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补充镁对妊娠期糖尿病患者妊娠结局的影响:一项随机对照试验的荟萃分析。

Effect of magnesium supplementation on pregnancy outcome in gestational diabetes mellitus patients: A meta-analysis of randomized controlled trials.

作者信息

Qu Qiuchan, Rong Rong, Yu Jinhua

机构信息

Department of Reproductive Health, Maternal and Child Health Hospital Affiliated to Nantong University Nantong China.

出版信息

Food Sci Nutr. 2022 Sep 7;10(10):3193-3202. doi: 10.1002/fsn3.2561. eCollection 2022 Oct.

DOI:10.1002/fsn3.2561
PMID:36249983
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9548361/
Abstract

Conflicting evidence exists regarding the effectiveness of magnesium supplementation during pregnancy in gestational diabetes mellitus (GDM) patients. This meta-analysis examines the effect of magnesium on glycemic indices and metabolic status in GDM. We searched databases for randomized controlled trials (RCTs) conducted, and after applying inclusion and exclusion criteria, a total of four RCTs were considered eligible for the analysis. Outcome parameters included markers for glycemic control and metabolic status. A total of four RCTs with 198 participants (control = 99; magnesium supplemented = 99) were selected for the analysis. Magnesium supplementation resulted in a significant reduction in markers of glycemic control-fasting plasma glucose (standard mean difference ( ) = -0.83; 95% CI: [-1.13, -0.54]; -value <.0001), and insulin levels (  = -0.95; 95% CI: [-1.38, -0.52]; -value <.0001). Also, Mg intake resulted in altered oxidative stress markers TAC (  = 1.09; 95% CI: [0.10, 2.07]; -value = .03) of the pregnant women. No significant effect on GSH and CRP levels was observed. This study provides evidence of the positive effects of magnesium intervention on insulin sensitivity and oxidative stress in GDM patients.

摘要

关于妊娠期糖尿病(GDM)患者孕期补充镁的有效性,存在相互矛盾的证据。本荟萃分析研究了镁对GDM患者血糖指数和代谢状态的影响。我们检索了已开展的随机对照试验(RCT)数据库,在应用纳入和排除标准后,共有四项RCT被认为符合分析条件。结局参数包括血糖控制和代谢状态的标志物。总共选择了四项RCT,共198名参与者(对照组 = 99名;补充镁组 = 99名)进行分析。补充镁导致血糖控制标志物——空腹血糖(标准均差(SMD)= -0.83;95%置信区间:[-1.13, -0.54];P值 <.0001)和胰岛素水平(SMD = -0.95;95%置信区间:[-1.38, -0.52];P值 <.0001)显著降低。此外,镁的摄入导致孕妇氧化应激标志物总抗氧化能力(TAC)发生变化(SMD = 1.09;95%置信区间:[0.10, 2.07];P值 = .03)。未观察到对谷胱甘肽(GSH)和C反应蛋白(CRP)水平有显著影响。本研究提供了镁干预对GDM患者胰岛素敏感性和氧化应激有积极作用的证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f646/9548361/60429b2a8d89/FSN3-10-3193-g007.jpg
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