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槲皮素补充对心肌梗死后患者炎症因子和生活质量的影响:一项双盲、安慰剂对照、随机临床试验。

Effects of quercetin supplementation on inflammatory factors and quality of life in post-myocardial infarction patients: A double blind, placebo-controlled, randomized clinical trial.

机构信息

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

Rasool Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Phytother Res. 2021 Apr;35(4):2085-2098. doi: 10.1002/ptr.6955. Epub 2020 Nov 20.

DOI:10.1002/ptr.6955
PMID:33216421
Abstract

Myocardial infarction (MI) is one of the leading causes of death in the world. Epidemiological studies have shown that dietary flavonoids are inversely related to cardiovascular morbidity and mortality. The study aimed to determine whether quercetin supplementation can improve inflammatory factors, total antioxidant capacity (TAC) and quality of life (QOL) in patients following MI. This randomized double-blind, placebo-controlled trial was conducted on 88 post-MI patients. Participants were randomly assigned into quercetin (n = 44) and placebo groups (n = 44) receiving 500 mg/day quercetin or placebo tablets for 8 weeks. Quercetin supplementation significantly increased serum TAC compared to placebo (Difference: 0.24 (0.01) mmol/L and 0.00 (0.00) mmol/L respectively; p < .001). TNF-α levels significantly decreased in the quercetin group (p = .009); this was not, however, significant compared to the placebo group. As for QOL dimensions, quercetin significantly lowered the scores of insecurity (Difference: -0.66 (12.5) and 0.00 (5.55) respectively; p < .001). No significant changes in IL-6, hs-CRP, blood pressure and other QOL dimensions were observed between the two groups. Quercetin supplementation (500 mg/day) in post-MI patients for 8 weeks significantly elevated TAC and improved the insecurity dimension of QOL, but failed to show any significant effect on inflammatory factors, blood pressure and other QOL dimensions.

摘要

心肌梗死(MI)是世界上主要的死亡原因之一。 流行病学研究表明,饮食中的类黄酮与心血管发病率和死亡率呈负相关。 本研究旨在确定槲皮素补充剂是否可以改善 MI 后患者的炎症因子、总抗氧化能力(TAC)和生活质量(QOL)。 这项随机、双盲、安慰剂对照试验在 88 名 MI 后患者中进行。 将参与者随机分为槲皮素(n = 44)和安慰剂组(n = 44),分别服用 500mg/天的槲皮素或安慰剂片剂 8 周。 与安慰剂相比,槲皮素补充剂显著增加了血清 TAC(差异:0.24(0.01)mmol/L 和 0.00(0.00)mmol/L;p < 0.001)。 槲皮素组 TNF-α水平显著降低(p = 0.009); 然而,与安慰剂组相比,这并不显著。 至于 QOL 维度,槲皮素显著降低了不安全感的评分(差异:-0.66(12.5)和 0.00(5.55);p < 0.001)。 两组间 IL-6、hs-CRP、血压和其他 QOL 维度均无明显变化。 在 MI 后患者中补充 8 周 500mg/天的槲皮素可显著提高 TAC,并改善 QOL 的不安全感维度,但对炎症因子、血压和其他 QOL 维度无明显影响。

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