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芝麻油消费对比葵花籽油对非酒精性脂肪肝女性患者的血脂谱、血压和人体测量指数的影响:一项随机双盲对照试验。

The effect of sesame oil consumption compared to sunflower oil on lipid profile, blood pressure, and anthropometric indices in women with non-alcoholic fatty liver disease: a randomized double-blind controlled trial.

机构信息

Department of Gastroenterology, School of Medicine, Shahroud University of Medical Sciences, Shahroud, Islamic Republic of Iran.

Department of Clinical Nutrition, School of Nutrition & Food Science, Isfahan University of Medical Sciences, Isfahan, Islamic Republic of Iran.

出版信息

Trials. 2022 Jul 8;23(1):551. doi: 10.1186/s13063-022-06451-1.

Abstract

BACKGROUND

Non-alcoholic fatty liver disease (NAFLD) is one of the most common liver diseases in the world. There is strong evidence that dyslipidemia and other cardio-metabolic disorders are highly prevalent in patients with NAFLD. This trial aimed at examining the effect of sesame oil (SO) in the context of a weight loss program on lipid profile, blood pressure, and anthropometric indices in women with NAFLD.

METHODS

This randomized, double-blind, controlled trial was carried out on 60 women with NAFLD. Subjects were randomly assigned to the SO group (n = 30) and sunflower oil (SFO) group (n = 30), each person consuming 30 g of oil per day for 12 weeks. All the participants received a hypocaloric diet (- 500 kcal/day) during the study. Lipid profile, blood pressure, and anthropometric indices were assessed at pre- and post-intervention phases.

RESULTS

In total, 53 participants completed the study. Following 12 weeks of intervention, anthropometric indices (p < 0.001) and systolic blood pressure (SBP) (p < 0.05) were significantly decreased in both groups and diastolic blood pressure (DBP) was significantly decreased in So group (p = 0.03). There was no significant change in lipid profile in both groups (p > 0.05). After adjusting for confounders, DBP (p = 0.031) and total cholesterol (TC) divided by high-density lipoprotein cholesterol (HDL-C) (p = 0.039) in the SO group were significantly reduced compared to the SFO group (p < 0.05).

CONCLUSIONS

The present clinical trial revealed that SO and SFO may not differently affect anthropometric indices, SBP, and lipid profile except for TC/HDL-C. In addition, SO may be effective in improvement of DBP and TC/HDL-C compared to the SFO group.

TRIAL REGISTRATION

Ethical approval of this trial was obtained at Isfahan University of Medical Sciences with the reference number of IR.MUI.

RESEARCH

REC.1399.548 ( https://ethics.

RESEARCH

ac.ir/ProposalCertificateEn.php?id=158942&Print=true&NoPrintHeader=true&NoPrintFooter=true&NoPrintPageBorder=true&LetterPrint=true ), and it was registered before the start of the patient recruitment on December 12, 2020 in the Iranian Registry of Clinical Trials (IRCT) with the registration number of IRCT20140208016529N6 .

摘要

背景

非酒精性脂肪性肝病(NAFLD)是世界上最常见的肝脏疾病之一。有强有力的证据表明,血脂异常和其他心血管代谢紊乱在 NAFLD 患者中非常普遍。本试验旨在研究芝麻油(SO)在减肥计划中对血脂谱、血压和 NAFLD 女性人体测量指数的影响。

方法

这项随机、双盲、对照试验在 60 名患有 NAFLD 的女性中进行。受试者被随机分配到 SO 组(n=30)和葵花籽油(SFO)组(n=30),每天每人食用 30 克油,持续 12 周。在研究期间,所有参与者都接受了低热量饮食(每天减少 500 卡路里)。在干预前和干预后阶段评估血脂谱、血压和人体测量指数。

结果

总共有 53 名参与者完成了研究。经过 12 周的干预,两组的人体测量指数(p<0.001)和收缩压(SBP)(p<0.05)均显著降低,SO 组的舒张压(DBP)也显著降低(p=0.03)。两组的血脂谱均无显著变化(p>0.05)。在调整混杂因素后,SO 组的 DBP(p=0.031)和总胆固醇(TC)除以高密度脂蛋白胆固醇(HDL-C)(p=0.039)与 SFO 组相比显著降低(p<0.05)。

结论

本临床试验表明,SO 和 SFO 可能不会对人体测量指数、SBP 和血脂谱产生不同的影响,除了 TC/HDL-C 之外。此外,与 SFO 组相比,SO 可能更有效地改善 DBP 和 TC/HDL-C。

试验注册

本试验的伦理批准由伊斯法罕医科大学获得,参考编号为 IR.MUI。

研究

REC.1399.548(https://ethics.ac.ir/ProposalCertificateEn.php?id=158942&Print=true&NoPrintHeader=true&NoPrintFooter=true&NoPrintPageBorder=true&LetterPrint=true),并于 2020 年 12 月 12 日在伊朗临床试验注册中心(IRCT)进行了注册,注册号为 IRCT20140208016529N6。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e71/9264500/c60c2791a83d/13063_2022_6451_Fig1_HTML.jpg

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