Lecturer of Medical and Surgical Nursing Department of Nursing Faculty, Universitas Hasanuddin, Makassar 90245, Indonesia.
Lecturer of Community, Family, and Gerontology Nursing Department of Nursing Faculty, Universitas Hasanuddin, Makassar 90245, Indonesia.
Nutrients. 2023 Jan 21;15(3):564. doi: 10.3390/nu15030564.
Hyperlipidaemia is causally related to coronary artery diseases (CAD) and peripheral artery diseases (PAD) in people with Diabetes Mellitus (DM). An in vivo study confirmed that virgin coconut oil (VCO) could maintain levels of lipids in the blood as effectively as conventional therapy. Therefore, this study aimed to determine the effect of VCO on the lipid profiles and ankle-brachial index (ABI) of patients with DM. In this experimental study with pre- and post-test design and a control group, the participants were selected purposively. The ABI was evaluated on the first visit. Baseline lipid profile readings were taken. Each participant took 1.2 mL/kgBW of VCO daily and divided it into three doses. After 30 days of taking VCO, laboratory examinations and ABI were repeated, and adverse events were evaluated. The dependent -test and Wilcoxon sign rank test with a significance level of α ≤ 0.05 showed a significant decrease in low-density lipoprotein (LDL) ( = 0.002), a significant increase in high-density lipoprotein (HDL) levels ( = 0.031), a significant decrease in energy intake ( = 0.046) and cholesterol intake ( = 0.023) at the endpoint in the VCO group. In conclusion, this therapy is beneficial for maintaining lipid profile when combined with dietary therapy. Future studies should investigate the duration and dosage of VCO on patients to maintain lipid-linked protein.
高脂血症与糖尿病患者的冠状动脉疾病(CAD)和外周动脉疾病(PAD)有因果关系。一项体内研究证实,初榨椰子油(VCO)可以像常规疗法一样有效地维持血液中的脂质水平。因此,本研究旨在确定 VCO 对糖尿病患者血脂谱和踝肱指数(ABI)的影响。在这项具有前后测试设计和对照组的实验研究中,我们通过目的性抽样选择了参与者。第一次就诊时评估 ABI。测量基线血脂谱读数。每位参与者每天服用 1.2 毫升/千克体重的 VCO,并将其分为三剂。服用 VCO 30 天后,重复实验室检查和 ABI,并评估不良事件。使用具有显著性水平α≤0.05 的依赖检验和 Wilcoxon 符号秩检验,发现 VCO 组的 LDL(=0.002)显著降低,HDL 水平(=0.031)显著升高,能量摄入(=0.046)和胆固醇摄入(=0.023)在终点显著降低。总之,这种治疗方法与饮食疗法相结合,有利于维持血脂谱。未来的研究应该调查 VCO 对患者的持续时间和剂量,以维持与脂质相关的蛋白。