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姜黄素在儿科患者中的补充:当前临床证据的系统评价。

Curcumin supplementation in pediatric patients: A systematic review of current clinical evidence.

机构信息

Department of Clinical Pharmacy, Faculty of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran.

Department of Clinical Pharmacy, Faculty of Pharmacy, Alborz University of Medical Sciences, Alborz, Iran.

出版信息

Phytother Res. 2022 Apr;36(4):1442-1458. doi: 10.1002/ptr.7350. Epub 2021 Dec 14.

Abstract

This systematic review was designed to determine the clinical efficacy and safety of curcumin supplementation for pediatric patients based on clinical trials in children. We systematically searched electronic databases including PubMed, EMBASE, Web of Science, and Scopus for all studies that investigated curcumin administration in the pediatric population without any time frame limitation. Finally, we identified 16 studies for this review. Clinical efficacy and safety of curcumin were assessed in children with inflammatory and immune disorders (including asthma, inflammatory bowel disease (IBD), and juvenile idiopathic arthritis (JIA)), metabolic disorders, autosomal dominant polycystic kidney disease (ADPKD), cystic fibrosis (CF), tetralogy of Fallot (TOF), and infectious diseases. Curcumin was administered in a wide range of doses (45 mg-4,000 mg daily) and durations (2-48 weeks). Overall, curcumin was well tolerated in all studies and improved the severity of inflammatory and immune disorders and metabolic diseases. However, more studies are needed to clarify the role of curcumin supplementation among children with ADPKD, CF, TOF, and infectious diseases. Because of substantial heterogeneity in methodological quality, design, outcomes, dose, duration of intake, formulations, and study populations across studies, no quantitative analysis was performed. Additional large-scale, randomized, placebo-controlled clinical trials are needed to confirm the results of the conducted studies.

摘要

本系统评价旨在根据儿童临床试验确定姜黄素补充剂对儿科患者的临床疗效和安全性。我们系统地检索了电子数据库,包括 PubMed、EMBASE、Web of Science 和 Scopus,以查找所有研究,这些研究均调查了儿童中姜黄素的给药情况,没有任何时间限制。最终,我们确定了 16 项研究进行综述。姜黄素在炎症和免疫性疾病(包括哮喘、炎症性肠病(IBD)和青少年特发性关节炎(JIA))、代谢紊乱、常染色体显性多囊肾病(ADPKD)、囊性纤维化(CF)、法洛四联症(TOF)和传染病的儿科患者中的临床疗效和安全性得到了评估。姜黄素的给药剂量范围很广(45mg-4000mg/天),持续时间也不同(2-48 周)。总体而言,所有研究均表明姜黄素耐受性良好,可改善炎症和免疫性疾病以及代谢性疾病的严重程度。然而,需要更多的研究来阐明姜黄素补充剂在 ADPKD、CF、TOF 和传染病患儿中的作用。由于研究之间在方法学质量、设计、结局、剂量、摄入持续时间、制剂和研究人群方面存在很大的异质性,因此未进行定量分析。需要进行更多的大规模、随机、安慰剂对照临床试验来验证进行的研究的结果。

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