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菊粉和金玉兰对2型糖尿病患者血糖控制和血脂代谢的影响

刘鹏举,  马方,  李明,  卢洁

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文章导航 > 协和医学杂志  > 2015 >  6(4): 251-254
刘鹏举, 马方, 李明, 卢洁. 菊粉和金玉兰对2型糖尿病患者血糖控制和血脂代谢的影响[J]. 协和医学杂志, 2015, 6(4): 251-254. doi: 10.3969/j.issn.1674-9081.2015.04.003
引用本文: 刘鹏举, 马方, 李明, 卢洁. 菊粉和金玉兰对2型糖尿病患者血糖控制和血脂代谢的影响[J]. 协和医学杂志, 2015, 6(4): 251-254. doi: 10.3969/j.issn.1674-9081.2015.04.003
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Peng-ju LIU, Fang MA, Ming LI, Jie LU. Effects of Inulin and Chicory on Glucose Control and Lipid Profiles in Patients with Type 2 Diabetes[J]. Medical Journal of Peking Union Medical College Hospital, 2015, 6(4): 251-254. doi: 10.3969/j.issn.1674-9081.2015.04.003
Citation: Peng-ju LIU, Fang MA, Ming LI, Jie LU. Effects of Inulin and Chicory on Glucose Control and Lipid Profiles in Patients with Type 2 Diabetes[J]. Medical Journal of Peking Union Medical College Hospital, 2015, 6(4): 251-254. doi: 10.3969/j.issn.1674-9081.2015.04.003
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菊粉和金玉兰对2型糖尿病患者血糖控制和血脂代谢的影响

doi: 10.3969/j.issn.1674-9081.2015.04.003
  • 1.

    中国医学科学院 北京协和医学院 北京协和医院 营养科, 北京 100730

  • 2.

    中国医学科学院 北京协和医学院 北京协和医院 检验科, 北京 100730

详细信息
    通讯作者:

    马方 电话:010-69155551, E-mail:mafang219@126.com

  • 中图分类号: R587.1;R151.3

Effects of Inulin and Chicory on Glucose Control and Lipid Profiles in Patients with Type 2 Diabetes

  • 1.

    Department of Clinical Nutrition, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

  • 2.

    Department of Clinical Laboratory, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

