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一项关于含α-硫辛酸的食品补充剂对2型糖尿病患者氧化应激标志物影响的临床试验。

A Clinical Trial about a Food Supplement Containing α-Lipoic Acid on Oxidative Stress Markers in Type 2 Diabetic Patients.

作者信息

Derosa Giuseppe, D'Angelo Angela, Romano Davide, Maffioli Pamela

机构信息

Centre of Diabetes and Metabolic Diseases, Department of Internal Medicine and Therapeutics, University of Pavia and Fondazione IRCCS Policlinico S. Matteo, 2-27100 Pavia, Italy.

Center for Prevention, Surveillance, Diagnosis and Treatment of Rare Diseases, Fondazione IRCCS Policlinico S. Matteo, 2-27100 Pavia, Italy.

出版信息

Int J Mol Sci. 2016 Oct 28;17(11):1802. doi: 10.3390/ijms17111802.

Abstract

The aim of this study was to evaluate the effect of a food supplement containing α-lipoic acid and of a placebo on glyco-metabolic control and on oxidative stress markers in type 2 diabetics. We randomized 105 diabetics to either a supplementation containing 600 mg of α-lipoic acid, 165 mg of -carnosin, 7.5 mg of zinc, and vitamins of group B, or a placebo, for three months. We evaluated body mass index, fasting plasma glucose (FPG), post-prandial-glucose (PPG), glycated hemoglobin (HbA), fasting plasma insulin (FPI), HOMA-index (HOMA-IR), lipid profile, high sensitivity C-reactive protein (Hs-CRP), superoxide dismutase (SOD), glutathione peroxidase (GSH-Px), malondialdehyde (MDA). There was a reduction of FPG, PPG, and HbA with the food supplement containing α-lipoic acid compared with a baseline, and with the placebo. Concerning lipid profile, we observed a reduction of LDL-C, and Tg with the food supplement, compared with both the baseline, and the placebo. There was a reduction of Hs-CRP with the food supplement containing α-lipoic acid, both compared with the baseline and the placebo. An increase of SOD, and GSH-Px, and a decrease of MDA were reached by the food supplement containing α-lipoic acid, both compared with the baseline and the placebo. We can conclude that the food supplement containing α-lipoic acid, -carnosin, zinc, and vitamins of group B improved glycemic control, lipid profile, and anti-oxidative stress markers.

摘要

本研究的目的是评估一种含α-硫辛酸的食品补充剂和一种安慰剂对2型糖尿病患者糖代谢控制及氧化应激标志物的影响。我们将105名糖尿病患者随机分为两组,一组服用含600毫克α-硫辛酸、165毫克肌肽、7.5毫克锌和B族维生素的补充剂,另一组服用安慰剂,为期三个月。我们评估了体重指数、空腹血糖(FPG)、餐后血糖(PPG)、糖化血红蛋白(HbA)、空腹血浆胰岛素(FPI)、HOMA指数(HOMA-IR)、血脂谱、高敏C反应蛋白(Hs-CRP)、超氧化物歧化酶(SOD)、谷胱甘肽过氧化物酶(GSH-Px)、丙二醛(MDA)。与基线和安慰剂相比,含α-硫辛酸的食品补充剂使FPG、PPG和HbA降低。关于血脂谱,与基线和安慰剂相比,我们观察到该食品补充剂使低密度脂蛋白胆固醇(LDL-C)和甘油三酯(Tg)降低。与基线和安慰剂相比,含α-硫辛酸的食品补充剂使Hs-CRP降低。与基线和安慰剂相比,含α-硫辛酸的食品补充剂使SOD和GSH-Px升高,MDA降低。我们可以得出结论,含α-硫辛酸、肌肽、锌和B族维生素的食品补充剂改善了血糖控制、血脂谱和抗氧化应激标志物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c26a/5133803/ec59176a3781/ijms-17-01802-g001.jpg

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