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石榴籽粉对 2 型糖尿病患者糖脂代谢的影响:一项前瞻性随机双盲安慰剂对照临床试验。

Efficacy of Pomegranate Seed Powder on Glucose and Lipid Metabolism in Patients with Type 2 Diabetes: A Prospective Randomized Double-Blind Placebo-Controlled Clinical Trial.

机构信息

Department of Persian Medicine, The School of Persian Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Yazd Diabetes Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

出版信息

Complement Med Res. 2021;28(3):226-233. doi: 10.1159/000510986. Epub 2020 Dec 10.

Abstract

INTRODUCTION

Pomegranate is known as a functional food which has multiple health-promoting activities. It has been assessed for patients with metabolic syndrome. Specifically, an antidiabetic activity of its juice and plausible mechanisms for its action have been shown in multitudinous studies. The aim of this study was assessing the effects of complementary treatment with pomegranate seed powder (PSP) oral supplementation on patients with type 2 diabetes mellitus (T2DM).

METHODS

Sixty patients were treated for 8 weeks by 5 g PSP or placebo, twice daily. Fasting blood glucose (FBG), glycated hemoglobin (HbA1c), total cholesterol, and triglyceride (TG) were recorded as the outcome measures at the beginning and after the intervention. The findings were analyzed using the independent t test and Mann-Whitney U test.

RESULTS

After 8 weeks, the mean differences of FBG, HbA1c, cholesterol, and TG were significantly decreased in the PSP group when compared with the placebo group (p value <0.05). In addition, post-intervention values of FBG and HbA1c were significantly lower in patients treated with PSP compared to the placebo group (p values = 0.02 and 0.01, respectively). However, the latter comparison regarding cholesterol and TG showed no significant differences (p values = 0.51 and 0.26, respectively).

CONCLUSION

It seems that complementary treatment with PSP may have beneficial effects on FBG and HbA1c of patients with T2DM. However, its effect on TG and cholesterol was equivocal.

摘要

简介

石榴被认为是一种具有多种促进健康作用的功能性食品。它已经在代谢综合征患者中进行了评估。具体来说,其果汁的抗糖尿病活性及其作用的可能机制已在众多研究中得到证实。本研究旨在评估口服补充石榴籽粉(PSP)的补充治疗对 2 型糖尿病患者的影响。

方法

60 名患者接受 5g PSP 或安慰剂,每日两次,治疗 8 周。空腹血糖(FBG)、糖化血红蛋白(HbA1c)、总胆固醇和甘油三酯(TG)作为干预前后的结局指标进行记录。使用独立 t 检验和 Mann-Whitney U 检验分析结果。

结果

8 周后,与安慰剂组相比,PSP 组 FBG、HbA1c、胆固醇和 TG 的平均差值显著降低(p 值<0.05)。此外,与安慰剂组相比,PSP 治疗后 FBG 和 HbA1c 的后干预值明显降低(p 值分别为 0.02 和 0.01)。然而,关于胆固醇和 TG 的后一比较没有显示出显著差异(p 值分别为 0.51 和 0.26)。

结论

补充 PSP 治疗可能对 2 型糖尿病患者的 FBG 和 HbA1c 有有益影响。然而,它对 TG 和胆固醇的影响尚不确定。

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