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    摘要
  • 摘要:   目的  研究菊粉和金玉兰对2型糖尿病患者血糖控制和血脂代谢的影响。  方法  75例2型糖尿病患者按照性别和体重指数匹配的方法分为菊粉组(n=25)、金玉兰组(n=25)和对照组(n=25), 3组患者均给予普通糖尿病膳食, 在此基础上菊粉组每天给予菊粉15 g, 金玉兰组每天给予金玉兰120 g。分别于基线期、4和8周时观察3组患者的空腹血糖(fasting blood glucose, FBG)、胰岛素抵抗指数(homeostasis model assessment of insulin resistance index, HOMA-IR)、糖化血红蛋白(glycated hemoglobin, HbA1c)、血脂、转氨酶和肌酐等指标的变化并进行比较。  结果  菊粉组、金玉兰组及对照组分别有23、22和23例完成研究。基线期各项观察指标3组之间差异均无统计学意义(P > 0.05)。4周时, 菊粉组FBG、HbA1c、HOMA-IR、总胆固醇(total cholesterol, TC)、低密度脂蛋白胆固醇(low-density lipoprotein cholesterol, LDL-c)的变化同对照组相比有降低的趋势; 8周时, 菊粉组FBG、HbA1c、HOMA-IR、TC、LDL-c的降低同对照组相比差异具有统计学意义(P < 0.05), 其余观察指标变化的差异无统计学意义(P > 0.05)。4周和8周时, 金玉兰组各项指标变化同对照组相比差异无统计学意义(P > 0.05)。  结论  菊粉有益于2型糖尿病患者的血糖控制和血脂代谢, 并且对肝、肾功能无影响。金玉兰对2型糖尿病患者血糖控制和血脂代谢无显著影响。
    Abstract:   Objective  To investigate the effects of inulin and chicory on glucose control and lipid profiles in patients with type 2 diabetes.  Methods  Seventy-five patients with type 2 diabetes were assigned to inulin group (n=25), chicory group (n=25), and control group (n=25) with matching gender and body mass index. The three groups were all given diabetes diets, in addition, 15 g inulin and 120 g chicory daily were added in the inulin group and the chicory group, respectively. All the patients' fasting blood glucose (FBG), homeostasis model assessment of insulin resistance index (HOMA-IR), glycated hemoglobin (HbA1c), lipid profiles, aminotransferase, and creatinine were observed at baseline, 4 weeks, and 8 weeks, and the changes of all those parameters were compared.  Results  The numbers of patients finishing this study in the inulin, chicory, and control groups were 23, 22, and 23, respectively. At baseline, none of the parameters showed significant difference among the three groups (P > 0.05). At 4 weeks, the changes of FBG, HbA1c, HOMA-IR, total cholesterol (TC), and low-density lipoprotein cholesterol (LDL-c) in the inulin group showed a decreasing trend compared with the control group; and the differences in changes of FBG, HbA1c, HOMA-IR, TC, and LDL-c were significant at 8 weeks (P < 0.05), while the changes of other parameters showed no significant difference(P > 0.05). The changes of all the parameters showed no significant difference between the chicory group and the control group at 4 weeks and 8 weeks (P > 0.05).  Conclusions  Inulin is conducive to blood glucose control and lipid profiles in type 2 diabetes, and does not affect liver and renal functions. In contrast, chicory has no significant effect on glucose control or lipid profiles in type 2 diabetes.
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  • 表  1  基线期3组各项观察指标情况(x±s)

    组别 年龄(岁) 性别(男/女) FBG(mmol/L) HbA1c(%) HOMA-IR TC(mmol/L)
    对照组(n=25) 65.3±8.5 19/6 7.45±1.36 6.96±0.77 9.1±4.8 4.76±0.87
    菊粉组(n=25) 61.6±8.3 17/8 6.82±1.38 6.73±0.94 10.9±6.8 4.69±0.96
    金玉兰组(n=25) 67.2±6.0 15/10 6.98±1.61 7.03±1.04 8.1±4.9 4.63±1.20
    组别 TG(mmol/L) HDL-c(mmol/L) LDL-c(mmol/L) Cr(μmol/L) ALT(U/L) AST(U/L)
    对照组(n=25) 2.20±1.94 1.31±0.51 2.86±0.80 78.8±16.4 31.5±14.9 22.5±5.6
    菊粉组(n=25) 1.84±1.46 1.27±0.33 2.67±0.76 71.4±13.0 31.7±16.1 26.3±22.5
    金玉兰组(n=25) 1.75±1.17 1.36±0.48 2.87±0.97 72.8±15.7 27.9±15.5 22.7±9.7
    FBG:空腹血糖; HbAlc; 糖化血红蛋白; HOMA-IR:胰岛素抵抗指数; TC:总胆固醇: TG:甘油三酯: HDL-C:高密度脂蛋白胆固醇; LDL-C:低密度脂蛋白胆固醇; Cr:肌酐; ALT:谷丙转氨酶; AST:谷草转氨酶
    下载: 导出CSV

    表  2  4周后3组各项观察指标较基线期变化情况比较(x±s)

