目前的洞察力和研究差距 补充剂的代谢健康:一个范围审查
Linda Morales-Juárez1, Astrid Domínguez-Uscanga2, Janet A Gutiérrez-Uribe2
1Tecnológico de Monterrey, Institute for Obesity Research, Monterrey, NL 64849, México.
Nutrition reviews
|February 28, 2026
概括
补充剂通过减少炎症和胰岛素抵抗来改善代谢健康,特别是在患有糖尿病的成年人中. 最佳的剂量需要仔细考虑个体的状态,因为缺乏或过量可能会造成潜在的危害.
科学领域:
- 营养生物化学 营养生物化学
- 代谢健康 代谢健康
- 炎症和氧化压力 炎症和氧化压力
背景情况:
- 对于新陈代谢健康,抗氧化防御和炎症调节至关重要.
- 了解的生理作用和病理相关性对于治疗补充策略至关重要.
- 目前的知识差距阻碍了制定安全有效的剂量指南.
研究的目的:
- 系统地绘制和合成关于补充对成年人炎症,氧化应激和葡萄糖脂质代谢的影响的证据.
- 确定与补充和代谢健康相关的知识差距.
- 为制定基于证据的剂量指南提供信息.
主要方法:
- 根据PRISMA-ScR指南进行了范围审查.
- 搜索主要的电子数据库进行临床试验,评估补充剂对成年人群中代谢疾病标志物的影响.
- 包括评估炎症,氧化应激和葡萄糖脂质代谢的研究.
主要成果:
- 在12周或更长时间的研究中,补充改善了代谢标志物,特别是减少了胰岛素抵抗 (HOMA-IR降低高达26%) 和炎症 (hs-CRP降低高达62.4%).
- 益处在患有糖尿病和胰岛素抵抗症的成年人中最为明显.
- 在多囊性卵巢综合征 (PCOS) 和绝经后妇女中,影响是模糊的,一些研究显示中性或不良影响.
结论:
- 补充剂可以提高胰岛素敏感性,降低hs-CRP,并增强抗氧化防御,特别是在患有糖尿病或胰岛素抵抗的成年人中.
- 的治疗窗口很窄;剂量必须根据基线状态来指导,以避免缺乏或过量.
- 需要进一步的长期,经过良好控制的试验,以确定最佳的疗法,并确定从补充中受益最多的特定人群.
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