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虾青素补充对心力衰竭患者炎症标志物、氧化应激指标、血脂谱、尿酸水平、血压、内皮功能、生活质量和疾病症状的影响。

The effect of astaxanthin supplementation on inflammatory markers, oxidative stress indices, lipid profile, uric acid level, blood pressure, endothelial function, quality of life, and disease symptoms in heart failure subjects.

机构信息

Department of Clinical Nutrition, School of Nutrition & Food Sciences, Isfahan University of Medical Sciences, Isfahan, Iran.

Epidemiology and Biostatistics Department, Health School, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Trials. 2024 Aug 1;25(1):518. doi: 10.1186/s13063-024-08339-8.

Abstract

BACKGROUND

Heart failure is a chronic and progressive disease where the heart muscle is unable to pump enough blood and oxygen to meet the body's needs. Oxidative stress and inflammation are key elements in the development and progression of heart failure. Astaxanthin, a carotenoid, has strong anti-inflammatory and antioxidant effects that may protect the cardiovascular system. A study will evaluate the effect of astaxanthin supplementation on inflammatory status, oxidative stress, lipid profile, uric acid levels, endothelial function, quality of life, and disease symptoms in people with heart failure.

METHODS

The current study is a double-blind controlled randomized clinical trial for 8 weeks, in which people with heart failure were randomly assigned to two groups: intervention (one capsule containing 20 mg of astaxanthin per day, n = 40) and placebo (one capsule containing 20 mg of maltodextrin per day, n = 40) will be divided. At the beginning and end of the intervention, uric acid, lipid profile, oxidative stress indices, inflammatory markers, blood pressure, nitric oxide, and anthropometric factors will be measured, and questionnaires measuring quality of life, fatigue intensity, shortness of breath, and appetite will be completed. SPSS version 22 software will be used for statistical analysis.

DISCUSSION

There is a growing global interest in natural and functional food products. This RCT contributes to the expanding body of research on the potential benefits of astaxanthin in heart failure patients, including its antioxidant, lipid-lowering, and anti-inflammatory effects.

TRIAL REGISTRATION

Iranian Registry of Clinical Trials IRCT20200429047235N3. Registered on 26 March 2024.

摘要

背景

心力衰竭是一种慢性进行性疾病,心肌无法泵出足够的血液和氧气来满足身体的需求。氧化应激和炎症是心力衰竭发生和发展的关键因素。虾青素是一种类胡萝卜素,具有很强的抗炎和抗氧化作用,可能对心血管系统有保护作用。一项研究将评估虾青素补充剂对心力衰竭患者炎症状态、氧化应激、血脂谱、尿酸水平、内皮功能、生活质量和疾病症状的影响。

方法

本研究是一项为期 8 周的双盲对照随机临床试验,心力衰竭患者被随机分为两组:干预组(每天服用一粒含 20 毫克虾青素的胶囊,n=40)和安慰剂组(每天服用一粒含 20 毫克麦芽糊精的胶囊,n=40)。在干预开始和结束时,将测量尿酸、血脂谱、氧化应激指标、炎症标志物、血压、一氧化氮和人体测量因素,并完成测量生活质量、疲劳强度、呼吸困难和食欲的问卷。将使用 SPSS 版本 22 软件进行统计分析。

讨论

人们对天然和功能性食品产品的兴趣日益浓厚。这项 RCT 为虾青素在心力衰竭患者中的潜在益处的研究提供了新的证据,包括其抗氧化、降脂和抗炎作用。

试验注册

伊朗临床试验注册处 IRCT20200429047235N3。于 2024 年 3 月 26 日注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4e3/11292897/ab0d5ac7aa56/13063_2024_8339_Fig1_HTML.jpg

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