对治疗肥胖的草药随机对照试验的干预和结果的方法见解:一个范围审查
Janice Sue Wen Chan1, Mei Siu Lau2, Siti Hajar Muhamad Rosli2
1Herbal Medicine Research Centre, Institute for Medical Research, National Institutes of Health, Ministry of Health Malaysia, Setia Alam, Shah Alam 40170, Selangor, Malaysia.
Therapeutic advances in chronic disease
|February 7, 2025
概括
这篇评论分析了99项关于草药抗肥胖治疗的随机对照试验 (RCT). 虽然许多研究遵循了国际准则,但进一步的研究应该集中在评估长期体重维持策略上.
科学领域:
- 综合医学是一个整体的医学.
- 临床研究方法论临床研究方法论
- 肥胖管理 肥胖管理
背景情况:
- 全球肥胖率的上升需要有效的治疗方法.
- 缺乏针对草药抗肥胖药物的具体临床试验指南.
- 对于草药干预措施,现有的制药指南是参考.
研究的目的:
- 进行草药抗肥胖随机对照试验 (RCT) 的范围审查.
- 分析这些RCT中使用的方法.
- 评估这些方法与国际临床试验准则的一致性.
主要方法:
- 从MEDLINE,CENTRAL和EMBASE发表的期刊文章的范围审查.
- 包括涉及所有年龄段肥胖参与者使用草药的RCT.
- 提取关于研究特征,干预措施,比较器,持续时间,结果和安全监测的数据.
主要成果:
- 包括99个RCT,参与者的年龄在18-80岁之间,BMI在25-49.9公斤/m2.
- 干预包括单一草药 (n=57) 和混合物 (n=42);持续时间从14天到56周不等.
- 主要结局是BMI和体重;在50%以上的研究中测量了身体成分. 在大多数研究中报告了安全监测 (n=76).
结论:
- 大约50%的草药抗肥胖RCT遵循国际制药临床试验指南.
- 研究涉及饮食,生活方式和体育活动因素.
- 进一步的研究应该优先考虑在草药抗肥胖研究中对体重维持的评估.
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