黄素对人类健康的影响:对103项随机对照试验的综合系统审查和元分析
Ali Jafari1,2, Maryam Abbastabar3, Alireza Alaghi2,4
1Student Research Committee, Department of Community Nutrition, Faculty of Nutrition Sciences and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Phytotherapy research : PTR
|October 31, 2024
概括
黄素补充剂对禁食血糖,脂质概况和炎症标志物产生显著影响. 需要进一步的高质量试验来确认这些好处对各种健康结果.
科学领域:
- 药理学和治疗学 药理学和治疗学
- 营养科学 营养科学
- 基于证据的医学 基于证据的医学
背景情况:
- 黄素来自Curcuma longa L.,因其潜在的健康益处而得到认可.
- 许多随机临床试验 (RCT) 研究了黄素对各种健康结果的影响.
- 对现有证据进行全面的综合分析对于了解黄素的治疗潜力至关重要.
研究的目的:
- 进行一项元分析,评估黄素补充剂对广泛健康结果的影响.
- 综合来自RCT的证据,将黄素与安慰剂进行比较.
- 用GRADE标准评估每个结果的证据确定性.
主要方法:
- 在PubMed,EMBASE,Scopus和Web of Science数据库中进行系统搜索,截至2023年9月.
- 包括将Curcuma longa L. (黄素) 与安慰剂进行比较的RCT.
- 使用随机效应模型对效应大小的元分析;评估偏差风险和证据确定性.
主要成果:
- 纳入了103个带有7216名参与者的RCT,检查了42个结果.
- 在42个结局中的23个结局 (55%) 观察到统计学意义上的影响.
- 高确定性证据支持黄素对禁食血糖 (FBS),C反应蛋白 (CRP),高密度脂蛋白 (HDL) 和体重的影响.
结论:
- 黄素补充剂对FBS,血糖指数,脂质概况和炎症/氧化标志物产生积极影响.
- 证据质量各不相同,对特定的代谢和炎症标志物具有很高的确定性.
- 建议进一步进行精心设计,大规模,长期的RCT,以加强证据基础.
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