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系统评价和荟萃分析素食和纯素饮食与炎症生物标志物的关联。

Systematic review and meta-analysis of the associations of vegan and vegetarian diets with inflammatory biomarkers.

机构信息

Department of Food Safety, German Federal Institute for Risk Assessment, Max-Dohrn-Str. 8-10, 10589, Berlin, Germany.

Institute for Clinical Chemistry and Pathobiochemistry, Otto-Von-Guericke University Magdeburg, Magdeburg, Germany.

出版信息

Sci Rep. 2020 Dec 10;10(1):21736. doi: 10.1038/s41598-020-78426-8.

Abstract

Plant-based diets like vegetarian or vegan diets might influence circulating levels of inflammatory biomarkers, thereby reducing the risk of chronic diseases. This systematic review and meta-analysis aimed to investigate the associations of veganism and vegetarianism with circulating inflammatory biomarkers in comparison to omnivores. Literature search was conducted in Pubmed and EMBASE until April 2020 and mean differences of biomarkers were assessed for: C-reactive protein (CRP), interleukin-6 (IL-6), interleukin-18 (IL-18), interleukin-1 receptor antagonist (IL-1 RA), tumor necrosis factor-alpha (TNF-ɑ), E-selectin, intercellular adhesion molecule-1 (ICAM-1), monocyte chemoattractant protein-1 (MCP-1), adiponectin, omentin-1 and resistin. Of initially identified 1073 publications, 21 cross-sectional studies met the inclusion criteria and were included in the systematic review and meta-analysis. Vegan diet was associated with lower levels of CRP compared to omnivores [mean difference - 0.54 mg/l, 95%-CI: - 0.79 to - 0.28, p < 0.0001]. This association was less pronounced in vegetarians [mean difference - 0.25 mg/l, 95%-CI: - 0.49 to 0.00, p = 0.05]. In patients with impaired kidney function, the association between vegetarian nutrition and CRP was much stronger with - 3.91 mg/l (95%-CI: - 5.23 to - 2.60; p < 0.0001). No substantial effects were observed for all other inflammatory biomarkers. Despite strong associations between CRP and a vegan or vegetarian diet were seen, further research is needed, as most inflammatory biomarkers were investigated only in single studies so far.

摘要

植物性饮食,如素食或纯素饮食,可能会影响循环炎症生物标志物的水平,从而降低慢性病的风险。本系统评价和荟萃分析旨在调查与杂食者相比,素食和纯素食与循环炎症生物标志物的关联。文献检索在 Pubmed 和 EMBASE 进行,截至 2020 年 4 月,并评估了以下生物标志物的平均差异:C 反应蛋白(CRP)、白细胞介素-6(IL-6)、白细胞介素-18(IL-18)、白细胞介素-1 受体拮抗剂(IL-1 RA)、肿瘤坏死因子-α(TNF-ɑ)、E-选择素、细胞间黏附分子-1(ICAM-1)、单核细胞趋化蛋白-1(MCP-1)、脂联素、网膜素-1 和抵抗素。在最初确定的 1073 篇文献中,有 21 项横断面研究符合纳入标准,并纳入了系统评价和荟萃分析。与杂食者相比,纯素食者的 CRP 水平较低[平均差异-0.54mg/l,95%-CI:-0.79 至-0.28,p<0.0001]。素食者的这种相关性不那么明显[平均差异-0.25mg/l,95%-CI:-0.49 至 0.00,p=0.05]。在肾功能受损的患者中,素食与 CRP 之间的关联更强,差异为-3.91mg/l(95%-CI:-5.23 至-2.60;p<0.0001)。对于所有其他炎症生物标志物,均未观察到实质性影响。尽管 CRP 与纯素食或素食之间存在强烈关联,但还需要进一步研究,因为迄今为止,大多数炎症生物标志物仅在单项研究中进行了研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afa9/7730154/1603045e7b75/41598_2020_78426_Fig1_HTML.jpg

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