High density lipoprotein cholesterol

高密度脂蛋白胆固醇
  • 文章类型: Journal Article
    OBJECTIVE: The current study aimed to review the effects of dairy foods on lipid profile in randomized controlled clinical trials (RCTs).
    METHODS: We searched PubMed, Scopus, Embase, and Central. RCTs that assess the effects of dairy foods on lipid profile were included.
    RESULTS: The overall effects of dairy foods on lipid profile were non-significant. Dairy foods were associated with a non-significant reduction in triacylglycerol level, and a non-significant increase in total cholesterol, low density lipoprotein cholesterol, and high-density lipoprotein cholesterol level.
    CONCLUSIONS: We conclude that dairy foods doesn\'t have any unfavorable effects on lipids.
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  • 文章类型: Journal Article
    Despite the potential role of dietary calcium in fat excretion, the favorable effects of calcium supplements on lipid profile remains inconclusive. The current study aimed to review the effect of calcium supplement intake on lipid profile in randomized controlled clinical trials (RCTs). This systematic review and meta-analysis was conducted in PubMed, Scopus, Embase, and Central. RCTs which assessed the effects of calcium supplementation on lipid profile were included. All outcomes were recorded as continuous variables, and the effect size was measured. We classified studies according to dose of supplement, study duration, and dyslipidemia. Calcium supplement intake was associated with a significant reduction in low density lipoprotein cholesterol (LDL-C) level (WMD:-0.08; 95%CI:-0.16,-0.01)(mmol/l), especially with intakes of at least 1000 mg/day (WMD:-0.13; 95%CI:-0.23,-0.03)(mmol/l), with intakes of at least 12 weeks (WMD:-0.08; 95%CI: -0.16,-0.00)(mmol/l), and in individuals without dyslipidemia (WMD:-0.15; 95%CI:-0.26,-0.04)(mmol/l). Also, in another subgroup analysis, consumption of less than 1000 mg/day calcium supplement caused a significant increase in Total Cholesterol (TC) level (WMD: 0.24; 95%CI: 0.05,0.42) (mmol/l). In other blood lipids or study subgroups we observed no significant effect. We concluded that calcium supplements had a favorable effect on LDL-C level, especially in individuals without dyslipidemia, higher calcium intakes, and longer period of consumption.
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  • 文章类型: Journal Article
    背景:血脂水平升高是动脉粥样硬化和心血管疾病的主要原因。几项研究使用姜作为降脂剂。
    目的:本系统综述和荟萃分析的目的是阐明补姜对血脂参数的影响。
    方法:PubMed,Scopus,科学直接,直到2017年5月,系统搜索了ISIWebofScience和GoogleScholar,以寻找临床试验,这些临床试验检查了补充生姜对成年参与者脂质参数水平的影响。提取了血脂的手段和异质性的潜在来源。应用亚组分析找出研究间异质性的潜在来源。
    结果:共有12项试验(586名参与者)纳入荟萃分析。汇总分析表明,补充生姜可降低三酰甘油(TAG)(-17.59mg/dl;95%CI:-29.32至-5.87)和低密度脂蛋白胆固醇(LDL-C)(-4.90mg/dl;95%CI:-22.30至-6.17)。生姜对总胆固醇(TC)无显著影响(-5.13mg/dl,95%CI:-11.05至0.78;P=0.089)和高密度脂蛋白胆固醇(HDL-C)(2.18mg/dl,95%CI:-0.08至4.45;P=0.059)。由于研究间的异质性很高,研究按生姜剂量分类。分层分析表明,在使用≤2g/天生姜的研究中,TC(-12.26mg/dl;95%CI:-22.37至-2.16)和TAG(-38.42mg/dl;95%CI:-57.01至-19.82)显着降低。然而,在>2g/天生姜的试验中未观察到类似的显着效果。使用≤2g/天的研究和使用>2g/天的生姜的试验均未显示LDL-C或HDL-C的显着变化。
    结论:本系统综述和荟萃分析表明生姜对TAG和LDL-C具有良好的作用。此外,结果表明,低剂量生姜(≤2g/天)对TAG和TC的降低作用更大。需要进一步的大规模和更好的设计研究来证实这一结果。
    BACKGROUND: Elevated levels of blood lipids are a major cause of atherosclerosis and consequently cardiovascular disease. Several studies used ginger as a lipid lowering agent.
    OBJECTIVE: The aim of the present systematic review and meta-analysis was to clarify the effect of ginger supplementation on lipid parameters.
