Utjecaj obrazaca ishrane na inflamatorne biomarkere kod odraslih sa dijabetesom melitusom tipa 2: Sistematski pregled i meta-analiza randomiziranih kontroliranih ispitivanja.
Nutrients
Sažetak istraživanja
Neki dokazi potvrđuju činjenicu da kronična upala niskog stupnja doprinosi fiziopatologiji dijabetes melitusa tipa 2 (T2DM), a cirkulirajući markeri upale (npr. C-reaktivni protein (CRP), pro- i antiinflamatorni biomarkeri (npr. adiponektin) i markeri koji označavaju određeni način ishrane i funkcije endotela mogu ukazivati na praćenje određenih dijeta. (DP) mogu dovesti do povoljnih promjena u biomarkerima upale. Sveobuhvatni cilj ovog sistematskog pregleda i meta-analize je da se istraži upalni učinak zdravih DP-a na inflamatorne biomarkere kod odraslih sa T2DM Kontrolirana klinička ispitivanja (RCT) su analizirana u našoj linearnoj meta-analizi, model nasumičnih efekata je primijenjen za procjenu standardiziranih srednjih razlika (SMD) kako bi se povezao učinak intervencija Dietary Approaches to Stop Hypertension (DASH), Diabetes UK Health eating, Mediterranean UK Diet (American Diet Association) (MD). Dijeta sa terapijskim promjenama životnog stila bila je povezana sa značajnim smanjenjem CRP-a (SMD: -0,83, 99% CI -1,49, -0,17, p < 0,001; I2 94%), dok su nivoi adiponektina u plazmi bili značajno viši s unosom MD, DPP i dijabetičara (SD1% CI09 UK zdrav. 0,06,1,56, p < 0,005, od kojih oba ukazuju na manju upalu, ispitana je potencijalna pristrasnost iz RCT-a.
Prikaži originalni naslov i sažetak na engleskom
The Effect of Dietary Patterns on Inflammatory Biomarkers in Adults with Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.
Some evidence supports the fact that chronic low-grade inflammation contributes to the physiopathology of type 2 diabetes mellitus (T2DM), and circulating markers of inflammation (e.g., C-reactive protein (CRP), pro- and anti-inflammatory biomarkers (e.g., adiponectin), and endothelial function markers could indicate an ongoing pathology. Following certain dietary patterns (DPs) may result in favorable changes in inflammatory biomarkers. The overarching aim of this systematic review and meta-analysis is to explore the inflammatory effect of healthy DPs on inflammatory biomarkers in adults with T2DM. A systematic search of the literature was conducted using the electronic databases MEDLINE, SCOPUS, and Cochrane Central Register of Controlled Trials. A total of 10 randomized controlled clinical trials (RCTs) were analyzed. In our linear meta-analysis, the random-effects model was applied to estimate standardized mean differences (SMD) to associate the effect of the interventions. Dietary Approaches to Stop Hypertension (DASH), Diabetes UK healthy eating, Mediterranean Diet (MD), Diabetes Prevention Program (DPP), and the American Heart Association’s Therapeutic Lifestyle Changes diet were associated with a significant reduction in CRP (SMD: −0.83, 99% CI −1.49, −0.17, p < 0.001; I2 94%), while plasma levels of adiponectin were significantly higher with the intake of MD, DPP, and Diabetes UK healthy eating (SMD: 0.81, 99% CI 0.06,1.56, p < 0.005; I2 96%), both of which indicate less inflammation. Sensitivity analyses were carried out, and potential publication bias was examined. In conclusion, low- moderate-quality evidence from RCTs suggests that, for the DPs evaluated, there are favorable changes in CRP and adiponectin.
Izvorni podaci
- DOI
- 10.3390/nu14214577
- PMID
- 36364839
- PMCID
- PMC9654560
- Provjereno
- 2026-07-26
Naslov i sažetak prevedeni su automatski i prijevod može sadržavati netačnosti ili neprecizne stručne izraze. Za sve detalje, citiranje i medicinsko tumačenje pregledajte originalnu englesku verziju članka. Ne donosite zdravstvene odluke samo na osnovu ovog prijevoda.
Pregledaj originalni članak na engleskom