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短期纳米姜黄素疗法对代谢综合征患者胰岛素抵抗和血清阿法蛋白水平的积极影响。

The positive effect of short-term nano-curcumin therapy on insulin resistance and serum levels of afamin in patients with metabolic syndrome.

作者信息

Kheiripour Nejat, Khodamoradi Zahra, Ranjbar Akram, Borzouei Shiva

机构信息

Research Center for Biochemistry and Nutrition in Metabolic Diseases, Kashan University of Medical Sciences, Kashan, Iran.

Student Research Committee, Hamadan University of Medical Sciences, Hamadan, ‎ Iran.

出版信息

Avicenna J Phytomed. 2021 Mar-Apr;11(2):146-153.

Abstract

OBJECTIVE

Metabolic syndrome (MS) is a cluster of cardio-metabolic risk factors. MS is known as a highly prevalent disease worldwide. According to the existing evidence, consuming curcumin has positive effects on lipids profile, glucose, and body weight. This study aimed to evaluate the effects of nano-curcumin therapy on insulin resistance and serum level of afamin in patients with MS.

MATERIALS AND METHODS

Thirty MS patients (15 males and 15 females) received 80 mg/daily nano-curcumin for two months. The samples of fasting blood were collected from the participants at the beginning and 60 days after initiation of the intervention to measure biomarkers

RESULTS

Comparing pre- and post-treatment with nano-curcumin values revealed a significant decrease in fasting plasma glucose (FPG) (p=0.017), insulin, homeostatic model assessment of insulin resistance (HOMA-IR) (p=0.006), and afamin (p=0.047). Moreover, there was a significantly negative relationship between afamin and high-density lipoprotein cholesterol (HDL-C) (p=0.044), as well as a significantly positive relationship between afamin and systolic (SBP) (p<0.001) and diastolic (DBP) (p<0.001) blood pressures.

CONCLUSION

Results suggest that taking nano-curcumin for 60 days may have positive effects on afamin, FPG, insulin, and HOMA-IR in patients with MS, but would not significantly affect other metabolic profiles. More studies with larger sample sizes are required to confirm these findings.

摘要

目的

代谢综合征(MS)是一组心脏代谢危险因素。MS是一种在全球范围内高度流行的疾病。根据现有证据,食用姜黄素对血脂、血糖和体重有积极影响。本研究旨在评估纳米姜黄素疗法对MS患者胰岛素抵抗和血清阿法蛋白水平的影响。

材料与方法

30例MS患者(15例男性和15例女性)每天服用80毫克纳米姜黄素,持续两个月。在干预开始时和开始后60天从参与者中采集空腹血样以测量生物标志物。

结果

比较纳米姜黄素治疗前后的值发现,空腹血糖(FPG)(p = 0.017)、胰岛素、胰岛素抵抗稳态模型评估(HOMA-IR)(p = 0.006)和阿法蛋白(p = 0.047)显著降低。此外,阿法蛋白与高密度脂蛋白胆固醇(HDL-C)之间存在显著负相关(p = 0.044),阿法蛋白与收缩压(SBP)(p < 0.001)和舒张压(DBP)(p < 0.001)之间存在显著正相关。

结论

结果表明,服用纳米姜黄素60天可能对MS患者的阿法蛋白、FPG、胰岛素和HOMA-IR有积极影响,但不会显著影响其他代谢指标。需要更多更大样本量的研究来证实这些发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8338/8051321/c5c4194ec771/AJP-11-146-g001.jpg

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