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食用树莓对成年人血糖控制和炎症标志物的影响:随机对照试验的系统评价和荟萃分析

The Effects of Raspberry Consumption on Glycemic Control and Inflammation Markers in Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

作者信息

Jazinaki Mostafa Shahraki, Nosrati Mina, Chambari Mahla, Jamialahmadi Tannaz, Sahebkar Amirhossein

机构信息

Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.

Department of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

Curr Dev Nutr. 2024 May 3;8(6):102161. doi: 10.1016/j.cdnut.2024.102161. eCollection 2024 Jun.

Abstract

Despite observing the health benefits of raspberry consumption in some recent studies, there is still no consensus regarding this effectiveness on inflammatory markers and glycemic control. This study aimed to investigate this effectiveness by performing a meta-analysis. The PubMed, Web of Science, and Scopus databases were comprehensively searched until December 2023 to find relevant randomized controlled trials. Eligible studies were screened, and relevant information was extracted. The overall effect size of raspberry consumption on each of the outcomes was estimated by following the random-effects model in the form of a 95% confidence interval (CI) and a weighted mean difference (WMD). Raspberry consumption led to a significant increase in insulin concentrations (WMD: 1.89 μU/mL; 95%CI: 1.45, 2.34; < 0.001) and a significant decrease in tumor necrosis factor-α (TNF-α) concentrations (WMD: -3.07 pg/mL; 95%CI: -5.17, -0.97; = 0.004), compared with the control groups. Raspberry consumption did not have a significant effect on fasting blood glucose, insulin, hemoglobin A1C, glucose tolerance tests, homeostatic model assessment for insulin resistance, C-reactive protein, and interleukin-6 concentrations. This review revealed that raspberry consumption led to a significant increase and decrease in insulin and TNF-α concentrations, respectively. However, to draw a more accurate conclusion, it is necessary to conduct studies with a larger sample size in the future. The current study's protocol has been registered in the PROSPERO system as CRD42023477559.

摘要

尽管最近的一些研究观察到食用树莓对健康有益,但在其对炎症标志物和血糖控制的有效性方面仍未达成共识。本研究旨在通过进行荟萃分析来调查这种有效性。全面检索了PubMed、Web of Science和Scopus数据库,直至2023年12月,以查找相关的随机对照试验。筛选符合条件的研究,并提取相关信息。按照随机效应模型,以95%置信区间(CI)和加权平均差(WMD)的形式估计食用树莓对每个结果的总体效应大小。与对照组相比,食用树莓导致胰岛素浓度显著升高(WMD:1.89 μU/mL;95%CI:1.45,2.34;<0.001),肿瘤坏死因子-α(TNF-α)浓度显著降低(WMD:-3.07 pg/mL;95%CI:-5.17,-0.97;=0.004)。食用树莓对空腹血糖、胰岛素、糖化血红蛋白A1C(HbA1C)、葡萄糖耐量试验、胰岛素抵抗稳态模型评估、C反应蛋白和白细胞介素-6浓度没有显著影响。本综述表明,食用树莓分别导致胰岛素和TNF-α浓度显著升高和降低。然而,为了得出更准确的结论,未来有必要进行更大样本量的研究。本研究方案已在PROSPERO系统中注册,注册号为CRD42023477559。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9568/11163149/c5d68ca96938/gr1.jpg

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