补充欧米伽-3 脂肪酸对血液透析患者肌肉质量、脂肪质量和内脏脂肪的影响;随机临床试验。

Q3 Pharmacology, Toxicology and Pharmaceutics
Saheb Abbas Torki, Zahra Roumi, Atefeh Tahavorgar, Zahra Salimi, Saeideh Mohammadi, Soheila Shekari, Zahra Saeedirad, Arezoo Amjadi, Pouya Mirzaee, Hanieh Shafaei, Bojlul Bahar, Fatemeh Mofidi, Masoud Khosravi, Saeid Doaei, Maryam Gholamalizadeh
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引用次数: 0

摘要

目的:多项研究表明,慢性肾脏病(CKD)患者补充ω-3脂肪酸有益。本研究旨在探讨补充欧米伽-3 脂肪酸对身体组成的影响,特别是对血液透析患者瘦体重和脂肪量的影响:在这项随机、双盲、安慰剂对照临床试验中,共有 120 名终末期肾病(ESRD)患者被随机分配到两组。干预组每天服用 3 克欧米伽-3 脂肪酸,而安慰剂组则服用 3 克中链甘油三酯(MCT)作为安慰剂,共服用 2 个月。在基线和干预后,对体重指数(BMI)和身体成分(脂肪量、肌肉和内脏脂肪)的变化进行了评估:结果:干预后,干预组的体重指数、脂肪、肌肉和内脏脂肪的平均值与对照组相比无明显差异。在补充ω-3脂肪酸两个月后,研究发现补充ω-3脂肪酸对身体成分的各种指数没有明显的统计学影响。补充ω-3对减少内脏脂肪的影响接近显著(p=0.08):本研究表明,除了对内脏脂肪有部分影响外,目前还没有足够的证据支持补充ω-3脂肪酸对改善慢性肾脏病患者人体测量指标的效果。需要进一步开展大规模的长期临床试验来证实本研究结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect of omega-3 fatty acids supplementation on muscle mass, fat mass, and visceral fat of hemodialysis patients; A randomized clinical trial.

Objectives: Several studies demonstrated the benefits of omega-3 fatty acids supplementation in chronic kidney disease (CKD) patients. The objective of this study was to investigate the effect of omega-3 fatty acids supplementation in body composition, specifically on the lean body mass and fat mass in hemodialysis patients.

Methods: In this randomized, double-blind, placebo-controlled clinical trial, a total of 120 end-stage renal disease (ESRD) patients were randomly allocated into two groups. The intervention group has taken three grams of omega-3 fatty acids daily while the placebo group received three grams of medium chain triglycerides (MCT) as a placebo for a total of 2 months. The changes in the body mass index (BMI) and body composition (fat mass, muscle, and visceral fat) were assessed at baseline and following the intervention.

Results: No significant difference was found in the mean of BMI, FAT, muscle, and visceral fat in the intervention group compared to the control group after the intervention. After two months of omega-3 fatty acid supplementation, the study found no statistically significant impact of omega-3 fatty acids supplementation on various indices of body composition. The effect of ω-3 supplementation in reducing visceral fat was close to significant (p=0.08).

Conclusions: This study suggests that there is currently inadequate evidence to support the effect of omega-3 fatty acid supplementation in improving anthropometric measurements in patients with CKD, except a partial effect on visceral fat. Further large-scale and long-term clinical trials are needed to confirm the present results.

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来源期刊
Journal of Basic and Clinical Physiology and Pharmacology
Journal of Basic and Clinical Physiology and Pharmacology Pharmacology, Toxicology and Pharmaceutics-Pharmacology
CiteScore
3.90
自引率
0.00%
发文量
53
期刊介绍: The Journal of Basic and Clinical Physiology and Pharmacology (JBCPP) is a peer-reviewed bi-monthly published journal in experimental medicine. JBCPP publishes novel research in the physiological and pharmacological sciences, including brain research; cardiovascular-pulmonary interactions; exercise; thermal control; haematology; immune response; inflammation; metabolism; oxidative stress; and phytotherapy. As the borders between physiology, pharmacology and biochemistry become increasingly blurred, we also welcome papers using cutting-edge techniques in cellular and/or molecular biology to link descriptive or behavioral studies with cellular and molecular mechanisms underlying the integrative processes. Topics: Behavior and Neuroprotection, Reproduction, Genotoxicity and Cytotoxicity, Vascular Conditions, Cardiovascular Function, Cardiovascular-Pulmonary Interactions, Oxidative Stress, Metabolism, Immune Response, Hematological Profile, Inflammation, Infection, Phytotherapy.
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