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补充α-硫辛酸对妊娠期糖尿病女性血脂谱和血脂比值的影响:一项临床试验研究。

Effect of alpha-lipoic acid supplementation on the lipid profile and lipid ratios in women with gestational diabetes mellitus: A clinical trial study.

作者信息

Aslfalah Hadise, Jamilian Mehri, Ansarihadipour Hadi, Abdollahi Mahdi, Khosrowbeygi Ali

机构信息

Students Research Committee, Arak University of Medical Sciences, Arak, Iran.

Department of Gynecology and Obstetrics, Endocrinology and Metabolism Research Center, School of Medicine, Arak University of Medical Sciences, Arak, Iran.

出版信息

Int J Reprod Biomed. 2020 Dec 21;18(12):1029-1038. doi: 10.18502/ijrm.v18i12.8024. eCollection 2020 Dec.

Abstract

BACKGROUND

Evidence suggests that Oxidative stress has been shown to plays an important role in gestational diabetes mellitus (GDM) etiology. On the other hand, women with GDM are at an increased risk for complications such as endothelial dysfunction and cardiovascular diseases.

OBJECTIVE

To investigate the effects of alpha-lipoic acid (ALA) on the maternal circulating values of lipid profile and lipid ratios in women with GDM.

MATERIALS AND METHODS

Sixty women with GDM were participated in the present study. The ALA group (n = 30) received ALA (100 mg/day) and the placebo group (n = 30) received cellulose acetate (100 mg/day) for eight wk. The maternal circulating values of hemoglobin A1C, triglyceride (TG), total cholesterol, high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol, triglyceride-glucose (TyG) index, atherogenic index of plasma (AIP), non-HDL-C, and lipid ratios were assessed before and after the intervention. P-value 0.05 was considered as statistically significant.

RESULTS

The values of TyG index (p 0.001), TG (p = 0.006), TG/HDL-C (p = 0.003), and AIP (p = 0.005) decreased significantly in the ALA group after the intervention.

CONCLUSION

Maternal circulating values of TyG index, TG, TG/HDL, AIP decreased after eight wk of ALA supplementation in women with GDM.

摘要

背景

有证据表明氧化应激在妊娠期糖尿病(GDM)病因中起重要作用。另一方面,患有GDM的女性发生诸如内皮功能障碍和心血管疾病等并发症的风险增加。

目的

研究α-硫辛酸(ALA)对GDM女性母体循环中血脂谱和血脂比值的影响。

材料与方法

60名GDM女性参与了本研究。ALA组(n = 30)接受ALA(100mg/天),安慰剂组(n = 30)接受醋酸纤维素(100mg/天),为期8周。在干预前后评估母体循环中的糖化血红蛋白A1C、甘油三酯(TG)、总胆固醇、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇、甘油三酯-葡萄糖(TyG)指数、血浆致动脉粥样硬化指数(AIP)、非HDL-C和血脂比值。P值<0.05被认为具有统计学意义。

结果

干预后,ALA组的TyG指数(p<0.001)、TG(p = 0.006)、TG/HDL-C(p = 0.003)和AIP(p = 0.005)显著降低。

结论

GDM女性补充ALA 8周后,母体循环中的TyG指数、TG、TG/HDL、AIP降低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cffa/7778749/4de76d4b8f8c/ijrb-18-1029-g001.jpg

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