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番茄红素补充对血清胰岛素样生长因子 1(IGF-1)水平和心血管疾病的影响:临床试验的剂量反应荟萃分析。

The effects of lycopene supplementation on serum insulin-like growth factor 1 (IGF-1) levels and cardiovascular disease: A dose-response meta-analysis of clinical trials.

机构信息

Department of Cardiovascular Medicine, Ganzhou People's Hospital, Ganzhou City, Jiangxi Province, 341000, China.

Department of Cardiovascular Medicine, Ganzhou People's Hospital, Ganzhou City, Jiangxi Province, 341000, China.

出版信息

Complement Ther Med. 2021 Jan;56:102632. doi: 10.1016/j.ctim.2020.102632. Epub 2020 Nov 28.

Abstract

BACKGROUND

The results of human studies assessing the efficacy of lycopene on insulin-like growth factor 1 (IGF-1) levels are inconsistent. Thus, we performed a systematic review and meta-analysis to examine the effects of lycopene supplementation on serum IGF-1 levels and cardiovascular disease.

METHODS

The literature published up to January 2020 was searched using the electronic databases Scopus, PubMed/Medline, Web of Science, Embase and Google Scholar.

RESULTS

Seven qualified trials were included in the current meta-analysis. IGF-1 levels were non-significantly decreased in lycopene group compared to the control (WMD: -6.74 ng/mL, 95 % CI: -23.01 to 9.52, p = 0.42; I = 94.3 %). Subgroup analysis revealed a significantly decrease in IGF-1 levels upon lycopene supplementation at doses ≥15 mg/d (WMD: -6.40 ng/mL), intervention period <12 weeks (WMD: -6.49 ng/mL), and subjects aged ≥60 years (WMD: -24.98 mg/dl). In addition, lycopene intake significantly reduced IGF-1 levels upon healthy conditions (WMD: -25.59 ng/mL) when compared with cancer patients (WMD: 0.35 ng/mL). In addition, the effect of lycopene supplementation was significant in patients diagnosed with cardiac disorders.

CONCLUSION

Overall, lycopene intake was not associated with reduced serum IGF-1 levels. However, association was significant when lycopene was administrated at doses >15 mg/d, for <12 weeks, as well as for healthy conditions and patients aged ≥60 years. In addition, lycopene supplementation exhibited potential health benefits in the management of patients with cardiac disorders.

摘要

背景

评估番茄红素对胰岛素样生长因子 1(IGF-1)水平疗效的人体研究结果不一致。因此,我们进行了系统评价和荟萃分析,以检查番茄红素补充对血清 IGF-1 水平和心血管疾病的影响。

方法

使用电子数据库 Scopus、PubMed/Medline、Web of Science、Embase 和 Google Scholar 搜索截至 2020 年 1 月发表的文献。

结果

目前的荟萃分析纳入了 7 项合格试验。与对照组相比,番茄红素组 IGF-1 水平无显著降低(WMD:-6.74ng/ml,95%CI:-23.01 至 9.52,p=0.42;I=94.3%)。亚组分析显示,番茄红素补充剂量≥15mg/d(WMD:-6.40ng/ml)、干预期<12 周(WMD:-6.49ng/ml)和年龄≥60 岁的受试者(WMD:-24.98ng/ml/dl)IGF-1 水平显著降低。此外,与癌症患者相比(WMD:0.35ng/ml),健康受试者摄入番茄红素可显著降低 IGF-1 水平(WMD:-25.59ng/ml)。此外,番茄红素补充对诊断为心脏疾病的患者的影响具有统计学意义。

结论

总体而言,番茄红素摄入与血清 IGF-1 水平降低无关。然而,当番茄红素的剂量>15mg/d、持续时间<12 周、用于健康状况和年龄≥60 岁的患者时,其关联具有统计学意义。此外,番茄红素补充在心脏疾病患者的管理中具有潜在的健康益处。

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