Effects of Diacylglycerol Oil on Overweight or Obese Patients with Diabetes or Prediabetes: a Single-Arm Trial.

IF 3 3区 医学 Q3 ENDOCRINOLOGY & METABOLISM Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy Pub Date : 2025-04-03 eCollection Date: 2025-01-01 DOI:10.2147/DMSO.S491740
Biying Zhong, Yining Ding, Bingxin Wu, Guiyu Li, Jinhai Lin, Luoqi Lin, Miaoyang Lin, Zhiwei Huang, Yonghua Wang, Danping Xu
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Abstract

Objective: The annual incidence of overweight or obesity and abnormally elevated blood glucose levels in China is increasing. According to research, diacylglycerol oil offers effective lipid-lowering and weight-loss properties. This study aimed to elucidate the effects of diacylglycerol oil on overweight and obese patients with unusually high blood glucose levels.

Methods: This is a single-arm trial. A total of 75 overweight or obese subjects with abnormally elevated blood glucose levels were included in this study. Subjects were requested to use diacylglycerol oil to cook food daily for two months and to maintain their daily eating habits and drug treatment regimen. Study-related parameters were assessed, respectively, during the screening period, one month, and two months following DAG oil consumed.

Results: Fasting blood glucose (FBG), body weight, body mass index (BMI), waist circumference, and hip circumference decreased compared with baseline after consuming diacylglycerol oil for two months. FBG and glycosylated hemoglobin (HbAlc) levels decreased in prediabetic subjects (FBG decreased at visit 2 months: -0.31 mmol/l; at visit 1 month: -0.28 mmol/l; HbAlc decreased at visit 2: -0.10%; P < 0.05), but there were no significant difference changes in diabetic subjects. In diabetic participants, triglyceride (TAG) levels reduced by 0.17 mmol/l, whereas in prediabetic subjects, total cholesterol (TC) and low-density lipoprotein cholesterol (LDL-C) levels decreased by 0.27 mmol/l and 0.28 mmol/l, respectively (P < 0.05). There were no significant differences in the changes in high-density lipoprotein cholesterol (HDL-C) and uric acid (UA) between two groups. Compared to baseline, diabetic participants' body weight, BMI, and waist-to-hip ratio (WHR) dropped by 0.54 kg, 0.20, and 0.01 kg, respectively (P < 0.05). And prediabetic participants' BMI, waist circumference, and hip circumference dropped by 0.43, 1.43, and 1.53 cm, respectively (P < 0.05).

Conclusion: Diacylglycerol oil may help to prevent diabetes and delays its progression in overweight or obese patients.

Clinical trial registry: ChiCTR2000028888 at www.chictr.org.cn.

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二酰基甘油油对超重或肥胖糖尿病或前驱糖尿病患者的影响:单组试验
目的:中国每年超重或肥胖和血糖异常升高的发生率正在上升。根据研究,二酰基甘油油具有有效的降脂和减肥特性。本研究旨在阐明二酰基甘油油对超重和肥胖患者异常高血糖水平的影响。方法:这是一个单臂试验。本研究共纳入75名超重或肥胖且血糖水平异常升高的受试者。受试者被要求连续两个月每天使用二酰基甘油油烹调食物,并保持其日常饮食习惯和药物治疗方案。研究相关参数分别在筛选期间、服用DAG油后1个月和2个月进行评估。结果:食用二酰基甘油油两个月后,空腹血糖(FBG)、体重、体重指数(BMI)、腰围和臀围较基线下降。糖尿病前期受试者的FBG和糖化血红蛋白(HbAlc)水平下降(FBG在访问2个月时下降:-0.31 mmol/l;就诊1个月时:-0.28 mmol/l;就诊2时HbAlc下降:-0.10%;P < 0.05),而糖尿病组差异无统计学意义。在糖尿病参与者中,甘油三酯(TAG)水平降低了0.17 mmol/l,而在糖尿病前期受试者中,总胆固醇(TC)和低密度脂蛋白胆固醇(LDL-C)水平分别降低了0.27 mmol/l和0.28 mmol/l (P < 0.05)。两组患者高密度脂蛋白胆固醇(HDL-C)和尿酸(UA)变化无显著差异。与基线相比,糖尿病参与者的体重、BMI和腰臀比(WHR)分别下降了0.54 kg、0.20 kg和0.01 kg (P < 0.05)。糖尿病前期受试者的BMI、腰围和臀围分别下降了0.43、1.43和1.53 cm (P < 0.05)。结论:二酰基甘油油可能有助于预防糖尿病并延缓超重或肥胖患者的进展。临床试验注册:ChiCTR2000028888网址:www.chictr.org.cn。
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来源期刊
Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy
Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy Pharmacology, Toxicology and Pharmaceutics-Pharmacology
CiteScore
5.90
自引率
6.10%
发文量
431
审稿时长
16 weeks
期刊介绍: An international, peer-reviewed, open access, online journal. The journal is committed to the rapid publication of the latest laboratory and clinical findings in the fields of diabetes, metabolic syndrome and obesity research. Original research, review, case reports, hypothesis formation, expert opinion and commentaries are all considered for publication.
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