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纳米姜黄素补充剂对代谢综合征患者血糖控制、血压、血脂谱和胰岛素抵抗的影响:一项随机、双盲临床试验。

The effects of nano-curcumin supplementation on glycemic control, blood pressure, lipid profile, and insulin resistance in patients with the metabolic syndrome: A randomized, double-blind clinical trial.

机构信息

Clinical Nutrition and Dietetics Department, Faculty of Nutrition Sciences and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Modern Sciences and Technologies, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

Phytother Res. 2021 Jul;35(7):3945-3953. doi: 10.1002/ptr.7109. Epub 2021 Apr 13.

Abstract

Metabolic syndrome (MetS) is one of the most important health hazards. Curcumin is extracted from Curcuma longa (turmeric), which can affect the components of MetS. To increase the oral bioavailability of curcumin, nano-micelle curcumin is used instead of curcumin powder. In this randomized, double-blind, controlled clinical trial, 50 patients with MetS were randomly assigned to two groups to receive either 80 mg/day nano-curcumin (n = 25) or placebo (n = 25), for 12 weeks anthropometric measurements, blood pressure, and biochemical factors-including fasting blood sugar (FBS), Hemoglobin A1c (HbA1c), homeostatic model assessment (HOMA) for insulin resistance (HOMA-IR), pancreatic β cell function (HOMA-β) and lipid profile-were assessed at the baseline and the end of the study. Statistical analyses were done using SPSS software (Version 23). The analysis between the two groups has illustrated a significant reduction in the average change of triglyceride (TG) levels (-60.5 ± 121.7 vs. 13.1 ± 78.1 mg/dL; p < .05) and HOMA-β (-5.7 ± 48.2 vs. -4.01 ± 16.9; p < .05). But there were no significant differences in anthropometric measurements, blood pressure and biochemical factors-including FBS, HbA1c, HOMA-IR, HOMA-β, and lipid profile variables include (total cholesterol, LDL-C, and HDL-C) at the end of the study. In conclusion, supplementation with nano-micelle curcumin significantly improved serum TG in MetS patients.

摘要

代谢综合征(MetS)是最重要的健康危害之一。姜黄素是从姜黄(姜黄)中提取的,可以影响 MetS 的成分。为了提高姜黄素的口服生物利用度,使用纳米胶束姜黄素代替姜黄粉。在这项随机、双盲、对照临床试验中,50 名 MetS 患者被随机分为两组,分别接受 80mg/天纳米姜黄素(n=25)或安慰剂(n=25),持续 12 周。在研究开始和结束时评估人体测量学、血压和生化因素,包括空腹血糖(FBS)、糖化血红蛋白(HbA1c)、胰岛素抵抗的稳态模型评估(HOMA-IR)、β 细胞功能(HOMA-β)和血脂谱。统计分析使用 SPSS 软件(版本 23)进行。两组之间的分析表明,甘油三酯(TG)水平的平均变化显著降低(-60.5±121.7 与 13.1±78.1mg/dL;p<.05)和 HOMA-β(-5.7±48.2 与-4.01±16.9;p<.05)。但在研究结束时,人体测量学、血压和生化因素,包括 FBS、HbA1c、HOMA-IR、HOMA-β和血脂谱变量(总胆固醇、LDL-C 和 HDL-C)均无显著差异。总之,纳米胶束姜黄素补充剂可显著改善 MetS 患者的血清 TG。

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