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大蒜(葱属植物)对多囊卵巢综合征相关激素和血糖参数的影响:一项随机双盲临床试验。

The Effect of Garlic (Allium Sativum) on Polycystic Ovary Syndrome Related Hormones and Glycemic Parameters: A Randomized, Double-Blinded Clinical Trial.

作者信息

Zadhoush Roya, Alavi-Naeini Amirmansour, Feizi Awat, Naghshineh Elham, Ghazvini Mohammad Reza

机构信息

Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran.

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

出版信息

Int J Prev Med. 2023 Jul 27;14:98. doi: 10.4103/ijpvm.ijpvm_308_21. eCollection 2023.

DOI:10.4103/ijpvm.ijpvm_308_21
PMID:37855015
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10580198/
Abstract

BACKGROUND

The purpose of the present study was to investigate the effect of garlic supplementation on androgen levels and glycemic-related markers in patients with PCOS.

METHODS

In these 8 weeks of randomized double-blinded control trial, 80 women were randomly assigned into two groups in which patients were asked to intake either 800 mg/day garlic or an identical placebo. A blood sample was obtained pre- and post-trial to assess androgens and glycemic-related parapets. A 3-days- food record and a short form of international physical activity questionnaires (IPAQ) were also evaluated at the beginning and end of the trial.

RESULTS

All participants completed the trial. Garlic supplementation resulted in significant reduction in fasting plasma glucose (-3.22 ± 7.41 vs. 0.72 ± 5.37; = 0.008) and homeostatic model assessment for insulin resistance (HOMA-IR) (-0.29 ± 1.45 vs. 0.28 ± 1.20; = 0.02). In addition, a trend to a significant improvement was detected in free androgen index (FAI) ( = 0.09), insulin levels ( = 0.07), and quantitative insulin sensitivity check index (QUICKI) ( = 0.06). However, no significant difference was found in testosterone and sex hormone-binding globulin (SHBG) ( > 0.05).

CONCLUSIONS

Present study indicates that garlic supplementation could be beneficial for FPG and insulin resistance improvement. However, garlic supplementation does not show remarkable efficacy on androgens. Further studies are warranted to confirm the results.

摘要

背景

本研究旨在探讨补充大蒜对多囊卵巢综合征(PCOS)患者雄激素水平和血糖相关指标的影响。

方法

在这项为期8周的随机双盲对照试验中,80名女性被随机分为两组,要求患者每天摄入800毫克大蒜或相同的安慰剂。在试验前后采集血样以评估雄激素和血糖相关指标。在试验开始和结束时还评估了3天的食物记录和国际体力活动问卷简表(IPAQ)。

结果

所有参与者均完成了试验。补充大蒜导致空腹血糖显著降低(-3.22±7.41对0.72±5.37;P = 0.008)以及胰岛素抵抗的稳态模型评估(HOMA-IR)降低(-0.29±1.45对0.28±1.20;P = 0.02)。此外,游离雄激素指数(FAI)(P = 0.09)、胰岛素水平(P = 0.07)和定量胰岛素敏感性检查指数(QUICKI)(P = 0.06)有显著改善的趋势。然而,睾酮和性激素结合球蛋白(SHBG)未发现显著差异(P>0.05)。

结论

本研究表明补充大蒜可能有益于空腹血糖(FPG)和胰岛素抵抗的改善。然而,补充大蒜对雄激素没有显著疗效。需要进一步研究来证实这些结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/262d/10580198/ae762a890afb/IJPVM-14-98-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/262d/10580198/ae762a890afb/IJPVM-14-98-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/262d/10580198/ae762a890afb/IJPVM-14-98-g001.jpg

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本文引用的文献

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Estrogen Receptors in Polycystic Ovary Syndrome.多囊卵巢综合征中的雌激素受体。
Cells. 2021 Feb 21;10(2):459. doi: 10.3390/cells10020459.
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Cardiometabolic Risk in Polycystic Ovary Syndrome: Current Guidelines.多囊卵巢综合征中的心血管代谢风险:现行指南
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Therapeutic Effects and Mechanisms of Herbal Medicines for Treating Polycystic Ovary Syndrome: A Review.中药治疗多囊卵巢综合征的疗效与机制:综述
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Bioactive components from garlic on brain resiliency against neuroinflammation and neurodegeneration.大蒜中的生物活性成分对大脑抵御神经炎症和神经退行性变的弹性作用。
Exp Ther Med. 2020 Feb;19(2):1554-1559. doi: 10.3892/etm.2019.8389. Epub 2019 Dec 27.
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Genetic Basis of Polycystic Ovary Syndrome (PCOS): Current Perspectives.多囊卵巢综合征(PCOS)的遗传基础:当前观点
Appl Clin Genet. 2019 Dec 24;12:249-260. doi: 10.2147/TACG.S200341. eCollection 2019.
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A New Approach to Polycystic Ovary Syndrome: The Gut Microbiota.多囊卵巢综合征的新方法:肠道微生物群。
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Aged garlic extract ameliorates fatty liver and insulin resistance and improves the gut microbiota profile in a mouse model of insulin resistance.在胰岛素抵抗小鼠模型中, aged大蒜提取物可改善脂肪肝和胰岛素抵抗,并改善肠道微生物群谱。 (注:aged一般有“陈年的”等意思,这里可能有特定品牌或研究中关于“aged garlic extract”有特定的名称,比如“老年蒜提取物”之类,具体准确含义需结合更多背景信息确定)
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