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白藜芦醇补充剂对血脂参数的功效:荟萃分析之伞。

Efficacy of resveratrol supplementation on lipid profile parameters: An umbrella of meta-analysis.

机构信息

Department of Nephrology,Affiliated Hospital of Hebei University, Baoding, Hebei, 071000, PR China.

Department of Cardiology,Affiliated Hospital of Hebei University, Baoding, Hebei, 071000, PR China.

出版信息

Prostaglandins Other Lipid Mediat. 2024 Dec;175:106903. doi: 10.1016/j.prostaglandins.2024.106903. Epub 2024 Sep 8.

Abstract

Several studies have evaluated the effects of resveratrol supplementation on lipid profile parameters in humans and have demonstrated varying results. We systematically evaluated the literature and performed an umbrella meta-analysis of the effects of resveratrol supplementation on lipid profile. A comprehensive literature search was conducted in the following databases; PubMed, Embase, Scopus, and Web of Science for studies published up to November 2023. According to the standardized mean difference (SMD) analysis, resveratrol supplementation was effective in reducing serum triglyceride (TG) (SMD = -0.14 mg/dl, 95 % CI: -0.24, -0.03; p = 0.001), total cholesterol (TC) (SMD = -0.20, 95 % CI: -0.31, -0.08; p= 0.001), but not high-density lipoprotein cholesterol (HDL-c) (SMD = 0.00, 95 % CI: -0.04, 0.05; p =0.92), and low-density lipoprotein-cholesterol (LDL-c) (SMD = -0.16 mg/dl, 95 % CI: -0.40, 0.07; p =0.17). In the weighted mean difference analysis, resveratrol did not significantly decrease lipid profile parameters. Resveratrol supplementation reduces TC and TG (based on SMD analysis), but it does not significantly affect other indices. However, these significant decreases are not clinically important. Therefore, resveratrol only can be considered as an adjunctive therapeutic approach in managing dyslipidemia.

摘要

几项研究评估了白藜芦醇补充剂对人体血脂参数的影响,结果不尽相同。我们系统地评估了文献,并对白藜芦醇补充剂对血脂谱的影响进行了伞式荟萃分析。在以下数据库中进行了全面的文献检索:PubMed、Embase、Scopus 和 Web of Science,检索截至 2023 年 11 月的研究。根据标准化均数差(SMD)分析,白藜芦醇补充剂可有效降低血清甘油三酯(TG)(SMD=-0.14mg/dl,95%CI:-0.24,-0.03;p=0.001)、总胆固醇(TC)(SMD=-0.20,95%CI:-0.31,-0.08;p=0.001),但对高密度脂蛋白胆固醇(HDL-c)(SMD=0.00,95%CI:-0.04,0.05;p=0.92)和低密度脂蛋白胆固醇(LDL-c)(SMD=-0.16mg/dl,95%CI:-0.40,0.07;p=0.17)无影响。在加权均数差分析中,白藜芦醇对血脂谱参数无显著降低作用。白藜芦醇补充剂可降低 TC 和 TG(基于 SMD 分析),但对其他指标无显著影响。然而,这些显著降低的幅度在临床上并不重要。因此,白藜芦醇只能被认为是管理血脂异常的辅助治疗方法。

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