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补充牛磺酸对人类糖尿病的影响:一项系统评价和荟萃分析。

The effects of taurine supplementation on diabetes mellitus in humans: A systematic review and meta-analysis.

作者信息

Tao Xiaomei, Zhang Zhanzhi, Yang Zhenpeng, Rao Benqiang

机构信息

Department of Pharmacy, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China.

Key Laboratory of Cancer FSMP for State Market Regulation, Beijing 100038, China.

出版信息

Food Chem (Oxf). 2022 Mar 21;4:100106. doi: 10.1016/j.fochms.2022.100106. eCollection 2022 Jul 30.

Abstract

OBJECTIVE

The ameliorative effect of taurine on diabetes has received extensive attention in recent years. Despite promising data from animal studies, the efficacy of taurine supplementation in human studies has been inconsistent. We thus did a meta-analysis of randomized controlled trials to assess the effect of taurine supplement on glycemic indices, serum lipids, blood pressure, body composition in patients with diabetes.

METHODS

We systematically searched PubMed, Embase, Cochrane, Web of Science, FDA.gov, and ClinicalTrials.gov for randomized controlled trials (published from inception to January 15, 2022; no language restrictions) about the effect of taurine supplement on diabetes. Values of Standardized Mean Differences (SMD) were determined for continuous outcomes.

RESULTS

Of 2206 identified studies, 5 randomized controlled trials were eligible and were included in our analysis (N = 209 participants). Compared with the control group, taurine could significantly reduce HbA1c (SMD -0.41[95% CI: -0.74, -0.09], p = 0.01), Fasting Blood Sugar (SMD - 1.28[95% CI: -2.42, -0.14], p = 0.03) and HOMA-IR (SMD - 0.64[95% CI: -1.22, -0.06], p = 0.03). In addition, taurine also reduced Insulin (SMD -0.48 [95% CI: -0.99, 0.03], p = 0.06) and TG (SMD -0.26 [95% CI: -0.55, 0.02], p = 0.07), but did not reach statistical significance.

CONCLUSIONS

Taurine supplementation is beneficial in reducing glycemic indices, such as HbA1c, Fasting Blood Sugar, HOMA-IR in diabetic patients, but has no significant effect on serum lipids, blood pressure and body composition in diabetic patients. Taurine emerges as a new option for the management of patients with diabetes. Further studies are needed to understand the potential effect of taurine in diabetic patients.

摘要

目的

近年来,牛磺酸对糖尿病的改善作用受到广泛关注。尽管动物研究取得了有前景的数据,但人体研究中补充牛磺酸的疗效并不一致。因此,我们进行了一项随机对照试验的荟萃分析,以评估补充牛磺酸对糖尿病患者血糖指数、血脂、血压、身体成分的影响。

方法

我们系统检索了PubMed、Embase、Cochrane、Web of Science、FDA.gov和ClinicalTrials.gov,以查找关于补充牛磺酸对糖尿病影响的随机对照试验(从开始到2022年1月15日发表;无语言限制)。对于连续性结局,确定标准化均数差(SMD)值。

结果

在2206项已识别的研究中,有5项随机对照试验符合条件并纳入我们的分析(N = 209名参与者)。与对照组相比,牛磺酸可显著降低糖化血红蛋白(SMD -0.41[95%CI:-0.74,-0.09],p = 0.01)、空腹血糖(SMD -1.28[95%CI:-2.42,-0.14],p = 0.03)和稳态模型评估的胰岛素抵抗指数(HOMA-IR)(SMD -0.64[95%CI:-1.22,-0.06],p = 0.03)。此外,牛磺酸还降低了胰岛素(SMD -0.48 [95%CI:-0.99,0.03],p = 0.06)和甘油三酯(TG)(SMD -0.26 [95%CI:-0.55,0.02],p = 0.07),但未达到统计学意义。

结论

补充牛磺酸有利于降低糖尿病患者的血糖指数,如糖化血红蛋白、空腹血糖、HOMA-IR,但对糖尿病患者的血脂、血压和身体成分无显著影响。牛磺酸成为糖尿病患者管理的新选择。需要进一步研究以了解牛磺酸对糖尿病患者的潜在作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d75e/9235038/3c540c5a8a42/gr1.jpg

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