低晚期糖基化终末产物饮食可改善部分代谢指标 | 热心肠日报
低晚期糖基化终末产物饮食对代谢风险因素的影响：对随机对照试验的系统性综述与荟萃分析
10.1093/advances/nmaa150/6012826
11-30, Article
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Several randomized clinical trials have investigated the effect of dietary advanced glycation end products (AGEs) on metabolic syndrome risk factors in adults. However, the results of these studies were conflicting. Therefore, our aim was to assess the effect of dietary AGEs on metabolic syndrome risk factors. We searched the PubMed-MEDLINE, Scopus, Cochrane Databases, Google Scholar, Web of Science, and Embase databases for papers published up to October 2019 that investigated the effect of dietary AGEs on metabolic syndrome risk factors. From the eligible trials, 13 articles were selected for inclusion in this systematic review and meta-analysis. The meta-analysis was performed using a random-effects model. Heterogeneity was determined by I2 statistics and Cochrane Q test. Pooled results from the random-effects model showed a significant reduction for insulin resistance [weighted mean difference (WMD): −1.204; 95% CI: −2.057, −0.358; P = 0.006], fasting insulin (WMD: −5.472 μU/mL; 95% CI: −9.718, −1.234 μU/mL; P = 0.011), total cholesterol (WMD: −5.486 mg/dL; 95% CI: −10.222, −0.747 mg/dL; P = 0.023), and LDL (WMD: −6.263 mg/dL; 95% CI: −11.659, −0.866 mg/dL; P = 0.023) in the low-AGEs groups compared with the high-AGEs groups. There were no changes in the other components of the metabolic syndrome. The results of this review suggest that a diet with a low AGEs content has beneficial effects on insulin resistance, fasting insulin, total cholesterol, and LDL. Moreover, following a diet low in AGEs may be a helpful strategy to decrease the burden of metabolic syndrome risk factors in adults and particularly in patients with diabetes.
First Authors:
Mohammad Hasan Sohouli,Somaye Fatahi
Correspondence Authors:
Farzad Shidfar
All Authors:
Mohammad Hasan Sohouli,Somaye Fatahi,Elham Sharifi-Zahabi,Heitor O Santos,Nishant Tripathi,Abolfazl Lari,Behnaz Pourrajab,Hamed Kord-Varkaneh,Mihnea-Alexandru Găman,Farzad Shidfar