Wlosinska Martiné, Nilsson Ann-Christin, Hlebowicz Joanna, Fakhro Mohammed, Malmsjö Malin, Lindstedt Sandra
Department of Cardiothoracic Surgery and Transplantation, Clinical Sciences, Lund University, Skåne University Hospital, Lund, Sweden.
Department of Cardiology, Skåne University Hospital, Lund, Sweden.
Evid Based Complement Alternat Med. 2021 Mar 31;2021:6636875. doi: 10.1155/2021/6636875. eCollection 2021.
Chronic inflammation is a risk factor for cardiovascular disease. The aim of the study was to evaluate whether a daily supplementation of aged garlic extract (AGE) could reduce inflammation in females with low risk for cardiovascular disease. The study was conducted at a single center, as a parallel randomized placebo-controlled trial.
63 females with a Framingham risk score over 10 underwent cardiac computed tomography (CT) scan. Of those, patients with a coronary artery calcium (CAC) scores less than 5 ( = 31) met the inclusion criteria and were randomized, in a double-blind manner to an intake of placebo or AGE (2400 mg daily) for 1 year.
Main outcome measure was changes in inflammatory biomarkers, blood pressure, fastening blood glucose, and blood lipids. A total of 29 patients (14 in the AGE group and 15 in the placebo group) completed the study and were analyzed. Females treated with AGE showed lower levels of inflammatory marker IL-6 after 12 months of treatment compared to females receiving placebo ( < 0.05). The blood lipids had a trend towards a lowering effect in females treated with AGE; however, this trend was not significant.
The present study concludes that AGE lowers IL-6 in females with a risk profile of cardiovascular disease. We could also conclude that risk prediction with cardiac CT scan turned out to be superior in estimating the risk of cardiac disease compared to Framingham risk score. This trial is registered with NCT03860350.
慢性炎症是心血管疾病的一个危险因素。本研究的目的是评估每日补充 aged garlic extract(AGE)是否能减轻心血管疾病低风险女性的炎症。该研究在单一中心进行,是一项平行随机安慰剂对照试验。
63名弗雷明汉风险评分超过10的女性接受了心脏计算机断层扫描(CT)。其中,冠状动脉钙化(CAC)评分小于5(n = 31)的患者符合纳入标准,并以双盲方式随机分为两组,一组摄入安慰剂,另一组每日摄入2400毫克AGE,为期1年。
主要结局指标是炎症生物标志物、血压、空腹血糖和血脂的变化。共有29名患者(AGE组14名,安慰剂组15名)完成研究并进行分析。与接受安慰剂的女性相比,接受AGE治疗的女性在治疗12个月后炎症标志物IL - 6水平较低(P < 0.05)。接受AGE治疗的女性血脂有降低趋势;然而,这一趋势并不显著。
本研究得出结论,AGE可降低心血管疾病风险女性的IL - 6水平。我们还可以得出结论,与弗雷明汉风险评分相比,心脏CT扫描在估计心脏病风险方面更为优越。该试验已在NCT03860350注册。