著(WMD:-0.58kg/m,95%CI:-1.08,-0.08,I=19.8%,P=0.02)。目前的荟萃分析结果表明,与体重和 BMI 相比,大蒜补充剂似乎能降低腰围。

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