    METHODS: PubMed, Scopus, Science Direct, ISI Web of Science and Google Scholar were systematically searched until May 2017 to find clinical trials which examined effect of ginger supplementation on level of lipid parameters in adult participants. Means for blood lipids and potential sources of heterogeneity were extracted. A subgroup analysis was applied to find out potential sources of inter-study heterogeneity.
    RESULTS: A total of 12 trials (586 participants) were included in the meta-analysis. Pooled analysis suggested that ginger supplementation reduced triacylglycerol (TAG) (-17.59 mg/dl; 95% CI: -29.32 to -5.87) and low density lipoprotein cholesterol (LDL-C) (-4.90 mg/dl; 95% CI: -22.30 to -6.17). Ginger had no significant effect on total cholesterol (TC) (-5.13 mg/dl, 95% CI: -11.05 to 0.78; P = 0.089) and high density lipoprotein cholesterol (HDL-C) (2.18 mg/dl, 95% CI: -0.08 to 4.45; P = 0.059). As inter-study heterogeneity was high, studies were classified by ginger dosage. Stratified analysis showed a significant reduction in TC (-12.26 mg/dl; 95% CI: -22.37 to -2.16) and TAG (-38.42 mg/dl; 95% CI: -57.01 to -19.82) in studies which used ≤2 g/day of ginger. However, a similar significant effect was not observed in trials with >2 g/day of ginger. Neither studies which used ≤2 g/day nor trials which used >2 g/day of ginger showed significant changes in LDL-C or HDL-C.
    CONCLUSIONS: The present systematic review and meta-analysis suggests that ginger had a favorable effect on TAG and LDL-C. Also, the result revealed that low dose of ginger (≤2 g/day) had greater lowering impact on TAG and TC. Further studies with large-scale and better design are needed to confirm this result.
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  • 文章类型: Journal Article
    近年来,贝特类药物在治疗血脂异常中的应用发生了显着变化。他们的角色在本世纪初显得很清楚。赫尔辛基心脏研究和退伍军人事务高密度胆固醇干预试验表明,尤其是动脉粥样硬化型血脂异常患者。然而,这种清晰度在苯扎贝特梗塞预防报告的负面结果后瓦解,糖尿病非诺贝特干预和事件降低以及糖尿病随机对照试验中控制心血管风险的行动。在这篇综述中,我们讨论了这些和其他相关试验,并考虑了患者亚组,例如患有代谢综合征的患者和需要治疗以预防与糖尿病相关的微血管并发症的患者,其中贝特类药物可能有用。我们还讨论了我们小组的观察结果,这些观察结果可能为大型试验中报告的不同结果提供了一些解释。也服用他汀类药物的患者中贝特类药物的作用很有趣,并且似乎与未服用他汀类药物的患者不同。了解这一点至关重要,因为他汀类药物是主要的降脂药,在可预见的未来很可能占据这一地位。我们还介绍了我们在临床实践中观察到的贝特治疗的其他特征;肌酐的变化,肝功能检查和矛盾的高密度脂蛋白降低。我们的目的是为读者提供足够的数据,以便在自己的临床实践中就贝特类药物的使用做出客观决定。
    The use of fibrates in the treatment of dyslipidaemia has changed significantly over recent years. Their role appeared clear at the start of this century. The Helsinki Heart Study and Veterans Affairs High-Density Cholesterol Intervention Trial suggested significant benefit, especially in patients with atherogenic dyslipidaemia. However, this clarity disintegrated following the negative outcomes reported by the Bezafibrate Infarction Prevention, Fenofibrate Intervention and Event Lowering in Diabetes and Action to Control Cardiovascular Risk in Diabetes randomised controlled trials. In this review we discuss these and other relevant trials and consider patient subgroups such as those with the metabolic syndrome and those needing treatment to prevent the microvascular complications associated with diabetes in whom fibrates may be useful. We also discuss observations from our group that may provide some explanation for the varying outcomes reported in large trials. The actions of fibrates in patients who are also on statins are interesting and appear to differ from those in patients not on statins. Understanding this is key as statins are the primary lipid lowering agents and likely to occupy that position for the foreseeable future. We also present other features of fibrate treatment we have observed in our clinical practice; changes in creatinine, liver function tests and the paradoxical high density lipoprotein reduction. Our purpose is to provide enough data for the reader to make objective decisions in their own clinical practice regarding fibrate use.
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