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食用藜麦是否能改善血糖、体重和身体质量指数?一项临床试验的系统评价和剂量反应荟萃分析。

Does Quinoa () Consumption Improve Blood Glucose, Body Weight and Body Mass Index? A Systematic Review and Dose-Response Meta-Analysis of Clinical Trials.

作者信息

Atefi Masoumeh, Heidari Zahra, Shojaei Mehrnaz, Askari Gholamreza, Kesharwani Prashant, Bagherniya Mohamad, Sahebkar Amirhossein

机构信息

Department of Food and Drug, Shahroud University of Medical Sciences, Shahroud, Iran.

Department of Biostatistics and Epidemiology, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Curr Med Chem. 2024;31(4):502-513. doi: 10.2174/0929867330666230227151852.

Abstract

BACKGROUND

Quinoa (Chenopodium quinoa) has a structure similar to whole grains and contains phytochemicals and dietary fiber. Hence, it is considered a food substance with a high nutritional value.

OBJECTIVE

The purpose of the present study was to assess the efficacy of quinoa in reducing fasting blood glucose (FBG), body weight (BW), and body mass index (BMI) in a meta-analysis of randomized clinical trials.

METHODS

A comprehensive search in ISI Web of Science, Scopus, and PubMed databases as well as Google Scholar, was conducted up to November 2022 to identify reports of randomized clinical trials that investigated the effect of quinoa on FBG, BW, and BMI.

RESULTS

Seven trials comprising 258 adults with mean ages of 31 to 64 years were included in this review. Studies used 15 to 50 grams of quinoa/per day as an intervention, and the intervention was between 28 to 180 days. In a dose-response analysis of FBG, there was significant evidence of a nonlinear association between intervention and FBG based on the quadratic model (P-value for nonlinearity = 0.027); hence, the slope of the curve increased when quinoa intake was nearly 25 g/- day. In comparison between quinoa seed supplementation and placebo, our findings showed that quinoa seed supplementation did not have a significant effect on BMI (MD: -0.25; 95% CI: -0.98, 0.47; I=0%, P = 0.998) and BW (MD: -0.54; 95% CI: -3.05, 1.97; I=0%, P = 0.99), when compared with placebo. Evidence of publication bias was not found among the included studies.

CONCLUSION

The present analysis revealed the beneficial effects of quinoa on the blood glucose level. Further studies on quinoa are needed to confirm these results.

摘要

背景

藜麦(Chenopodium quinoa)具有与全谷物相似的结构,且含有植物化学物质和膳食纤维。因此,它被认为是一种具有高营养价值的食物。

目的

本研究的目的是在一项随机临床试验的荟萃分析中评估藜麦在降低空腹血糖(FBG)、体重(BW)和体重指数(BMI)方面的功效。

方法

截至2022年11月,在科学引文索引(ISI)Web of Science、Scopus和PubMed数据库以及谷歌学术中进行了全面检索,以识别调查藜麦对FBG、BW和BMI影响的随机临床试验报告。

结果

本综述纳入了7项试验,共258名平均年龄在31至64岁之间的成年人。研究使用每天15至50克藜麦作为干预措施,干预时间为28至180天。在对FBG的剂量反应分析中,基于二次模型有显著证据表明干预与FBG之间存在非线性关联(非线性P值 = 0.027);因此,当藜麦摄入量接近25克/天时,曲线斜率增加。与安慰剂相比,我们的研究结果表明,补充藜麦种子对BMI(MD:-0.25;95%CI:-0.98,0.47;I² = 0%,P = 0.998)和BW(MD:-0.54;95%CI:-3.05,1.97;I² = 0%,P = 0.99)没有显著影响。在所纳入的研究中未发现发表偏倚的证据。

结论

本分析揭示了藜麦对血糖水平的有益作用。需要对藜麦进行进一步研究以证实这些结果。

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