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洋蓟对高血压患者血压和体重指数的影响:一项随机、双盲、安慰剂对照临床试验

The Effect of Cynara scolymus on Blood Pressure and BMI in Hypertensive Patients: A Randomized, Double-Blind, Placebo-Controlled, Clinical Trial.

作者信息

Ardalani Hamidreza, Jandaghi Parisa, Meraji Aramsadat, Hassanpour Moghadam Maryam

机构信息

Department of Horticultural Sciences, Science and Research Branch, Islamic Azad University, Tehran, Iran,

Department of Drug Design and Pharmacology, University of Copenhagen, Copenhagen, Denmark,

出版信息

Complement Med Res. 2020;27(1):40-46. doi: 10.1159/000502280. Epub 2019 Sep 4.

Abstract

BACKGROUND

Recent studies have suggested that artichoke (Cynara scolymus L.) may reduce certain biochemical blood factors but the efficacy of this plant on blood pressure (BP) has not yet been investigated. In this study, we determined the clinical efficacy of C. scolymuson BP and body mass index (BMI) in hypertensive patients as an adjunctive to captopril for the first time.

METHODS

The total phenolic content and gas chromatography-mass spectrometry metabolite profiling in leaves of C. scolymus have been evaluated. A clinical trial was subsequently carried out on 40 patients to determine the effect of C. scolymus on BP and BMI in hypertensive patients. The treatment group received capsules containing C. scolymus(500 mg twice daily) and the placebo group received starch powder for 8 weeks. Systolic blood pressure (SBP), diastolic blood pressure, and BMI were determined before and after the study.

RESULTS

A significant improvement of the BMI was seen in the C. scolymus group compared with the placebo group (p = 0.04).

CONCLUSIONS

Our findings demonstrated that the consumption of C. scolymus powder as a rich source of phenolic and antioxidant compounds could potentially improve BMI and SBP in hypertensive patients. Therefore, more trials are needed to confirm or reject the antihypertensive impact of artichoke.

摘要

背景

最近的研究表明,洋蓟(Cynara scolymus L.)可能会降低某些血液生化因子,但这种植物对血压(BP)的功效尚未得到研究。在本研究中,我们首次确定了洋蓟对高血压患者血压和体重指数(BMI)的临床疗效,作为卡托普利的辅助治疗。

方法

评估了洋蓟叶片中的总酚含量和气相色谱 - 质谱代谢物谱。随后对40名患者进行了一项临床试验,以确定洋蓟对高血压患者血压和BMI的影响。治疗组接受含有洋蓟的胶囊(每日两次,每次500毫克),安慰剂组接受淀粉粉末,为期8周。在研究前后测定收缩压(SBP)、舒张压和BMI。

结果

与安慰剂组相比,洋蓟组的BMI有显著改善(p = 0.04)。

结论

我们的研究结果表明,食用富含酚类和抗氧化化合物的洋蓟粉可能会改善高血压患者的BMI和SBP。因此,需要更多试验来证实或否定洋蓟的降压作用。

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