    组别 FBG(mmol/L) HbA1c(%) HOMA-IR TC(mmol/L) TG(mmol/L)
    对照组(n=23) 0.59±1.28 0.32±0.82 3.37±5.30 0.43±0.91 0.48±2.60
    菊粉组(n=23) -0.11±1.11 -0.17±0.93 -1.42±10.30 -0.06±0.73 0.44±1.66
    金玉兰组(n=22) 0.15±1.48 -0.05±1.04 -0.37±4.90 0.48±1.47 0.26±1.58
    P1 0.053 0.068 0.054 0.051 0.957
    P2 0.285 0.122 0.095 0.873 0.740
    组别 HDL-c(mmol/L) LDL-c(mmol/L) Cr(μmol/L) ALT(U/L) AST(U/L)
    对照组(n=23) -0.08±0.65 0.37±0.76 2.63±18.47 2.61±10.80 -0.7±7.2
    菊粉组(n=23) 0.04±0.42 -0.08±0.81 2.02±12.68 0.17±19.25 -2.0±16.1
    金玉兰组(n=22) -0.04±0.50 0.21±1.28 2.12±11.69 1.56±12.45 0.2±8.5
    P1 0.459 0.058 0.897 0.600 0.715
    P2 0.857 0.598 0.694 0.792 0.166
    FBG、HbA1c、HOMA-IR、TC、TG、HDL-c、LDL-c、Cr、ALT、AST：同表 1；P1：菊粉组与对照组比较的P值；P2：金玉兰组与对照组比较的P值
    下载: 导出CSV

    表  3  8周后3组各项观察指标较基线期变化情况比较(x±s)

    组别 FBG(mmol/L) HbA1c(%) HOMA-IR TC(mmol/L) TG(mmol/L)
    对照组(n=23) -0.09±1.33 0.16±1.07 2.05±4.66 0.34±1.03 0.71±2.40
    菊粉组(n=23) -0.94±1.35 -0.52±0.62 -2.76±7.39 -0.48±0.93 -0.06±1.04
    金玉兰组(n=22) -0.21±1.76 -0.11±1.21 -0.37±4.90 0.19±1.49 0.05±1.24
    P1 0.039 0.014 0.012 0.007 0.172
    P2 0.791 0.122 0.095 0.688 0.259
    组别 HDL-c(mmol/L) LDL-c(mmol/L) Cr(μmol/L) ALT(U/L) AST(U/L)
    对照组(n=23) -0.11±0.54 0.33±0.92 2.46±12.42 2.34±11.68 0.94±7.36
    菊粉组(n=23) 0.06±0.64 -0.37±1.08 2.35±11.60 0.26±13.37 1.92±13.23
    金玉兰组(n=22) -0.08±0.63 0.20±1.24 2.03±10.38 1.48±12.45 1.02±8.30
    P1 0.330 0.024 0.908 0.426 0.518
    P2 0.842 0.692 0.607 0.803 0.927
    FBG、HbA1c、HOMA-IR、TC、TG、HDL-c、LDL-c、Cr、ALT、AST：同表 1；P1：菊粉组与对照组比较的P值；P2：金玉兰组与对照组比较的P值
    下载: 导出CSV
    • 参考文献(8)
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    [2] Samanta AK, Jayapal N, Senani S, et al. Prebiotic inulin:useful dietary adjuncts to manipulate the livestock gut microflora[J]. Braz J Microbiol, 2013, 44:1-14. doi:  10.1590/S1517-83822013005000023
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    [5] Bonnema AL, Kolberg LW, Thomas W, et al. Gastrointestinal tolerance of chicory inulin products[J]. J Am Diet Assoc, 2010, 110:865-888. doi:  10.1016/j.jada.2010.03.025
    [6] DeFronzo RA, Ferrannini E. Insulin resistance:a multifaceted syndrome responsible for NIDDM, obesity, hypertension, dyslipidemia, and atherosclerotic cardiovascular disease[J]. Diabetes Care, 1991, 14:173-194.
    [7] McGarry JD. Banting Lecture 2001:dysregulation of fatty acid metabolism in the etiology of type 2 diabetes[J]. Diabetes, 2002, 51:7-18. doi:  10.2337/diabetes.51.1.7
    [8] Martin O, Hannah V, Matthias M, et al. Cereal fiber improves whole-body insulin sensitivity in overweight and obese women[J]. Diabetes Care, 2006, 29:775-780. doi:  10.2337/diacare.29.04.06.dc05-2374
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  • 收稿日期:  2015-05-29
  • 刊出日期:  2015-07-30

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