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口服乳清蛋白对接触性皮炎患者的疗效:一项初步随机双盲安慰剂对照临床试验。

Efficacy of oral supplementation of whey protein in patients with contact dermatitis: A pilot randomized double-blind placebo-controlled clinical trial.

机构信息

Allergy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Dermatol Ther. 2020 Nov;33(6):e14260. doi: 10.1111/dth.14260. Epub 2020 Sep 14.

DOI:10.1111/dth.14260
PMID:32876987
Abstract

Whey protein is a popular dietary product that has numerous health benefits such as immune modulation. In this study, we assessed efficacy of whey protein in management of patients with contact dermatitis (CD) through a double blind, randomized controlled clinical trial in Emam Reza clinic, Shiraz, Iran. Twenty-five patients in each group were randomly assigned to receive whey protein or placebo powder, 30 g in 200 mL warm water at fasting time for 4 weeks. Outcome measures were Dermatology Life Quality Index (DLQI) questionnaire and the Eczema Area and Severity Index (EASI) score. Furthermore, subjective total improvement (assessed by visual analogue scale) was set as the other primary outcome measure. A significant decrease was observed in the scores of EASI, DLQI, and subjective total improvement in the drug group after the intervention compared with the baseline. However, no changes were seen in the placebo group. Moreover, there was a significant reduction in the scores of EASI (P = .002) and subjective total improvement scores (P = .039) over the study period in the drug group compared with the placebo group. According to the results of this study, it seems that oral supplementation of whey protein could improve the symptoms of CD compared with placebo.

摘要

乳清蛋白是一种广受欢迎的膳食产品,具有许多健康益处,如免疫调节。在这项研究中,我们通过伊朗设拉子埃马姆雷扎诊所的一项双盲、随机对照临床试验,评估了乳清蛋白在接触性皮炎(CD)患者管理中的疗效。每组 25 名患者被随机分配接受乳清蛋白或安慰剂粉,在空腹时用 200 毫升温水冲服 30 克,持续 4 周。评估指标为皮肤病生活质量指数(DLQI)问卷和湿疹面积和严重程度指数(EASI)评分。此外,主观总改善(通过视觉模拟量表评估)被设定为另一个主要的观察指标。与基线相比,干预后药物组的 EASI、DLQI 和主观总改善评分显著下降。然而,安慰剂组没有变化。此外,与安慰剂组相比,药物组的 EASI 评分(P =.002)和主观总改善评分(P =.039)在研究期间显著降低。根据这项研究的结果,口服补充乳清蛋白似乎可以改善 CD 的症状,优于安慰剂。

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