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姜黄提取物补充剂对血液透析患者血脂和脂蛋白亚组分谱的影响:一项随机、双盲、交叉对照临床试验。

Effects of turmeric extract supplementation on the lipid and lipoprotein subfraction profile in hemodialysis patients: A randomised, double-blind, crossover and controlled trial.

机构信息

Graduate Program in Biological Sciences-Physiology, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil.

Graduate Program in Cardiovascular Sciences, Fluminense Federal University (UFF), Niterói, Brazil.

出版信息

Phytother Res. 2023 Aug;37(8):3424-3437. doi: 10.1002/ptr.7814. Epub 2023 Apr 12.

Abstract

Dyslipidemia is common in patients with chronic kidney disease. Curcumin, a bioactive polyphenol from Curcuma longa, can improve lipid profile. This study aims to analyze the effects of Curcuma Longa extract supplementation on lipid profile and lipoprotein subfractions in hemodialysis (HD) patients. This is a longitudinal, double-blind, washout-period randomized clinical trial. The patients were randomized into two groups: the curcumin group (n = 10) (orange and carrot juice with 2.5 g of Curcuma Longa extract) and the control group (n = 11) (juice without curcumin) 3x/w during HD sessions for 3 months. After the washout period, patients continued the supplementation as a crossover for the same period. The lipid profile was measured using enzymatic assays. The high-density lipoprotein and low-density lipoprotein subfractions analyses were performed using LipoprintTM. In the curcumin group, the triglyceride values tended to decrease with a different triglyceride variation between the pre and post-intervention for the control and curcumin groups of 38.5 (19.8) mg/dL (p = 0.06). There was no statistical difference in the others parameters. In conclusion, Curcuma longa extract may be a good nutritional strategy to reduce triglyceride plasma levels in hemodialysis patients, but it seems ineffective for the other parameter.

摘要

血脂异常在慢性肾脏病患者中很常见。姜黄,一种来自姜黄的生物活性多酚,可以改善血脂谱。本研究旨在分析姜黄提取物补充剂对血液透析(HD)患者血脂谱和脂蛋白亚组分的影响。这是一项纵向、双盲、洗脱期随机临床试验。患者被随机分为两组:姜黄素组(n=10)(橙色和胡萝卜汁,含 2.5g 姜黄提取物)和对照组(n=11)(不含姜黄的果汁),在 HD 治疗期间每天 3 次,共 3 个月。洗脱期后,患者继续交叉补充相同时间。使用酶法测定血脂谱。使用 LipoprintTM 分析高密度脂蛋白和低密度脂蛋白亚组分。在姜黄素组中,甘油三酯值呈下降趋势,对照组和姜黄素组的干预前后甘油三酯变化值分别为 38.5(19.8)mg/dL(p=0.06)。其他参数无统计学差异。结论:姜黄提取物可能是一种降低血液透析患者血浆甘油三酯水平的良好营养策略,但对其他参数似乎无效。

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