饮食减肥干预对肥胖成人炎症标志物白细胞介素-6和tnf - α的影响:随机对照临床试验的系统回顾和荟萃分析

IF 7.4 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM
Obesity Reviews Pub Date : 2025-03-16 DOI:10.1111/obr.13910
Cate Bulmer, Alison Avenell
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引用次数: 0

摘要

背景:慢性炎症状态是多种疾病的特征,肥胖是其中的一个危险因素。减肥可以降低循环炎症标志物的水平,可能减少相关疾病的发病率,并改善对治疗的反应。然而,饮食减肥研究报告对血清炎症因子的影响不一致,长期影响尚不清楚。目的:系统回顾随机对照试验,分析通过饮食干预实现体重减轻的成人肥胖患者与未接受饮食干预或标准治疗的肥胖患者血清白细胞介素-6和肿瘤坏死因子- α的差异。方法:通过检索数据库对1966年至2024年11月的研究进行筛选。本系统综述和荟萃分析纳入了至少随访12个月的随机对照试验,并对Cochrane版本1进行了偏倚风险评估。结果:纳入了12项符合条件的研究。没有试验报告体重减轻对循环肿瘤坏死因子- α有显著影响,而体重减轻超过5%的研究显著降低了肥胖成人的循环白细胞介素-6。结论:减肥干预措施达到并维持5%以上的体重减轻似乎是降低成人肥胖患者循环白细胞介素-6水平所必需的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The effect of dietary weight-loss interventions on the inflammatory markers interleukin-6 and TNF-alpha in adults with obesity: A systematic review and meta-analysis of randomized controlled clinical trials

The effect of dietary weight-loss interventions on the inflammatory markers interleukin-6 and TNF-alpha in adults with obesity: A systematic review and meta-analysis of randomized controlled clinical trials

Background

A chronic inflammatory state characterizes a wide range of diseases for which obesity is a risk factor. Weight loss could reduce levels of circulating inflammatory markers potentially reducing the incidence of associated diseases and improving response to treatment. However, dietary weight loss studies have reported inconsistent effects on serum inflammatory makers and the long-term effects are unknown.

Objective

To systematically review randomized controlled trials and analyze any differences in serum interleukin-6 and tumor necrosis factor-alpha between adults with obesity achieving weight loss through dietary intervention compared to those receiving none or standard care.

Methods

Studies were identified by searching databases from 1966 to November 2024. Randomized controlled trials with at least 12 months' follow-up were included in this systematic review and meta-analysis with an assessment of Cochrane risk of bias version 1.

Results

Twelve eligible studies were included. No trials reported a significant effect of weight loss on circulating tumor necrosis factor-alpha, whilst studies achieving greater than 5% weight loss significantly reduced circulating interleukin-6 in adults with obesity.

Conclusion

Weight loss interventions achieving and maintaining greater than 5% weight loss appear to be required to reduce circulating interleukin-6 levels in adults with obesity.

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来源期刊
Obesity Reviews
Obesity Reviews 医学-内分泌学与代谢
CiteScore
19.30
自引率
1.10%
发文量
130
审稿时长
1 months
期刊介绍: Obesity Reviews is a monthly journal publishing reviews on all disciplines related to obesity and its comorbidities. This includes basic and behavioral sciences, clinical treatment and outcomes, epidemiology, prevention and public health. The journal should, therefore, appeal to all professionals with an interest in obesity and its comorbidities. Review types may include systematic narrative reviews, quantitative meta-analyses and narrative reviews but all must offer new insights, critical or novel perspectives that will enhance the state of knowledge in the field. The editorial policy is to publish high quality peer-reviewed manuscripts that provide needed new insight into all aspects of obesity and its related comorbidities while minimizing the period between submission and publication.
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