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评估他汀类药物与胰岛素不耐受之间的联系:一项系统评价。

Assessing the Link Between Statins and Insulin Intolerance: A Systematic Review.

作者信息

Dabhi Karan Nareshbhai, Gohil Namra V, Tanveer Nida, Hussein Sally, Pingili Shravya, Makkena Vijaya Krishna, Jaramillo Arturo P, Awosusi Babatope L, Ayyub Javaria, Nath Tuheen Sankar

机构信息

Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

Internal Medicine, Medical College Baroda, Vadodara, IND.

出版信息

Cureus. 2023 Jul 17;15(7):e42029. doi: 10.7759/cureus.42029. eCollection 2023 Jul.

Abstract

There has been mixed and inconclusive evidence regarding the relationship between statin usage and insulin intolerance. This systematic review aims to comprehensively explore the link between the use of statins and insulin intolerance. We systematically searched MEDLINE, PubMed, PubMed Central (PMC), and Google Scholar databases for online English articles with full text. We excluded conference proceedings, editorials, commentaries, preclinical studies, abstracts, and preprints. The search across databases initially identified 667 articles. After eliminating duplicates and analyzing the remaining articles based on the inclusion and exclusion criteria, 11 articles were selected. The included studies had a total of 46,728,889 participants. The findings suggest that the use of statins is associated with a decrease in insulin sensitivity and insulin resistance. This systematic review provides evidence that the use of statins may have an adverse effect on insulin sensitivity and increase insulin resistance. These findings may have important clinical implications for individuals on statin therapy, especially those at risk of developing diabetes.

摘要

关于他汀类药物使用与胰岛素不耐受之间的关系,证据不一且尚无定论。本系统评价旨在全面探讨他汀类药物使用与胰岛素不耐受之间的联系。我们系统检索了MEDLINE、PubMed、PubMed Central(PMC)和谷歌学术数据库,以查找有全文的在线英文文章。我们排除了会议论文、社论、评论、临床前研究、摘要和预印本。跨数据库检索最初识别出667篇文章。在消除重复项并根据纳入和排除标准对其余文章进行分析后,选择了11篇文章。纳入研究的参与者总数为46,728,889人。研究结果表明,他汀类药物的使用与胰岛素敏感性降低和胰岛素抵抗有关。本系统评价提供了证据,表明他汀类药物的使用可能对胰岛素敏感性产生不利影响并增加胰岛素抵抗。这些发现可能对接受他汀类药物治疗的个体,尤其是有患糖尿病风险的个体具有重要的临床意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21ba/10351747/4b436fa5639a/cureus-0015-00000042029-i01.jpg

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