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弥合差距:探讨膳食补充剂对腹主动脉瘤进展的影响 - 系统评价。

Bridging the gap: Navigating the impact of dietary supplements on abdominal aortic aneurysm progression- A systematic review.

机构信息

Cardiogenetic Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.

School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

PLoS One. 2024 Jun 26;19(6):e0305265. doi: 10.1371/journal.pone.0305265. eCollection 2024.

Abstract

BACKGROUND

Vitamins D, E, A, B, C, and Omega-3 play crucial roles in modulating inflammatory and oxidative stress pathways, both implicated in abdominal aortic aneurysm (AAA) development. Recent research has explored the potential impact of dietary supplements on AAA progression. The systematic review aims to assess interventional studies investigating the effects of various dietary supplements on the development and severity of abdominal aortic aneurysms.

METHOD

A systematic search using relevant keywords related to abdominal aortic aneurysm and dietary supplements was conducted across four databases (PubMed, Embase, Scopus, and Web of Science). Quality assessment for animal studies employed SYRCLE and the Cochrane Collaboration Risk of Bias Tool for randomized control trials. The study protocol is registered in PROSPERO under the registry code CRD42023455958.

RESULTS

Supplementation with Omega-3, Vitamins A, C, D, E, and the Vitamin B family exhibited positive effects in AAA progression. These supplements contributed to a reduction in AAA diameter, elastin degradation, inflammatory responses, and reactive oxygen species. Additional supplements such as Zinc, methionine, and phytoestrogen also played roles in mitigating AAA progression.

CONCLUSION

The findings of this study underscore the potential role of dietary supplements in the progression of AAA. Predominantly based on animal studies, the results indicate that these supplements can limit AAA progression, primarily evidenced by their ability to mitigate inflammatory processes and oxidative stress pathways.

摘要

背景

维生素 D、E、A、B、C 和欧米伽 3 在调节炎症和氧化应激途径方面发挥着关键作用,这些途径都与腹主动脉瘤(AAA)的发展有关。最近的研究探讨了膳食补充剂对 AAA 进展的潜在影响。本系统评价旨在评估干预性研究,这些研究调查了各种膳食补充剂对腹主动脉瘤发展和严重程度的影响。

方法

使用与腹主动脉瘤和膳食补充剂相关的关键词,在四个数据库(PubMed、Embase、Scopus 和 Web of Science)中进行系统搜索。动物研究的质量评估采用 SYRCLE 和 Cochrane 协作风险偏倚工具进行随机对照试验。研究方案已在 PROSPERO 中以注册号 CRD42023455958 进行注册。

结果

补充欧米伽 3、维生素 A、C、D、E 和维生素 B 族对 AAA 进展有积极影响。这些补充剂有助于减少 AAA 直径、弹性蛋白降解、炎症反应和活性氧物质。其他补充剂,如锌、蛋氨酸和植物雌激素,也在减轻 AAA 进展方面发挥作用。

结论

本研究的结果强调了膳食补充剂在 AAA 进展中的潜在作用。主要基于动物研究,结果表明这些补充剂可以限制 AAA 的进展,主要证据是它们能够减轻炎症过程和氧化应激途径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b057/11207180/dc32707c988d/pone.0305265.g001.jpg

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