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米糠补充剂对血脂管理的影响:一项 GRADE 评估的系统评价、随机对照试验的剂量反应荟萃分析和荟萃回归。

The effects of rice bran supplementation for management of blood lipids: A GRADE-assessed systematic review, dose-response meta-analysis, and meta-regression of randomized controlled trials.

机构信息

Department of Clinical Nutrition and Dietetics, Faculty of Nutrition Sciences and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Clinical Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Syst Rev. 2023 Apr 12;12(1):65. doi: 10.1186/s13643-023-02228-y.

DOI:10.1186/s13643-023-02228-y
PMID:37046340
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10091523/
Abstract

BACKGROUND

We aimed to conduct a systematic review and meta-analysis of randomized controlled trials (RCTs) to investigate the effects of rice bran supplementation on serum lipid profile levels.

METHODS

We searched PubMed/Medline, Scopus, ISI Web of Science, and Google Scholar using related keywords. Published RCTs exploring the effects of rice bran consumption on lipid profile were searched up to June 2022. Evidence certainty was assessed on the basis of the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) approach. The data were pooled using a random-effects model and reported as weighted mean difference (WMD) and 95% confidence interval (CI) for each outcome.

RESULTS

Meta-analysis of eight RCTs (with 11 effect sizes) showed no significant effect of rice bran supplementation on serum levels of triglyceride (WMD: -11.38 mg/dl; 95% CI: -27.73, 4.96; P = 0.17), total cholesterol (WMD: -0.68 mg/dl; 95% CI: -7.25, 5.88; P = 0.834), low-density lipoprotein cholesterol (WMD: -1.68 mg/dl; 95% CI: -8.46, 5.09; P = 0.627) and high-density lipoprotein cholesterol (WMD: 0.16 mg/dl; 95% CI: -1.52, 1.85; P = 0.848) compared to control group.

CONCLUSION

Our meta-analysis suggests that rice bran supplementation has no significant effects on serum levels of lipid profile components. However, larger studies with longer durations and improved methodological quality are needed before firm conclusions can be reached.

摘要

背景

本研究旨在进行系统评价和荟萃分析,以评估米糠补充剂对血清脂质谱水平的影响。

方法

我们检索了 PubMed/Medline、Scopus、ISI Web of Science 和 Google Scholar 数据库,使用相关关键词进行检索。检索截至 2022 年 6 月公开发表的探讨米糠消费对血脂谱影响的随机对照试验。根据推荐评估、制定与评价(GRADE)方法评估证据确定性。使用随机效应模型对数据进行合并,并报告每个结局的加权均数差(WMD)和 95%置信区间(CI)。

结果

荟萃分析纳入了 8 项 RCT(包含 11 个效应量),结果显示,米糠补充剂对血清甘油三酯水平(WMD:-11.38 mg/dl;95%CI:-27.73, 4.96;P=0.17)、总胆固醇水平(WMD:-0.68 mg/dl;95%CI:-7.25, 5.88;P=0.834)、低密度脂蛋白胆固醇水平(WMD:-1.68 mg/dl;95%CI:-8.46, 5.09;P=0.627)和高密度脂蛋白胆固醇水平(WMD:0.16 mg/dl;95%CI:-1.52, 1.85;P=0.848)均无显著影响,与对照组相比。

结论

我们的荟萃分析表明,米糠补充剂对血清脂质谱成分水平无显著影响。然而,需要进行更长时间和方法学质量更高的大型研究,才能得出更确定的结论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a86d/10091523/6546368e1b29/13643_2023_2228_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a86d/10091523/6546368e1b29/13643_2023_2228_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a86d/10091523/6546368e1b29/13643_2023_2228_Fig1_HTML.jpg

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Dietary Fiber: An Opportunity for a Global Control of Hyperlipidemia.膳食纤维:全球控制高血脂的新契机。
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The impact of rice bran oil consumption on the serum lipid profile in adults: a systematic review and meta-analysis of randomized controlled trials.米糠油摄入对成年人血脂谱的影响:一项随机对照试验的系统评价和荟萃分析。
Crit Rev Food Sci Nutr. 2022;62(22):6005-6015. doi: 10.1080/10408398.2021.1895062. Epub 2021 Mar 10.
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Rice Bran Supplement Containing A Functional Substance, the Novel Peptide Leu-Arg-Ala, has Anti-Hypertensive Effects: A Double-Blind, Randomized, Placebo-Controlled Study.米糠补充剂含有一种功能性物质,新型肽 Leu-Arg-Ala,具有降血压作用:一项双盲、随机、安慰剂对照研究。
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