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Effects of psyllium vs. placebo on constipation, weight, glycemia, and lipids: A randomized trial in patients with type 2 diabetes and chronic constipation

机译:psyllium与安慰剂对便秘,体重,糖血症和脂质的影响:2型糖尿病患者的随机试验和慢性便秘

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ObjectiveTo compare the effects of baked psyllium supplementation versus those who received a placebo on constipation symptoms, body weight, glycemic and lipids control in patients with type 2 diabetes (T2D) and chronic constipation. MethodsIn a single-blinded, randomized controlled trial, 51 patients with T2D and chronic constipation with body mass index (BMI) 20–47?kg/m2received either 10?g of psyllium pre-mixed in cookies twice per day or placebo cookies for 12 weeks. Constipation symptoms, body mass index (BMI), fasting plasma glucose (FPG), glycosylated hemoglobin (HbA1c), and lipid profile were determined at the beginning and end of 4, 8, and 12-week period. Constipation was evaluated with a stool diary (ROME III). ResultsThe psyllium group showed improvement in constipation symptoms, body weight, glucose and lipid values compared with the baseline and the placebo group. Body weight and FPG decreased from baseline in the psyllium group (P?
机译:ObjectiveTo比较烘焙前腹股沟补充的影响与接受安慰剂的人对患有2型糖尿病(T2D)和慢性便秘患者的便秘症状,体重,血糖和脂质对照。方法对单一盲,随机对照试验,51例T2D患者和体重指数(BMI)慢性便秘(BMI)20-47?KG / M2,每天两次预混饼干或排除曲奇饼周。便秘症状,体重指数(BMI),禁食血浆葡萄糖(FPG),糖基化血红蛋白(HBA1C)和脂质分布在4,8和12周的时间内测定。用凳子日记评估便秘(罗马III)。与基线和安慰剂组相比,结果氏植物基团显示有便秘症状,体重,葡萄糖和脂质值的改善。体重和FPG从腹股沟组中的基线减少(P?<〜0.001和p?= 0.056)。体重绝对变化的差异(95%CI)(?2.0(?3.0,?1.0)kg; p?<0.001),fpg(?13.6(α24.3,?2.9)mg / dl; p?= ?.040)和HBA1c(?1.7(?2.9,?0.5));在统计学上显着,在组之间p?= 0.002)。胆固醇(?21.5(?25.6,α14.4); p?<0.001),甘油三酯(?20.0(?32.3,α7.7); p?= 0.021)和便秘症状(1.5(0.4,2.3); p? <?0.001)在北腓基团中降低。顺应性良好,没有观察到不利影响。结论T2D和慢性便秘患者,饲料补充剂减少了便秘症状,体重,血糖,胆固醇和增加的HDLC水平。

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