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奇亚籽对血压、身体成分和血糖控制的影响:一项采用GRADE评估的随机对照试验系统评价与剂量反应Meta分析

The Effect of Chia Seed on Blood Pressure, Body Composition, and Glycemic Control: A GRADE-Assessed Systematic Review and Dose-Response Meta-Analysis of Randomized Controlled Trials.

作者信息

TaghipourSheshdeh Faranak, Behzadi Mehrdad, Bashiri Sara, Mohammadi-Sartang Mohsen

机构信息

Student Research Committee, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, 7153675541, Iran.

Nutrition Research Center, Shiraz University of Medical Sciences, Shiraz, 7193635899, Iran.

出版信息

Nutr Rev. 2025 Mar 1;83(3):448-465. doi: 10.1093/nutrit/nuae113.

Abstract

CONTEXT

Numerous studies have demonstrated the positive effects on metabolic factors of consuming chia seeds. However, the results of clinical trials have been inconsistent.

OBJECTIVE

The aim of this study was to conduct a systematic review and meta-analysis of available randomized controlled trials to explore the effects of chia seed consumption on body weight (BW), body composition, blood pressure, and glycemic control.

DATA SOURCES

A comprehensive search was conducted on the Scopus, PubMed, Medline via Ovid, ISI Web of Science, and Scholar Google databases up to August 2023.

DATA EXTRACTION

The outcomes of interest included systolic blood pressure (SBP), diastolic blood pressure (DBP), BW, body mass index (BMI), body fat percentage, waist circumference (WC), fasting blood glucose (FBG), and hemoglobin A1c (HbA1c).

DATA ANALYSIS

Weighted mean difference (WMD) and 95% CIs were used to determine the effect size.

RESULTS

A total of 8 eligible studies were included in the analysis. The findings revealed a significant reduction in SBP (WMD: -7.19 mmHg; 95% CI, -10.63 to -3.73; P < .001) and DBP (WMD: -6.04 mmHg, 95% CI, -9.58 to -2.49; P = .001). However, no significant effects were observed on BW, body fat percentage, WC, BMI, FBG, and HbA1c. Subgroup analysis indicated that the effect of chia seed on SBP was significant in participants with a baseline SBP of less than 140 mmHg, but the effect was not dependent on the administered dose.

CONCLUSION

Chia seed consumption has positive effects on SBP and DBP but does not significantly impact BW, body composition, or glycemic parameters. However, the limited amount of data from included studies should be considered as a limitation while interpreting these findings.

SYSTEMATIC REVIEW REGISTRATION

PROSPERO registration no. CRD42023462575.

摘要

背景

众多研究已证明食用奇亚籽对代谢因素有积极影响。然而,临床试验结果并不一致。

目的

本研究旨在对现有的随机对照试验进行系统评价和荟萃分析,以探讨食用奇亚籽对体重(BW)、身体成分、血压和血糖控制的影响。

数据来源

截至2023年8月,在Scopus、PubMed、通过Ovid的Medline、ISI Web of Science和谷歌学术数据库上进行了全面检索。

数据提取

感兴趣的结局包括收缩压(SBP)、舒张压(DBP)、BW、体重指数(BMI)、体脂百分比、腰围(WC)、空腹血糖(FBG)和糖化血红蛋白(HbA1c)。

数据分析

采用加权平均差(WMD)和95%置信区间(CIs)来确定效应大小。

结果

分析共纳入8项合格研究。结果显示SBP显著降低(WMD:-7.19 mmHg;95% CI,-10.63至-3.73;P <.001),DBP也显著降低(WMD:-6.04 mmHg,95% CI,-9.58至-2.49;P =.001)。然而,在BW、体脂百分比、WC、BMI、FBG和HbA1c方面未观察到显著影响。亚组分析表明,奇亚籽对SBP的影响在基线SBP低于140 mmHg的参与者中显著,但该效应不依赖于给药剂量。

结论

食用奇亚籽对SBP和DBP有积极影响,但对BW、身体成分或血糖参数无显著影响。然而,纳入研究的数据量有限,在解释这些结果时应将其视为一个局限性。

系统评价注册

PROSPERO注册号CRD42023462575。

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