黑素补充剂对心脏代谢风险因素的综合影响:系统性审查和剂量反应元分析
Shooka Mohammadi1, Damoon Ashtary-Larky2, Mahsa Erfanian-Salim3
1Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur 50603, Malaysia.
补充黑素显著改善多种心脏代谢风险因素 (CMRF),包括血压和胆固醇水平. 然而,它不会影响体重或胰岛素抵抗标志物.
科学领域:
- 内分泌学 在内分泌学.
- 心脏病学 心脏病学
- 代谢健康 代谢健康
背景情况:
- 黑激素对心脏代谢风险因素 (CMRF) 的确切影响尚不清楚,缺乏明确的科学共识.
- 这项研究解决了对黑激素对各种CMRF的影响进行全面分析的需要.
研究的目的:
- 系统地审查和进行随机对照试验 (RCT) 的剂量反应元分析.
- 评估黑素补充剂对人体测量,脂质,血糖,炎症,氧化和肝功能参数的影响.
主要方法:
- 在主要数据库中进行了系统的文献搜索.
- 包括到2025年10月发布的63项符合条件的随机对照试验 (RCT).
- 进行了随机效应元分析来合成数据.
主要成果:
- 补充メラトニン可显著降低部周长,静脉血压,禁食血糖,LDL胆固醇,总胆固醇,C反应蛋白,马隆迪化,TNF-α,IL-6和ALT.
- 总抗氧化能力和高脂胆固醇的显著增加.
- 没有发现对体重,BMI,胰岛素耐药性标志物 (禁食胰岛素,HOMA-IR,HbA1c),甘油三,或心动血压的显著影响.
结论:
- 补充黑素对多种心脏代谢风险因素具有显著的有益影响.
- 进一步的研究可能会探索最佳剂量和对代谢健康的长期影响.
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