Faculty of Medicine, Universidad Autónoma del Estado de México, Toluca 50180, Mexico.
Multidisciplinary Clinic of Health, Universidad Autónoma del Estado de México, Toluca 50180, Mexico.
Nutrients. 2022 Oct 31;14(21):4577. doi: 10.3390/nu14214577.
Some evidence supports the fact that chronic low-grade inflammation contributes to the physiopathology of type 2 diabetes mellitus (T2DM), and circulating markers of inflammation (e.g., C-reactive protein (CRP), pro- and anti-inflammatory biomarkers (e.g., adiponectin), and endothelial function markers could indicate an ongoing pathology. Following certain dietary patterns (DPs) may result in favorable changes in inflammatory biomarkers. The overarching aim of this systematic review and meta-analysis is to explore the inflammatory effect of healthy DPs on inflammatory biomarkers in adults with T2DM. A systematic search of the literature was conducted using the electronic databases MEDLINE, SCOPUS, and Cochrane Central Register of Controlled Trials. A total of 10 randomized controlled clinical trials (RCTs) were analyzed. In our linear meta-analysis, the random-effects model was applied to estimate standardized mean differences (SMD) to associate the effect of the interventions. Dietary Approaches to Stop Hypertension (DASH), Diabetes UK healthy eating, Mediterranean Diet (MD), Diabetes Prevention Program (DPP), and the American Heart Association’s Therapeutic Lifestyle Changes diet were associated with a significant reduction in CRP (SMD: −0.83, 99% CI −1.49, −0.17, p < 0.001; I2 94%), while plasma levels of adiponectin were significantly higher with the intake of MD, DPP, and Diabetes UK healthy eating (SMD: 0.81, 99% CI 0.06,1.56, p < 0.005; I2 96%), both of which indicate less inflammation. Sensitivity analyses were carried out, and potential publication bias was examined. In conclusion, low- moderate-quality evidence from RCTs suggests that, for the DPs evaluated, there are favorable changes in CRP and adiponectin.
一些证据支持这样一个事实,即慢性低度炎症有助于 2 型糖尿病(T2DM)的病理生理学,循环炎症标志物(如 C 反应蛋白(CRP)、促炎和抗炎生物标志物(如脂联素)和内皮功能标志物)可能表明存在持续的病理。遵循某些饮食模式(DPs)可能会导致炎症生物标志物的有利变化。本系统评价和荟萃分析的总体目标是探讨健康 DPs 对 T2DM 成人炎症生物标志物的炎症影响。使用电子数据库 MEDLINE、SCOPUS 和 Cochrane 对照试验中心注册库对文献进行了系统搜索。共分析了 10 项随机对照临床试验(RCTs)。在我们的线性荟萃分析中,应用随机效应模型来估计标准化均数差(SMD),以关联干预的效果。高血压饮食防治计划(DASH)、英国糖尿病协会健康饮食、地中海饮食(MD)、糖尿病预防计划(DPP)和美国心脏协会的治疗性生活方式改变饮食与 CRP 的显著降低相关(SMD:−0.83,99%CI−1.49,−0.17,p<0.001;I2 94%),而 MD、DPP 和英国糖尿病协会健康饮食的摄入使血浆脂联素水平显著升高(SMD:0.81,99%CI 0.06,1.56,p<0.005;I2 96%),两者均表明炎症程度较低。进行了敏感性分析,并检查了潜在的发表偏倚。总之,来自 RCTs 的低至中等质量证据表明,对于评估的 DPs,CRP 和脂联素存在有利变化。