Watanabe Jun, Hamasaki Masato, Kotani Kazuhiko
Division of Community and Family Medicine, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke-City, Tochigi 329-0498, Japan.
J Clin Med. 2021 Feb 25;10(5):904. doi: 10.3390/jcm10050904.
() infection is positively associated with cardiovascular diseases, but the involvement of lipids in this association remains unclear. The present study reviewed the changes in circulating lipid levels following eradication. A PubMed database was searched until December 2020 to identify randomized control trials (RCTs) and non-RCTs investigating the effect of eradication on the lipid levels in inverse variance-weighted, random-effects meta-analyses. A total of 24 studies (four RCTs and 20 non-RCTs) with 5270 participants were identified. The post-eradication levels were increased for high-density lipoprotein cholesterol (HDL-C; mean difference (MD) 2.28 mg/dL, 95% confidence interval (CI) 1.90 to 2.66) and triglyceride (TG; MD 3.22 mg/dL, 95% CI 1.13 to 5.31) compared with the pre-eradication levels. eradication resulted in little to no difference in the low-density lipoprotein-cholesterol levels (MD -2.33 mg/dL, 95% CI -4.92 to 0.26). In the analyses of RCTs only, the findings for elevated HDL-C levels, but not TG, were robust. eradication increases the HDL-C levels. Further studies are needed to elucidate the effects of lipid changes following eradication on cardiovascular diseases.
()感染与心血管疾病呈正相关,但脂质在这种关联中的作用仍不清楚。本研究回顾了根除(某种因素)后循环脂质水平的变化。检索了截至2020年12月的PubMed数据库,以识别在逆方差加权随机效应荟萃分析中研究根除(某种因素)对脂质水平影响的随机对照试验(RCT)和非RCT。共确定了24项研究(4项RCT和20项非RCT),涉及5270名参与者。与根除前水平相比,根除后高密度脂蛋白胆固醇(HDL-C;平均差异(MD)2.28mg/dL,95%置信区间(CI)1.90至2.66)和甘油三酯(TG;MD 3.22mg/dL,95%CI 1.13至5.31)水平升高。根除(某种因素)对低密度脂蛋白胆固醇水平影响不大(MD -2.33mg/dL,95%CI -4.92至0.26)。仅在RCT分析中,HDL-C水平升高的结果是可靠的,但TG水平升高的结果不可靠。根除(某种因素)会增加HDL-C水平。需要进一步研究以阐明根除(某种因素)后脂质变化对心血管疾病的影响。