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生姜(Zingiber officinale)摄入对人体血脂谱的影响:系统评价和荟萃分析。

Effect of ginger (Zingiber officinale) intake on human serum lipid profile: Systematic review and meta-analysis.

机构信息

University College Medicine, Baghdad, Iraq.

Ibn Al-Bitar Specialized Center for Cardiac Surgery, Baghdad, Iraq.

出版信息

Phytother Res. 2023 Jun;37(6):2472-2483. doi: 10.1002/ptr.7769. Epub 2023 Feb 14.

DOI:10.1002/ptr.7769
PMID:36786398
Abstract

Dyslipidemia is associated with an increased risk of cardiovascular events. Effect of ginger supplementation on lipid profile in humans remains controversial particularly in diabetic patients. A systematic search was performed covering PubMed, Medline, and Scopus, Web of Science (ISI), and Google scholar from January 2010 to January 2022. Inclusion criteria were randomized controlled clinical trials (RCT) study design, at least one of lipid profile components triglyceride (TG), total cholesterol (TC), low-density lipoprotein (LDL-C), and high-density lipoprotein (HDL-C) measured before and after ginger consumption. For quantitative data synthesis, a random-effects model was applied. Pooled data showed that ginger intake reduced TC (SMD -0.44; 95% CI: -0.86, -0.02; p = 0.025) and TG (SMD -0.61; 95% CI: -1.14, -0.08; p = 0.024) levels significantly, but it has no significant effect on improving HDL-C (SMD 0.40; 95% CI: -0.01, 0.80; p = 0.057) and LDL-C (SMD -0.34; 95% CI: -0.81, 0.13; p = 0.153). Ginger supplementation decreased TG in obese and diabetic subjects more efficiently. In terms of ginger dose, the result of meta-regression found to be significant only for TC, so that increasing daily doses of ginger reduces TC levels by (β: -0.67; 95% CI: -1.28, -0.07; p = 0.028). Therefore, ginger could be considered as an effective lipid lowering nutraceuticals.

摘要

血脂异常与心血管事件风险增加有关。姜补充剂对人类血脂谱的影响仍然存在争议,特别是在糖尿病患者中。系统检索了 2010 年 1 月至 2022 年 1 月期间的 PubMed、Medline、Scopus、Web of Science(ISI)和 Google Scholar 数据库,纳入标准为随机对照临床试验(RCT)设计,至少有一项血脂谱成分(甘油三酯(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)和高密度脂蛋白胆固醇(HDL-C)在姜摄入前后进行了测量。对于定量数据综合,应用了随机效应模型。汇总数据显示,姜摄入可显著降低 TC(SMD -0.44;95%CI:-0.86,-0.02;p=0.025)和 TG(SMD -0.61;95%CI:-1.14,-0.08;p=0.024)水平,但对改善 HDL-C(SMD 0.40;95%CI:-0.01,0.80;p=0.057)和 LDL-C(SMD -0.34;95%CI:-0.81,0.13;p=0.153)没有显著影响。姜补充剂可更有效地降低肥胖和糖尿病患者的 TG。就姜剂量而言,荟萃回归分析的结果仅对 TC 有意义,因此,增加姜的日剂量可降低 TC 水平(β:-0.67;95%CI:-1.28,-0.07;p=0.028)。因此,姜可以被认为是一种有效的降脂营养保健品。

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