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人参补充剂对血脂谱的影响:系统评价和随机对照试验的剂量反应荟萃分析的 GRADE 评估。

The Effect of Ginseng Supplementation on Lipid Profile: GRADE-assessed Systematic Review and Dose-response Meta-analysis of Randomized Controlled Trials.

机构信息

Noncommunicable Diseases Research Center, Neyshabur University of Medical Sciences, Neyshabur, Iran.

Healthy Ageing Research Centre, Neyshabur University of Medical Sciences, Neyshabur, Iran.

出版信息

Curr Pharm Des. 2024;30(26):2047-2058. doi: 10.2174/0113816128306300240522074056.

Abstract

BACKGROUND

This systematic review and meta-analysis aimed to evaluate the overall impact of Panax ginseng on lipid profile by synthesizing existing evidence. Cardiovascular Disease (CVD) is the leading cause of morbidity and mortality among the elderly population, and serum lipids play a crucial role in its development. Maintaining optimal levels of triglycerides, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, and total cholesterol is essential in reducing the risk of CVD. Ginsenosides, the active constituents in ginseng, have shown positive effects on lipid metabolism. This review aimed to provide a comprehensive understanding of the potential benefits of ginseng in managing dyslipidemia, which could have significant implications for the prevention and treatment of CVD.

METHODS

A comprehensive analysis of 29 Randomized Controlled Trials (RCTs) was conducted to assess the effects of ginseng supplementation on lipid profile, including Triglyceride (TG), Total Cholesterol (TC), High-density Lipoprotein Cholesterol (HDL-C), and Low-density Lipoprotein Cholesterol (LDL-C) levels. A systematic search was done in online databases, such as MEDLINE, Scopus, and Clarivate Analytics Web of Science, using relevant keywords and MeSH terms to identify relevant studies until January 2024.

RESULTS

The Weighted Mean Differences (WMD) and 95% Confidence Intervals (CI) for TG, TC, LDL-C, and HDL-C did not show significant changes with ginseng supplementation.

CONCLUSION

Taking into account the results, using ginseng did not have a statistically significant influence on lipid profile parameters in individuals with different health conditions. Further, well-designed RCTs focusing on specific diseases are needed to clarify the potential beneficial effects of ginseng and its derivatives on lipid profile.

摘要

背景

本系统评价和荟萃分析旨在综合现有证据评估人参对血脂谱的总体影响。心血管疾病(CVD)是老年人发病率和死亡率的主要原因,血清脂质在其发展中起着至关重要的作用。维持甘油三酯、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇和总胆固醇的最佳水平对于降低 CVD 风险至关重要。人参中的活性成分——人参皂苷对脂质代谢有积极影响。本综述旨在全面了解人参在管理血脂异常方面的潜在益处,这对 CVD 的预防和治疗可能具有重要意义。

方法

对 29 项随机对照试验(RCT)进行了全面分析,以评估人参补充剂对血脂谱的影响,包括甘油三酯(TG)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)和低密度脂蛋白胆固醇(LDL-C)水平。使用相关关键词和 MeSH 术语在在线数据库(如 MEDLINE、Scopus 和 Clarivate Analytics Web of Science)中进行了系统搜索,以确定截至 2024 年 1 月的相关研究。

结果

人参补充剂对 TG、TC、LDL-C 和 HDL-C 的加权均数差(WMD)和 95%置信区间(CI)没有显著变化。

结论

考虑到这些结果,在不同健康状况的个体中,使用人参对血脂谱参数没有统计学上的显著影响。此外,需要进行针对特定疾病的精心设计的 RCT,以阐明人参及其衍生物对血脂谱的潜在有益影响。

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