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姜黄素与多种健康结局:干预性荟萃分析的批判性伞状评价

Curcumin and multiple health outcomes: critical umbrella review of intervention meta-analyses.

作者信息

Xu Qin, Lian Hua, Zhou Rui, Gu Zhenzhen, Wu Jiao, Wu Yu, Li Zhongyu

机构信息

Department of Oncology, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, China.

Department of Oncology, The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, Guiyang, Guizhou, China.

出版信息

Front Pharmacol. 2025 Jun 5;16:1601204. doi: 10.3389/fphar.2025.1601204. eCollection 2025.

Abstract

OBJECTIVE

This review aimed to determine the therapeutic effects and safety of oral curcumin compared with other comparators for human health and wellbeing outcomes.

METHODS

PubMed, Embase, and Cochrane Library were searched from their inception to 18 June 2024. The Assessment of Multiple Systematic Reviews-2 checklist, and Grading of Recommendations, Assessment, Development and Evaluation system were used to assess the methodological and evidence quality for each meta-analysis, respectively. The results are presented in a narrative review.

RESULTS

We included 25 studies. The overall methodological quality was relatively poor, and there is considerable room for improvement. The findings suggest that curcumin has potentially positive effects on lipid profiles, blood pressure, inflammatory markers and oxidative stress, musculoskeletal diseases, emotional and cognitive function, ulcerative colitis, liver and kidney function, primary dysmenorrhea or premenstrual syndrome, rheumatoid arthritis, COVID-19, painful statues, and HR-QOL. However, for many diseases, the conclusions remain uncertain.

CONCLUSION

The available evidence suggests that curcumin is a safe medicinal agent that improves multiple clinical outcomes; however, the scientific quality of published studies needs to be improved.

摘要

目的

本综述旨在确定与其他对照物相比,口服姜黄素对人类健康和幸福结局的治疗效果及安全性。

方法

检索了从创刊至2024年6月18日的PubMed、Embase和Cochrane图书馆。分别使用多系统评价评估-2清单和推荐分级、评估、制定与评价系统来评估每项荟萃分析的方法学和证据质量。结果以叙述性综述的形式呈现。

结果

我们纳入了25项研究。总体方法学质量相对较差,仍有很大的改进空间。研究结果表明,姜黄素可能对血脂、血压、炎症标志物和氧化应激、肌肉骨骼疾病、情绪和认知功能、溃疡性结肠炎、肝肾功能、原发性痛经或经前综合征、类风湿性关节炎、COVID-19、疼痛状态以及健康相关生活质量有积极影响。然而,对于许多疾病,结论仍不确定。

结论

现有证据表明姜黄素是一种能改善多种临床结局的安全药物;然而,已发表研究的科学质量有待提高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96bb/12176752/20937093339e/fphar-16-1601204-g001.jpg

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