期刊
DIABETOLOGY & METABOLIC SYNDROME
卷 13, 期 1, 页码 -出版社
BMC
DOI: 10.1186/s13098-021-00697-6
关键词
Obese; Microecological preparation modified low-carbon diet; Intestinal barrier function; Glucolipid metabolism; Cardiovascular complication
资金
- Basic Research Fund of Shenzhen science and technology innovation commission [JCYJ20170307162004873]
- Shenzhen baoan district science and innovation commission basic research foundation project [2017JD017]
- Natural Science Foundation of Guangdong Province [2018A030310466]
- National Natural Science Foundation of China [81902113]
- Hong Kong General Research Fund [201306151203]
- HKU Small Project Funding [201409176257]
The study found that the combination of microecological preparation with modified low-carbon diet significantly improved glucolipid metabolism and cardiovascular complications in obese patients, but further research is needed on the effect on carotid atherosclerotic plaque.
ObjectiveTo investigate the impact of microecological preparation combined with modified low-carbon diet on the glucolipid metabolism and cardiovascular complication in obese patients.MethodsFrom August 2017 to July 2020, 66 obese patients were recruited, and administrated with an modified low-carbon diet with (group A) or without (Group B) microecology preparation and a balanced diet in control group (group C) for 6 months. Meanwhile, 20 volunteers administrated with a balanced diet were recruited as the healthy control group (group D).ResultsAfter 6-month intervention, obese subjects in group A and B showed significant improvement of body and liver fat mass, reduction of serum lipid levels, intestinal barrier function markers, insulin resistance index (IRI), high blood pressure (HBP) and carotid intima thickness, as compared with subjects in group C. More importantly, subjects in group A had better improvement of vascular endothelial elasticity and intimal thickness than subjects in group B. However, these intervention had no effect on carotid atherosclerotic plaque.ConclusionAdministration of microecological preparation combined with modified low-carbon diet had better improvement of intestinal barrier function, glucose and lipid metabolism, and cardiovascular complications than low-carbon diet in obese patients, but the effect of a simple low-carb diet on carotid atherosclerotic plaque need to be further addressed.
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