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姜黄素给药对糖尿病血液透析患者颈动脉内膜中层厚度和脉搏波速度的影响:一项随机、双盲、安慰剂对照试验。

The Effects of Curcumin Administration on Carotid Intima-Media Thickness and Pulse Wave Velocity in Diabetic Hemodialysis Patients: A Randomized, Double-Blinded, Placebo-Controlled Trial.

作者信息

Ghasemiadl Mojtaba, Ghasemi Soheil, Soleimani Alireza, Esfahani Mahsa M, Azadbakht Javid, Gilasi Hamid R, Talari Hamid R

机构信息

Department of Radiology, Kashan University of Medical Sciences, Kashan, Isfahan Province, I.R. Iran.

Department of Internal, Kashan University of Medical Sciences, Kashan, Isfahan Province, I.R. Iran.

出版信息

Int J Prev Med. 2024 Jan 31;15:3. doi: 10.4103/ijpvm.ijpvm_55_22. eCollection 2024.

Abstract

BACKGROUND

Prior studies have reported that curcumin is inversely associated with reduced markers of atherosclerosis risk, including carotid intima-media thickness (CIMT). This study was designed to assess the effects of curcumin on CIMT and pulse wave velocity (PWV) in diabetic hemodialysis (HD) patients.

METHODS

This randomized, double-blinded, placebo-controlled trial was conducted on 39 diabetic HD patients. People were assigned to receive curcumin or placebo (starch) for 24 weeks. Individuals in the curcumin group ( = 26) received 80 mg/day. CIMT and PWV levels were taken at baseline and after 24 weeks of intervention.

RESULTS

After 24 weeks of intervention, curcumin intake did not affect mean levels of left ( = 0.83) and right ( = 0.47) CIMT and maximum levels of left ( = 0.84) and right ( = 0.11) CIMT, and PWV (P = 0.12) compared to the placebo. Furthermore, within-group difference demonstrated a significant reduction in mean levels of PWV ( = 0.01) in the curcumin group. We did not observe any significant change in C-reactive protein (CRP) concentrations after curcumin intake ( = 0.69).

CONCLUSIONS

Curcumin intake did not affect mean levels of left and right CIMT and maximum levels of left and right CIMT, PWV, and CRP levels compared to the placebo. Additionally, within-group difference demonstrated a significant reduction in mean levels of PWV in the curcumin group.This trial was registered at www.irct.ir as http://www.irct.ir: IRCT20200527047584N1.

摘要

背景

先前的研究报告称,姜黄素与动脉粥样硬化风险标志物的降低呈负相关,包括颈动脉内膜中层厚度(CIMT)。本研究旨在评估姜黄素对糖尿病血液透析(HD)患者CIMT和脉搏波速度(PWV)的影响。

方法

本随机、双盲、安慰剂对照试验对39例糖尿病HD患者进行。将患者分配接受姜黄素或安慰剂(淀粉)治疗24周。姜黄素组(n = 26)的个体每天接受80毫克。在基线和干预24周后测量CIMT和PWV水平。

结果

干预24周后,与安慰剂相比,摄入姜黄素并未影响左(P = 0.83)、右(P = 0.47)CIMT的平均水平以及左(P = 0.84)、右(P = 0.11)CIMT的最高水平和PWV(P = 0.12)。此外,组内差异显示姜黄素组PWV的平均水平显著降低(P = 0.01)。摄入姜黄素后,我们未观察到C反应蛋白(CRP)浓度有任何显著变化(P = 0.69)。

结论

与安慰剂相比,摄入姜黄素并未影响左、右CIMT的平均水平以及左、右CIMT的最高水平、PWV和CRP水平。此外,组内差异显示姜黄素组PWV的平均水平显著降低。该试验在www.irct.ir上注册,注册号为http://www.irct.ir: IRCT20200527047584N1。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c72c/10935569/50c371e3ef73/IJPVM-15-3-g001.jpg

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