Jaboticaba 果皮可改善餐后血糖和炎症反应:代谢综合征成人随机对照试验

IF 3.4 3区 医学 Q2 NUTRITION & DIETETICS Nutrition Research Pub Date : 2024-02-28 DOI:10.1016/j.nutres.2024.02.008
Marina Vilar Geraldi , Ágatta Caroline de Souza , Marina Maintinguer Norde , Paulo Roberto Berni , Lívia Mateus Reguengo , Bruno Geloneze , Mario Roberto Marostica
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引用次数: 0

摘要

通过膳食调节葡萄糖代谢已被公认为是预防心脏代谢疾病的一种最可持续的方法。尽管在临床前模型中,从刺果树(Plinia jaboticaba)果皮中提取的纤维和酚类化合物已证明可改善代谢途径,但它们在临床试验中的有益效果仍有待全面确定。本研究旨在评估在代谢综合征(MetS)患者中补充沙棘果皮粉(JP)与安慰剂相比对糖代谢的影响。该研究进行了一项单盲、平行、随机、安慰剂对照试验,共有 49 名 MetS 患者参与。参与者被分配接受 JP 补充剂(15 克/天)或匹配的安慰剂。在第 0 周和第 5 周对人体测量、身体成分、血压、代谢和炎症参数以及混合餐耐受性测试进行了评估。每天摄入 JP 可改善葡萄糖曲线下面积(P = .025)和白细胞介素-6(IL-6)(P = .045)。在血压、体重、身体成分、脂质代谢、胰高血糖素样肽-1、炎症细胞因子(肿瘤坏死因子-α、IL-1β)、C-反应蛋白以及胰岛素敏感性和抵抗力指数方面,均未观察到明显的时间×治疗效果。补充 JP 可减少葡萄糖和促炎细胞因子 IL-6 的曲线下面积,可能是控制 MetS 疾病的一种有前途的方法。本研究已在巴西临床试验注册中心注册(RBR-8wwq9t)。
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Jaboticaba peel improves postprandial glucose and inflammation: A randomized controlled trial in adults with metabolic syndrome

The modulation of glucose metabolism through dietary sources has been recognized as 1 of the most sustainable approaches for preventing of cardiometabolic diseases. Although fibers and phenolic compounds derived from jaboticaba (Plinia jaboticaba) peel have demonstrated improvements in metabolic pathways in preclinical models, their beneficial effects in clinical trials remain to be fully determined. This study aimed to assess the impact of jaboticaba peel (JP) powder supplementation on glucose metabolism compared with a placebo in individuals with metabolic syndrome (MetS). A single-blind, parallel, randomized, placebo-controlled trial involving 49 individuals with MetS was conducted. Participants were assigned to receive either a JP supplement (15 g/day) or a matched placebo. Anthropometry measurements, body composition, blood pressure, metabolic and inflammatory parameters, and a mixed-meal tolerance test were assessed at weeks 0 and 5. Daily intake of JP improved the area under the curve of glucose (P = .025) and the interleukin-6 (IL-6) (P = .045). No significant time × treatment effects were observed for blood pressure, body weight, body composition, lipid metabolism, glucagon-like peptide-1, inflammatory cytokines (tumor necrosis factor-α, IL-1β), C-reactive protein, and insulin sensitivity and resistance indexes. JP supplementation may be a promising approach for managing MetS disorders, potentially by reducing the area under the curve for glucose and the proinflammatory cytokine IL-6. This research is registered at the Brazilian Registry of Clinical Trials (RBR-8wwq9t).

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来源期刊
Nutrition Research
Nutrition Research 医学-营养学
CiteScore
7.60
自引率
2.20%
发文量
107
审稿时长
58 days
期刊介绍: Nutrition Research publishes original research articles, communications, and reviews on basic and applied nutrition. The mission of Nutrition Research is to serve as the journal for global communication of nutrition and life sciences research on diet and health. The field of nutrition sciences includes, but is not limited to, the study of nutrients during growth, reproduction, aging, health, and disease. Articles covering basic and applied research on all aspects of nutrition sciences are encouraged, including: nutritional biochemistry and metabolism; metabolomics, nutrient gene interactions; nutrient requirements for health; nutrition and disease; digestion and absorption; nutritional anthropology; epidemiology; the influence of socioeconomic and cultural factors on nutrition of the individual and the community; the impact of nutrient intake on disease response and behavior; the consequences of nutritional deficiency on growth and development, endocrine and nervous systems, and immunity; nutrition and gut microbiota; food intolerance and allergy; nutrient drug interactions; nutrition and aging; nutrition and cancer; obesity; diabetes; and intervention programs.
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