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亚麻籽补充剂对溃疡性结肠炎患者代谢综合征参数、胰岛素抵抗和炎症的影响:一项开放标签随机对照试验。

The effects of flaxseed supplementation on metabolic syndrome parameters, insulin resistance and inflammation in ulcerative colitis patients: An open-labeled randomized controlled trial.

机构信息

Department of Nutrition, Faculty of Public Health, Kerman University of Medical Sciences, Kerman, Iran.

Department of Nutrition, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran.

出版信息

Phytother Res. 2021 Jul;35(7):3781-3791. doi: 10.1002/ptr.7081. Epub 2021 Apr 15.

Abstract

The present study aimed to evaluate the efficacy of flaxseed supplementation in the management of metabolic syndrome (MetS)-related parameters among the patients with mild-to-moderate ulcerative colitis (UC). A randomized controlled clinical trial was conducted on 70 patients with UC. Participants were randomized in the intervention group, which received 30 g/day ground flaxseed powder or control group. Anthropometric and biochemical variables were assessed at the beginning and end of 12 weeks of intervention. Of the 70 patients enrolled in this study, 64 subjects were included in the final analysis. From baseline to 12 weeks' intervention, flaxseed supplementation resulted in a significant reduction in the serum concentration of insulin (p < .001), HOMA-IR (p < .001), triglyceride (p = .001), total cholesterol (p < .001), and significant increase in the serum levels of HDL (p = .008). Also, we found a significant improvement in the SCCAI score (p < .001), TNF-α (p = .03), and CRP (p < .001) following the flaxseed supplementation. However, we not observed any significant differences between two groups regarding the body weight, BMI, waist circumferences, systolic, and diastolic blood pressure (p > .05). Overall, 12 weeks of flaxseed supplementation resulted in greater improvement in the some MetS-related parameters.

摘要

本研究旨在评估亚麻籽补充剂在管理轻度至中度溃疡性结肠炎(UC)患者的代谢综合征(MetS)相关参数方面的疗效。对 70 例 UC 患者进行了一项随机对照临床试验。参与者被随机分为干预组,每天接受 30 克磨碎的亚麻籽粉,或对照组。在干预的 12 周开始和结束时评估了人体测量学和生化变量。在这项研究中,70 名患者中有 64 名被纳入最终分析。从基线到 12 周的干预,亚麻籽补充剂导致血清胰岛素浓度显著降低(p < 0.001)、HOMA-IR(p < 0.001)、甘油三酯(p = 0.001)、总胆固醇(p < 0.001),以及高密度脂蛋白(HDL)水平显著升高(p = 0.008)。此外,我们发现补充亚麻籽后 SCCAI 评分(p < 0.001)、TNF-α(p = 0.03)和 CRP(p < 0.001)显著改善。然而,两组之间的体重、BMI、腰围、收缩压和舒张压均无显著差异(p > 0.05)。总体而言,12 周的亚麻籽补充剂补充剂可使一些 MetS 相关参数得到更大的改善。

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