The effects of Taurine supplementation on inflammatory markers and clinical outcomes in patients with traumatic brain injury: a double-blind randomized controlled trial.

IF 3.8 2区 医学 Q1 NUTRITION & DIETETICS Nutrition Journal Pub Date : 2021-06-08 DOI:10.1186/s12937-021-00712-6
Mahsa Vahdat, Seyed Ahmad Hosseini, Farhad Soltani, Bahman Cheraghian, Masih Namjoonia
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引用次数: 6

Abstract

Background: Traumatic brain injury is a public health concern and is the main cause of death among various types of trauma. The inflammatory conditions due to TBI are associated with unfavorable clinical outcomes. Taurine has been reported to have immune-modulatory effects. Thus, the aim of this study was to survey the effect of taurine supplementation in TBI patients.

Methods: In this study, 32 patients with TBI were randomized into two groups. The treatment group received 30 mg/kg/day of taurine in addition to the Standard Entera Meal and the control group received Standard Entera Meal for 14 days. Prior to and following the intervention, the patients were investigated in terms of serum levels of IL-6, IL-10, hs-CRP and TNF-α as well as APACHEII, SOFA and NUTRIC scores, Glasgow coma scale and weight. In addition, the length of Intensive Care Unit stay, days of dependence on ventilator and 30-day mortality were studied. SPSS software (version 13.0) was used for data analysis.

Results: Taurine significantly decreased the serum levels of IL-6 (p = 0.04) and marginally APACHEII score (p = 0.05). In addition, weight loss was significantly lower in taurine group (p = 0.03). Furthermore, taurine significantly increased the GCS (p = 0.03). The groups were not different significantly in terms of levels of IL-10, hs-CRP, and TNF-α, SOFA and NUTRIC scores, 30-day mortality, length of ICU stay and days of dependence on ventilator.

Conclusion: According to the results of the present study, taurine supplementation can reduce the IL-6 levels as one of the important inflammatory markers in these patients; and enhances the clinical outcomes too.

Trial registration: IRCT, IRCT20180514039657N1 . Registered 22 June 2018.

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补充牛磺酸对创伤性脑损伤患者炎症标志物和临床结果的影响:一项双盲随机对照试验。
背景:外伤性脑损伤是一个公共卫生问题,是各种类型创伤中导致死亡的主要原因。创伤性脑损伤引起的炎症与不利的临床结果相关。牛磺酸有免疫调节作用的报道。因此,本研究的目的是调查补充牛磺酸对TBI患者的影响。方法:本研究将32例TBI患者随机分为两组。治疗组在标准肠粉基础上添加30 mg/kg/d牛磺酸,对照组连续14 d。在干预前后对患者进行血清IL-6、IL-10、hs-CRP、TNF-α水平以及APACHEII、SOFA、NUTRIC评分、格拉斯哥昏迷评分和体重的调查。此外,还研究了重症监护病房的住院时间、呼吸机依赖天数和30天死亡率。采用SPSS软件(13.0版)进行数据分析。结果:牛磺酸显著降低血清IL-6水平(p = 0.04)和APACHEII评分(p = 0.05)。此外,牛磺酸组的体重减轻显著低于对照组(p = 0.03)。此外,牛磺酸显著提高GCS (p = 0.03)。两组患者IL-10、hs-CRP、TNF-α水平、SOFA、NUTRIC评分、30天死亡率、ICU住院时间、呼吸机依赖天数均无显著差异。结论:根据本研究结果,补充牛磺酸可以降低IL-6水平,IL-6是这些患者重要的炎症标志物之一;也提高了临床效果。试验注册:IRCT, IRCT20180514039657N1。2018年6月22日注册。
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来源期刊
Nutrition Journal
Nutrition Journal NUTRITION & DIETETICS-
CiteScore
9.80
自引率
0.00%
发文量
68
审稿时长
4-8 weeks
期刊介绍: Nutrition Journal publishes surveillance, epidemiologic, and intervention research that sheds light on i) influences (e.g., familial, environmental) on eating patterns; ii) associations between eating patterns and health, and iii) strategies to improve eating patterns among populations. The journal also welcomes manuscripts reporting on the psychometric properties (e.g., validity, reliability) and feasibility of methods (e.g., for assessing dietary intake) for human nutrition research. In addition, study protocols for controlled trials and cohort studies, with an emphasis on methods for assessing dietary exposures and outcomes as well as intervention components, will be considered. Manuscripts that consider eating patterns holistically, as opposed to solely reductionist approaches that focus on specific dietary components in isolation, are encouraged. Also encouraged are papers that take a holistic or systems perspective in attempting to understand possible compensatory and differential effects of nutrition interventions. The journal does not consider animal studies. In addition to the influence of eating patterns for human health, we also invite research providing insights into the environmental sustainability of dietary practices. Again, a holistic perspective is encouraged, for example, through the consideration of how eating patterns might maximize both human and planetary health.
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