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辅酶Q10对轻至中度溃疡性结肠炎患者健康相关生活质量、临床疾病活动度及血压的影响:一项随机临床试验

Effects of coenzyme Q10 on health-related quality of life, clinical disease activity and blood pressure in patients with mild to moderate ulcerative colitis: a randomized clinical trial.

作者信息

Farsi Farnaz, Ebrahimi-Daryani Nasser, Barati Mahmood, Janani Leila, Karimi Mohammad Yahya, Akbari Abolfazl, Irandoost Pardis, Mesri Alamdari Naimeh, Agah Shahram, Vafa Mohammadreza

机构信息

Department of Nutrition, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.

Division of Gastroenterology, Imam Khomeini Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Med J Islam Repub Iran. 2021 Jan 6;35:3. doi: 10.47176/mjiri.35.3. eCollection 2021.

Abstract

Ulcerative colitis (UC) is specified by a chronic mucosal inflammation that has a deleterious impact on the quality of life (QoL). Coenzyme Q10 (CoQ10) appears to influence disease activity by its obvious properties. Therefore, the current research intends to assess the impacts of CoQ10 on QoL, disease activity, and blood pressure in UC patients. This clinical trial performed on men and women with UC in 2017 who were attended the gastrointestinal center of Hazrat Rasool Akram Hospital and private clinic. Eighty-eight UC patients were randomly allocated to receive either CoQ10 (200 mg/day) or placebo for 8 weeks. The anthropometric parameters, blood pressure, inflammatory bowel disease questionnaire-32 (IBDQ-32) score, and the Simple Clinical Colitis Activity Index (SCCAI) score were measured pre and post-intervention. P-value <0.05 was considered to be statistically significant. All statistical analysis was done using SPSS software version 24. Eighty-six UC patients (44 males) with a mean age of 39.29 (10.19) years completed the trial. The results of between- and within-group analysis revealed that the SCCAI score (p<0.001 and p<0.001, respectively), diastolic blood pressure (p=0.025 and p=0.001, respectively), and systolic blood pressure (p=0.001 and p<0.001, respectively) decremented significantly; while, the mean IBDQ-32 (p<0.001 and p=0.001, respectively) increased substantially in the CoQ10 group; whereas there was no significant difference in anthropometric indices in both groups. Findings suggest that CoQ10 can be used as a potential intervention for diminishing the disease severity and blood pressure and may improve QoL and UC patients. IRCT number: IRCT20090822002365N17.

摘要

溃疡性结肠炎(UC)的特征是慢性黏膜炎症,对生活质量(QoL)有有害影响。辅酶Q10(CoQ10)似乎因其显著特性而影响疾病活动。因此,当前研究旨在评估CoQ10对UC患者生活质量、疾病活动和血压的影响。这项临床试验于2017年对在哈兹拉特·拉苏勒·阿克拉姆医院胃肠中心和私人诊所就诊的患有UC的男性和女性进行。88名UC患者被随机分配接受CoQ10(200毫克/天)或安慰剂,为期8周。在干预前后测量人体测量参数、血压、炎症性肠病问卷-32(IBDQ-32)评分和简单临床结肠炎活动指数(SCCAI)评分。P值<0.05被认为具有统计学意义。所有统计分析均使用SPSS软件24版进行。86名UC患者(44名男性),平均年龄39.29(10.19)岁完成了试验。组间和组内分析结果显示,SCCAI评分(分别为p<0.001和p<0.001)、舒张压(分别为p=0.025和p=0.001)和收缩压(分别为p=0.001和p<0.001)显著降低;而CoQ10组的平均IBDQ-32(分别为p<0.001和p=0.001)大幅增加;而两组的人体测量指标无显著差异。研究结果表明,CoQ10可作为减轻疾病严重程度和血压的潜在干预措施,并可能改善UC患者的生活质量。伊朗临床试验注册号:IRCT20090822002365N17。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/39bd/8111632/9324d8b84621/mjiri-35-3-g001.jpg

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