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一项评价燕麦纤维对人体健康的中期影响的随机安慰剂对照临床试验:β-葡聚糖对血脂、血糖和肠道健康的影响(BELT 研究)。

A randomized Placebo-Controlled Clinical Trial to Evaluate the Medium-Term Effects of Oat Fibers on Human Health: The Beta-Glucan Effects on Lipid Profile, Glycemia and inTestinal Health (BELT) Study.

机构信息

Atherosclerosis and Hypertension Research Group, Medical and Surgical Sciences Department, Sant'Orsola-Malpighi University Hospital, Building 2-IV Floor, Via Albertoni 15, 40138 Bologna, Italy.

Nutrition Foundation of Italy, Viale Tunisia 38, 20124 Milan, Italy.

出版信息

Nutrients. 2020 Mar 3;12(3):686. doi: 10.3390/nu12030686.

Abstract

The Beta-glucan Effects on Lipid profile, glycemia and inTestinal health (BELT) Study investigated the effect of 3 g/day oat beta-glucans on plasma lipids, fasting glucose and self-perceived intestinal well-being. The Study was an 8-week, double-blind, placebo-controlled, cross-over randomized clinical trial, enrolling a sample of 83 Italian free-living subjects, adherent to Mediterranean diet, with a moderate hypercholesterolemia and a low cardiovascular risk profile. Beta-glucans reduced mean LDL-Cholesterol (LDL-C) levels from baseline by 12.2% (95%CI: -15.4 to -3.8) after 4 weeks of supplementation and by 15.1% (95%CI: -17.8 to -5.9) after 8 weeks of supplementation ( < 0.01 for both comparison and versus placebo). Between baseline and 4 weeks Total Cholesterol (TC) levels showed an average reduction of 6.5% (95%CI: -10.9 to -1.9) in the beta-glucan sequence; while non-HDL-C plasma concentrations decreased by 11.8% (95%CI: -14.6 to -4.5). Moreover, after 8 weeks of beta-glucan supplementation TC was reduced by 8.9% (95%CI: -12.6 to -2.3) and non-HDL-C levels by 12.1% (95%CI: -15.6 to -5.3). Decreses in TC and non HDL-C were significant also versus placebo (respectively < 0.05 and < 0.01 to both follow-up visits). Fasting plasma glucose and self-perceived intestinal well-being were not affected by both beta-glucan and placebo supplementation.

摘要

β-葡聚糖对血脂、血糖和肠道健康的影响(BELT)研究调查了每天 3 克燕麦β-葡聚糖对血浆脂质、空腹血糖和自我感知肠道健康的影响。该研究是一项为期 8 周、双盲、安慰剂对照、交叉随机临床试验,招募了 83 名意大利自由生活、遵循地中海饮食、有中度高胆固醇血症和低心血管风险特征的受试者。β-葡聚糖在 4 周的补充后使 LDL 胆固醇(LDL-C)水平平均降低 12.2%(95%CI:-15.4 至-3.8),在 8 周的补充后降低 15.1%(95%CI:-17.8 至-5.9)(两者均<0.01 与安慰剂相比)。在基线和 4 周之间,总胆固醇(TC)水平在β-葡聚糖序列中平均降低 6.5%(95%CI:-10.9 至-1.9);而非高密度脂蛋白胆固醇(non-HDL-C)血浆浓度降低 11.8%(95%CI:-14.6 至-4.5)。此外,在 8 周的β-葡聚糖补充后,TC 降低了 8.9%(95%CI:-12.6 至-2.3),非 HDL-C 水平降低了 12.1%(95%CI:-15.6 至-5.3)。与安慰剂相比,TC 和非 HDL-C 的降低也具有统计学意义(分别在两次随访时<0.05 和<0.01)。空腹血糖和自我感知肠道健康均不受β-葡聚糖和安慰剂补充的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64ac/7146517/b621ce4cd15a/nutrients-12-00686-g001.jpg

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