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绿茶对2型糖尿病合并肾病患者血脂谱和肾功能的影响:一项随机对照临床试验。

The effect of green tea () on lipid profiles and renal function in people with type 2 diabetes and nephropathy: a randomized controlled clinical trial.

作者信息

Yazdanpanah Zeinab, Salehi-Abargouei Amin, Mozaffari Zohre, Hemayati Roya

机构信息

Research Center for Food Hygiene and Safety, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Department of Nutrition, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

出版信息

Front Nutr. 2023 Dec 14;10:1253275. doi: 10.3389/fnut.2023.1253275. eCollection 2023.

Abstract

INTRODUCTION

Diabetic nephropathy is one of the most important microvascular complications of diabetes. Despite the modern treatments, herbs or medicinal plants have gained wide attention. One of these herbs is green tea (), which may have an impact on renal function, lipid profiles, and HbA1c. However, the evidence for this is unclear and limited. The present study aimed to evaluate the effect of different doses of green tea on these parameters in type 2 diabetes patients (T2DM) with nephropathy.

METHODS

Sixty-six individuals with T2DM nephropathy (aged 30-70 years) were randomly assigned to receive three cups of green tea/day ( = 22), two cups of green tea/day ( = 22), and the control group ( = 22) for 12 weeks. Lipid profiles, glycated hemoglobin A1c (HbA1c), and renal markers were measured before and after intervention. Data were analyzed using SPSS software version 23. One-way analysis of variance (ANOVA), least significant difference (LSD) , and analysis of covariance were used to compare quantitative variables.

RESULTS

In total, 64 participants completed the study. Consuming three cups of infusion green tea per day (7.5 gr) led to a significant reduction in serum levels of total cholesterol ( = 0.009) and HbA1c ( = 0.006) and increased in high-density lipoprotein cholesterol (HDL-C) ( = 0.02) compared with the control group who did not drink green tea. However, no significant differences were observed for other variables.

CONCLUSION

In general, it was found that drinking three cups of green tea infusion (7.5 gr) per day produced beneficial effects on some lipid profiles and HbA1c without any adverse effects on renal function in patients with T2DM nephropathy. More studies are needed to fully elucidate these findings.

CLINICAL TRIAL REGISTRATION

Iranian Registry of Clinical Trials (www.irct.ir) under registry number: IRCT2014020114538N2.

摘要

引言

糖尿病肾病是糖尿病最重要的微血管并发症之一。尽管有现代治疗方法,但草药或药用植物已受到广泛关注。其中一种草药是绿茶,它可能对肾功能、血脂谱和糖化血红蛋白(HbA1c)有影响。然而,这方面的证据尚不清楚且有限。本研究旨在评估不同剂量绿茶对2型糖尿病肾病患者(T2DM)这些参数的影响。

方法

66例T2DM肾病患者(年龄30 - 70岁)被随机分为三组,分别为每天饮用三杯绿茶组(n = 22)、每天饮用两杯绿茶组(n = 22)和对照组(n = 22),干预12周。在干预前后测量血脂谱、糖化血红蛋白A1c(HbA1c)和肾脏标志物。使用SPSS 23版软件进行数据分析。采用单因素方差分析(ANOVA)、最小显著差异法(LSD)和协方差分析来比较定量变量。

结果

共有64名参与者完成了研究。与不饮用绿茶的对照组相比,每天饮用三杯冲泡绿茶(7.5克)导致血清总胆固醇水平显著降低(P = 0.009)和HbA1c降低(P = 0.006),高密度脂蛋白胆固醇(HDL - C)升高(P = 0.02)。然而,其他变量未观察到显著差异。

结论

总体而言,发现每天饮用三杯绿茶冲泡液(7.5克)对T2DM肾病患者的一些血脂谱和HbA1c产生有益影响,且对肾功能无任何不良影响。需要更多研究来充分阐明这些发现。

临床试验注册

伊朗临床试验注册中心(www.irct.ir),注册号:IRCT2014020114538N2。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3d5/10755896/0456d92a72e6/fnut-10-1253275-g001.jpg

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