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桑椹提取物对绝经后妇女血脂谱、血糖指数和瘦素的影响-一项随机临床试验。

The effect of Cornus mas fruit extract consumption on lipid profile, glycemic indices, and leptin in postmenopausal women- A randomized clinical trial.

机构信息

Department of Nutrition, School of Public Health, International Campus, Iran University of Medical Sciences, Tehran, Iran.

Research center for Environmental Health Technology, Iran University of Medical Sciences; Department of Nutrition, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Phytother Res. 2019 Nov;33(11):2979-2988. doi: 10.1002/ptr.6476. Epub 2019 Aug 16.

DOI:10.1002/ptr.6476
PMID:31418933
Abstract

Menopause, which occurs following a declined ovarian activity and reduced estrogen levels, can lead to long-term changes in lipid and glycemic profiles and increases the risk of cardiovascular disease and osteoporosis. Cornelian cherry (Cornus mas) is rich in phytochemicals and antioxidants, which appears to be useful in reducing the postmenopausal complications. This interventional, double-blinded, randomized clinical trial carried out on 84 menopaused women aged 45-60 years old. They were randomly divided into two groups. The treatment group received three capsules of 300 mg of Cornus mas extract (CME), and control group received three capsules of 300 mg of starch powder per day for 8 weeks. Then, BMI, waist circumference, glycemic indices, lipid profile, serum apoproteinase, apoprotein B100, fibrinogen, and leptin were measured. The dietary intakes were evaluated using 24-hr dietary recall questionnaire. The consumption of CME in comparison with the control group resulted in a significant reduction in weight, body mass index, waist circumference, LDL to HDL ratio, total cholesterol to HDL ratio, and fibrinogen. There was also a significant increase in HDL and ApoA1 levels in the treatment group. Furthermore, there was a significant decrease in BMI, waist circumference, fasting insulin, and insulin resistance index after 8 weeks of using CME. Summing up the results, it can be concluded that CME can have possible effects on decreasing BMI, waist circumference, and improving some aspects of lipid profile and glycemic indices in postmenopausal women.

摘要

绝经是由于卵巢活动减少和雌激素水平降低导致的,可导致脂质和血糖谱的长期变化,并增加心血管疾病和骨质疏松症的风险。山茱萸(Cornus mas)富含植物化学物质和抗氧化剂,似乎有助于减少绝经后的并发症。这项干预性、双盲、随机临床试验招募了 84 名年龄在 45-60 岁之间的绝经后女性。她们被随机分为两组。治疗组每天服用 3 粒 300 毫克山茱萸提取物(CME),对照组每天服用 3 粒 300 毫克淀粉粉末,持续 8 周。然后测量 BMI、腰围、血糖指数、血脂谱、血清载脂蛋白、载脂蛋白 B100、纤维蛋白原和瘦素。使用 24 小时膳食回忆问卷评估膳食摄入量。与对照组相比,CME 的消耗导致体重、体重指数、腰围、LDL 与 HDL 比值、总胆固醇与 HDL 比值和纤维蛋白原显著降低。治疗组的 HDL 和 ApoA1 水平也显著升高。此外,使用 CME 8 周后,BMI、腰围、空腹胰岛素和胰岛素抵抗指数也显著降低。综上所述,CME 可能对降低绝经后女性的 BMI、腰围以及改善某些方面的血脂谱和血糖谱有一定的效果。

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