白藜芦醇对代谢综合征特征的影响:系统回顾和元分析

Gislaine C. Batista-Jorge, Antônio S. Barcala-Jorge, Deborah F. Lelis, Daniel E. Santos, Antônio H. Jorge, Renato S. Monteiro-Junior, Sérgio H. S. Santos
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引用次数: 0

摘要

白藜芦醇是一种天然多酚,具有重要的抗炎和抗氧化作用,可用于治疗心脏代谢疾病。因此,本荟萃分析旨在回顾和研究口服白藜芦醇补充剂对代谢综合征(MetS)成分的影响。文献检索于 2023 年在以下数据库中进行:PubMed、Web of Science 和 Scopus。纳入了调查口服白藜芦醇对代谢综合征参数影响的研究。统计分析使用 RevMan 软件 V.5.3 进行。主要结果显示,白藜芦醇能显著降低收缩压和舒张压,而对腰围和高密度脂蛋白水平没有明显影响。此外,在报告与基线平均值相比变化的研究子组中,血糖水平明显下降,但总体效果无统计学意义(p = 0.81),而甘油三酯水平在治疗期后有所上升。总之,本荟萃分析证明了白藜芦醇对改善某些 MetS 特征的潜在治疗效果,尤其是在收缩压、舒张压和血糖降低方面;然而,研究结果仍不尽相同,有时还存在争议,其原因可能是研究的方法学和统计学异质性,后者从 17% 到 57% 不等。
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Resveratrol Effects on Metabolic Syndrome Features: A Systematic Review and Meta-Analysis
Resveratrol is a natural polyphenol with important anti-inflammatory and antioxidant properties for treating cardiometabolic disorders. Therefore, the present meta-analysis aimed to review and investigate the oral resveratrol supplementation effects on metabolic syndrome (MetS) components. The bibliographic search was carried out in 2023 in the following databases: PubMed, Web of Science, and Scopus. Studies that investigated the oral resveratrol effects on the MetS parameters were included. Statistical analyses were performed using RevMan Software V.5.3. The main findings showed that resveratrol significantly decreased systolic and diastolic blood pressure while having no significant effects on waist circumference and high-density lipoprotein levels. In addition, glucose level was significantly decreased in the subgroup of studies reporting change from baseline means, although the overall effect was not statistically significant (p = 0.81), while triglyceride levels were increased after the treatment period. In conclusion, the present meta-analysis evidenced the potential therapeutic effect of resveratrol on improving some MetS features, especially regarding systolic blood pressure, diastolic blood pressure, and glucose reduction; however, the results are still borderline and sometimes controversial, which might be justified by the methodological and statistical heterogeneity of the studies, with the latter varying from 17 to 57%.
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