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白藜芦醇补充剂与 2 型糖尿病:系统评价和荟萃分析。

Resveratrol supplementation and type 2 diabetes: a systematic review and meta-analysis.

机构信息

Postgraduate Program in Nursing, Federal University of Pelotas, Rio Grande do Sul, Brazil.

Faculty of Nursing, Federal University of Pelotas, Pelotas, Brazil.

出版信息

Crit Rev Food Sci Nutr. 2022;62(16):4465-4480. doi: 10.1080/10408398.2021.1875980. Epub 2021 Jan 22.

Abstract

This study aimed to review the literature on studies that evaluated resveratrol's effects supplementation on parameters of diabetes in humans. We conducted an online search in the following databases: Pubmed, Lilacs, Scielo, Scopus, Web of Science, Embase, and Cochrane. It included experimental studies that investigated the effects of resveratrol supplementation for diabetes treatment or prevention and its relationship with fasting blood glucose, insulin resistance, and glycated hemoglobin. Observational, non-human studies and non-randomized clinical trials were excluded. We conducted a meta-analysis to evaluate the effects of resveratrol supplementation on fasting blood glucose, insulin resistance, and glycated hemoglobin. Thirty studies were included in the review. Almost 60% demonstrated at least one significant effect of the resveratrol supplementation related to diabetes. In the meta-analysis, there was a significant effect on the reduction of insulin resistance [SMD: -0.34; CI 95%: -0.64, -0.04;  = 0.01; I = 70%] and glycated hemoglobin [SMD: -0.64; CI 95%: -1.22, -0.07;  = 0.01; I = 90%]. For fasting blood glucose, the results were significant only for individuals with diabetes [SMD: -0.85; CI 95%: -1.49, -0.21;  = 0.01; I = 90%]. This systematic review with meta-analysis demonstrated that resveratrol supplementation has protective effects on diabetes parameters.

摘要

本研究旨在综述评估白藜芦醇补充剂对人类糖尿病相关参数影响的研究文献。我们在以下数据库中进行了在线检索:Pubmed、Lilacs、Scielo、Scopus、Web of Science、Embase 和 Cochrane。纳入了研究白藜芦醇补充剂对糖尿病治疗或预防作用及其与空腹血糖、胰岛素抵抗和糖化血红蛋白关系的实验研究。排除了观察性、非人类研究和非随机临床试验。我们进行了荟萃分析,以评估白藜芦醇补充对空腹血糖、胰岛素抵抗和糖化血红蛋白的影响。共纳入 30 项研究。近 60%的研究表明白藜芦醇补充至少有一项与糖尿病相关的显著效果。荟萃分析结果显示,白藜芦醇补充对降低胰岛素抵抗有显著影响[SMD:-0.34;95%CI:-0.64,-0.04; = 0.01;I = 70%]和糖化血红蛋白[SMD:-0.64;95%CI:-1.22,-0.07; = 0.01;I = 90%]。对于空腹血糖,仅在糖尿病患者中结果具有统计学意义[SMD:-0.85;95%CI:-1.49,-0.21; = 0.01;I = 90%]。本系统评价和荟萃分析表明,白藜芦醇补充对糖尿病参数具有保护作用。

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