与安慰剂相比,阿喀琉叶胶囊改善了2型糖尿病患者的肝酶和脂质特征:一项双盲随机临床试验。

IF 2.2 Q3 NUTRITION & DIETETICS BMC Nutrition Pub Date : 2025-01-24 DOI:10.1186/s40795-025-01005-5
Shole Daneshvar-Ghahfarokhi, Hassan Ahmadinia, Tabandeh Sadeghi, Elham Basirat, Vahid Mohammadi-Shahrokhi
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引用次数: 0

摘要

背景:千叶阿喀琉叶(Achillea Millefolium, AM)在调节血脂和肝酶方面的治疗作用已被研究证实。考虑到糖尿病患者血脂异常、肝酶升高,本研究探讨AM对2型糖尿病(T2D)患者血脂及血清肝酶水平的影响。方法:在为期90天的双盲临床试验中,选取60例符合条件的糖尿病患者,分为干预组和对照组(每组30例)。干预组给予AM胶囊(剂量500 mg/天),疗程3个月,对照组同期给予安慰剂胶囊。分别于第0天和第90天采血。在基线和第90天测量患者的血清肝酶水平和脂质谱。分析和比较两对照组和治疗组之间以及每组内的所得值。结果:口服AM可显著降低丙氨酸转氨酶(ALT);从28.79±10.99降至24.41±6.84,p = 0.017)和天冬氨酸转氨酶(AST;从24.28±7.91到18.76±6.77,p = 0.007)。显著降低血脂水平,如甘油三酯(TG;从161.7±77.18降至147.3±66.79,p = 0.045),低密度脂蛋白(LDL;从98.90±35.67降至80.86±32.10,p = 0.001),总胆固醇(TC;AM组从168.3±47.46上升至150.1±38.77,p = 0.006)。由此可见,干预后两组除HDL外各变量均值均有显著性差异(P)。结论:研究表明,T2D患者给予500mg /d AM胶囊治疗3个月后,肝酶降低,血脂调节。试验注册:伊朗临床试验注册中心IRCT20230612058459N1注册日期:2023-06-24。
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Achillea millefolium capsule improved liver enzymes and lipid profile compared to placebo in patients with type 2 diabetes: a double-blind randomized clinical trial.

Background: The therapeutic properties of Achillea Millefolium (AM) in regulating blood lipids and liver enzymes have been proven in studies. Considering the abnormal lipid levels and elevated liver enzymes in diabetic patients, this study was conducted to investigate the effect of AM on the lipid profile and serum level of liver enzymes in type 2 diabetic (T2D) patients.

Methods: In this 90-day double-blind clinical trial study, 60 eligible diabetic patients were enrolled and divided into intervention and control (each 30 patients) groups. The intervention group received AM capsules (dose of 500 mg/day) for 3 months, and the control group received placebo capsules during the same period. Blood was taken from patients on day 0 and day 90. The serum levels of liver enzymes and lipid profiles of patients were measured at baseline and on day 90. The obtained values were analyzed and compared between two control and treatment groups and within each group.

Results: AM oral supplementation caused a significant decrease in alanine aminotransferases (ALT; from 28.79 ± 10.99 to 24.41 ± 6.84, p = 0.017) and aspartate aminotransferases (AST; from 24.28 ± 7.91 to 18.76 ± 6.77, p = 0.007). A significant reduction in the levels of serum lipids such as triglyceride (TG; from 161.7 ± 77.18 to 147.3 ± 66.79, p = 0.045), low-density lipoprotein (LDL; from 98.90 ± 35.67 to 80.86 ± 32.10, p = 0.001), and total cholesterol (TC; from 168.3 ± 47.46 to 150.1 ± 38.77, p = 0.006) was noted in AM group. According to these results, after the intervention, the mean of all variables (except HDL) in the two groups had a significant difference (P < 0.05).

Conclusion: The study showed that the 3-month treatment of T2D patients with 500 mg/day AM capsules led to the reduction of liver enzymes and the regulation of blood lipids in them.

Trial registration: Iranian Registry of Clinical Trials IRCT20230612058459N1 Registered on 2023-06-24.

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来源期刊
BMC Nutrition
BMC Nutrition Medicine-Public Health, Environmental and Occupational Health
CiteScore
2.80
自引率
0.00%
发文量
131
审稿时长
15 weeks
期刊最新文献
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