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姜黄素对 2 型糖尿病肥胖患者降低动脉粥样硬化风险的影响:一项随机对照试验。

The Effect of Curcumin on Reducing Atherogenic Risks in Obese Patients with Type 2 Diabetes: A Randomized Controlled Trial.

机构信息

Department of Pharmacology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand.

Siriraj Center of Research Excellence for Precision Medicine and Systems Pharmacology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand.

出版信息

Nutrients. 2024 Jul 26;16(15):2441. doi: 10.3390/nu16152441.

Abstract

Curcumin, derived from turmeric root, exhibits notable anti-inflammatory effects. These anti-inflammatory properties might also provide advantages in reducing cardiovascular complications, such as atherosclerosis. This study aimed to evaluate the efficacy of curcumin in reducing the risk of atherogenesis in obese patients with type 2 diabetes. The study employed a randomized, double-blind, placebo-controlled trial design with 227 participants diagnosed with type 2 diabetes. The parameters used to assess atherogenic risk reduction included pulse wave velocity and metabolic profiles, including low-density lipoprotein cholesterol and small dense low-density lipoprotein cholesterol. Measurements were recorded at baseline and at 3-, 6-, 9-, and 12-month intervals. After 12 months, participants receiving curcumin exhibited a significant reduction in pulse wave velocity ( < 0.001). This group showed significantly reduced levels of cardiometabolic risk biomarkers, including low-density lipoprotein cholesterol and small dense low-density lipoprotein cholesterol, all with values less than 0.001. High-sensitivity C-reactive protein, interleukin-1 beta, interleukin-6, and tumor necrosis factor-alpha were also significantly lower in the curcumin group, with values less than 0.001. The curcumin intervention significantly reduced pulse wave velocity and improved cardiometabolic risk profiles. These findings suggest that curcumin treatment may effectively reduce atherogenic risks in type 2 diabetes patients with obesity.

摘要

姜黄素源自姜黄根,具有显著的抗炎作用。这些抗炎特性可能在减少心血管并发症方面也具有优势,如动脉粥样硬化。本研究旨在评估姜黄素在降低肥胖 2 型糖尿病患者动脉粥样硬化风险方面的疗效。该研究采用了随机、双盲、安慰剂对照试验设计,共有 227 名 2 型糖尿病患者参与。评估动脉粥样硬化风险降低的参数包括脉搏波速度和代谢谱,包括低密度脂蛋白胆固醇和小而密的低密度脂蛋白胆固醇。在基线和 3、6、9 和 12 个月时记录测量值。在 12 个月后,接受姜黄素治疗的患者脉搏波速度显著降低(<0.001)。该组的心血管代谢风险生物标志物水平显著降低,包括低密度脂蛋白胆固醇和小而密的低密度脂蛋白胆固醇,所有 值均小于 0.001。姜黄素组的高敏 C 反应蛋白、白细胞介素-1β、白细胞介素-6 和肿瘤坏死因子-α也显著降低, 值均小于 0.001。姜黄素干预显著降低了脉搏波速度,改善了心血管代谢风险谱。这些发现表明,姜黄素治疗可能有效降低肥胖 2 型糖尿病患者的动脉粥样硬化风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/361a/11314193/fcebcc6f1816/nutrients-16-02441-g001a.jpg

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