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多酚在血脂异常管理中的功效:以临床研究为重点。

Efficacy of Polyphenols in the Management of Dyslipidemia: A Focus on Clinical Studies.

机构信息

Research Centre, Sainte-Justine University Health Center, Montreal, QC H3T 1C5, Canada.

Department of Nutrition, Montreal University, Montreal, QC H3T 1A8, Canada.

出版信息

Nutrients. 2021 Feb 19;13(2):672. doi: 10.3390/nu13020672.

Abstract

Polyphenols (PLPs), phytochemicals found in a wide range of plant-based foods, have gained extensive attention in view of their antioxidant, anti-inflammatory, immunomodulatory and several additional beneficial activities. The health-promoting effects noted in animal models of various non-communicable diseases explain the growing interest in these molecules. In particular, in vitro and animal studies reported an attenuation of lipid disorders in response to PLPs. However, despite promising preclinical investigations, the effectiveness of PLPs in human dyslipidemia (DLP) is less clear and necessitates revision of available literature. Therefore, the present review analyzes the role of PLPs in managing clinical DLP, notably by dissecting their potential in ameliorating lipid/lipoprotein metabolism and alleviating hyperlipidemia, both postprandially and in long-term interventions. To this end, PubMed was used for article search. The search terms included polyphenols, lipids, triglycerides, cholesterol, LDL-cholesterol and /or HDL-cholesterol. The critical examination of the trials published to date illustrates certain benefits on blood lipids along with co-morbidities in participant's health status. However, inconsistent results document significant research gaps, potentially owing to study heterogeneity and lack of rigor in establishing PLP bioavailability during supplementation. This underlines the need for further efforts in order to elucidate and support a potential role of PLPs in fighting DLP.

摘要

多酚(PLPs)是广泛存在于植物性食物中的植物化学物质,由于其具有抗氧化、抗炎、免疫调节和其他多种有益活性,因此受到了广泛关注。在各种非传染性疾病的动物模型中观察到的这些物质的促进健康的作用解释了人们对这些分子日益增长的兴趣。特别是,体外和动物研究报告称,PLPs 可减轻脂质紊乱。然而,尽管有很有前景的临床前研究,但 PLPs 在人类血脂异常(DLP)中的有效性尚不清楚,需要对现有文献进行修订。因此,本综述分析了 PLPs 在管理临床 DLP 中的作用,特别是通过剖析其在改善脂质/脂蛋白代谢和缓解餐后和长期干预期间的高血脂方面的潜力。为此,使用 PubMed 进行了文章搜索。搜索词包括多酚、脂质、甘油三酯、胆固醇、LDL-胆固醇和/或 HDL-胆固醇。对迄今为止发表的试验的批判性审查说明了血液脂质方面的某些益处,以及参与者健康状况的合并症。然而,不一致的结果记录了明显的研究差距,这可能是由于研究异质性以及在补充期间建立 PLP 生物利用度方面缺乏严谨性所致。这强调了需要进一步努力,以阐明和支持 PLPs 在对抗 DLP 方面的潜在作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0ea/7922034/68bf9bf34b91/nutrients-13-00672-g001.jpg

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