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牛磺酸补充对 2 型糖尿病患者血糖控制和血清脂质谱的影响:一项随机、双盲、安慰剂对照试验。

The effects of taurine supplementation on glycemic control and serum lipid profile in patients with type 2 diabetes: a randomized, double-blind, placebo-controlled trial.

机构信息

Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.

Department of Clinical Nutrition, Faculty of Nutrition and Food Science, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

Amino Acids. 2020 Jul;52(6-7):905-914. doi: 10.1007/s00726-020-02859-8. Epub 2020 May 29.

DOI:10.1007/s00726-020-02859-8
PMID:32472292
Abstract

Previous studies have suggested that taurine has hypoglycemic and hypolipidemic effects on experimental diabetic models. Therefore, this clinical trial was designed to explore the impacts of taurine supplementation on glycemic control and lipid profile in the patients with T2DM. This study was conducted on 45 patients with T2DM in Tabriz Sheikhor-raees Polyclinic and Imam-Reza Hospital Endocrine Center. Subjects were randomly divided into taurine and placebo groups. Accordingly, the taurine group (n = 23) received taurine 3000 mg/daily and the placebo group (n = 22) took crystalline microcellulose/daily for the duration of 8 weeks. At baseline and after the trial completion, fasting blood samples were obtained from the patients to assess the glycemic indicators and lipid profile. Independent t test, paired t test, Pearson's correlation, and analysis of covariance was used for analysis. At the end of the study, levels of FBS (p = 0.01), insulin (p = 0.01), HOMA-IR (p = 0.003), TC (p = 0.013), and LDL-C (p = 0.041) significantly decreased in the taurine group compared to the placebo group. In addition, there was no significant changes in HbA1c, triglyceride, HDL-C, anthropometric indicators or dietary intakes by passing 8 weeks from the intervention. In conclusion, the findings of the current study indicated that taurine supplementation (3000 mg/day) for 8 weeks could improve the glycemic indexes and lipid profiles including TC and LDL-C in the patients with T2DM.

摘要

先前的研究表明,牛磺酸对实验性糖尿病模型具有降血糖和降血脂作用。因此,本临床试验旨在探讨牛磺酸补充剂对 T2DM 患者血糖控制和血脂谱的影响。这项研究在大不里士谢赫拉伊斯综合诊所和礼萨医院内分泌中心对 45 名 T2DM 患者进行。受试者被随机分为牛磺酸组和安慰剂组。因此,牛磺酸组(n=23)每天接受 3000 毫克牛磺酸,安慰剂组(n=22)每天服用结晶微晶纤维素/d,持续 8 周。在基线和试验完成时,从患者中抽取空腹血样以评估血糖指标和血脂谱。使用独立 t 检验、配对 t 检验、皮尔逊相关和协方差分析进行分析。研究结束时,与安慰剂组相比,牛磺酸组的 FBS(p=0.01)、胰岛素(p=0.01)、HOMA-IR(p=0.003)、TC(p=0.013)和 LDL-C(p=0.041)水平显著降低。此外,经过 8 周的干预,HbA1c、甘油三酯、HDL-C、人体测量指标或饮食摄入量没有显著变化。总之,本研究的结果表明,牛磺酸补充剂(3000mg/天)持续 8 周可改善 T2DM 患者的血糖指标和血脂谱,包括 TC 和 LDL-C。

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