Meta AnalysisID 2561

乳酸发酵食品对成人糖尿病患者血糖控制的影响:随机对照试验的系统评价与Meta分析

CRD42022295220

Effectiveness of lactic acid fermented foods on glycaemic control in diabetic adults.

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Record Fields

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Meta Analysis Id
2561
Evidence Id
11119
Core Evidence Id
11119
Source Meta Analysis Id
2509
Herb2 Meta Analysis Id
HBMA002509
Crd Id
CRD42022295220
Title
Effect of lactic acid fermented foods on glycaemic control in diabetic adults: A Systemic Review and Meta-Analysis of Randomised Controlled Trials
Review Question
Effectiveness of lactic acid fermented foods on glycaemic control in diabetic adults.
Study Type Included
Randomised controlled trials (RCTs) Inclusion criteria: Randomised crossover study, randomized, double-blind, parallel-group, placebo-controlled trial. Exclusion criteria: Reviews, meta-analysis, qualitative study, non-experimental design studies.
Condition Being Studied
Diabetes mellitus is a chronic metabolic disorder, in which the body cannot respond to insulin effectively or there is insufficient insulin production from the pancreas, causing abnormally high blood glucose levels or hyperglycaemia. Type 2 diabetes mellitus (T2DM) is characterised by insulin resistance, where the body does not respond to insulin effectively. Prediabetes is a condition of intermediate hyperglycaemia but with blood glucose levels below the T2DM diagnostic threshold.
Participant
Inclusion criteria: Adults with type 2 diabetes mellitus or prediabetes (as diagnosed using any recognised diagnostic criteria). Exclusion criteria: Type 1 diabetes or gestational diabetes or studies involving adolescents (under 18 years of age) or animals (mice or rat).
Animal
Human Disease Modelled
Intervention
Intervention: Lactic acid bacteria (LAB) fermented foods, that undergo anaerobic process where sugars, such as glucose, into lactic acid, lactate, and other products. Inclusion criteria: Fermented foods include yoghurt, kefir, sauerkraut, kimchi and cheonggukjang, sourdough, kombucha, miso and natto, et cetera. Exclusion criteria: Foods that did not undergo fermentation, probiotic supplements.
Comparator Control
Placebo/control Inclusion criteria: non-exposed control group.
Main Outcome
Most important - Glycosylated Haemoglobin (HbA1c): An ideal glycaemic control HbA1c goal is levels below 7% (53 mmol/mol) without significant hypoglycaemia. Fasting plasma glucose (FPG) test uses enzymatic methods such as glucose oxidase and hexokinase. It measures the glucose levels in your blood after at least 8 hours of fasting. The ideal normal FPG range is considered to be 70-99mg/dL, with 100-125mg/dL indicating prediabetes and above 126mg/dL as type 2 diabetes mellitus. Fasting serum insulin is a test used to measure the amount of insulin in the body. It measures the insulin levels in your blood after at least 8 hours of fasting. The normal range is <25mIU/L (<174pmol/L). Homeostasis Model Assessment for Insulin Resistance (HOMA-IR) assesses the function of beta-cell by calculating the fasting glucose and insulin concentrations levels. The normal HOMA-IR level is 1 and the higher the HOMA-IR value, the more resistant the individual is to insulin.
Outcome Measure
Additional Outcome
Lipid profile such as low-density lipoproteins (LDL), high-density lipoproteins (HDL), Triglycerides (TG), Total Cholesterol (TC) and inflammatory markers such as Interleukin 6 (IL-6) and tumour necrosis factor alpha (TNF-a). Other markers such as systolic blood pressure (SBP), diastolic blood pressure (DBP) and body mass index (BMI).
Study Method
Intervention, Meta-analysis, Prevention, Systematic review
Keyword
Adult; Diabetes Mellitus; Fermented Foods; Glycemic Control; Humans; Lactic Acid
Contact
Teo Wei Zhou [email protected]
Organisational Affiliation
National University of Singapore https://www.nus.edu.sg/
Funding Source
Other Selection Criteria
Final Publication
Teo WZ, See JY, Ramazanu S, Chan JCY, Wu XV. Effect of lactic acid fermented foods on glycemic control in diabetic adults: a systemic review and meta-analysis of randomized controlled trials. Crit Rev Food Sci Nutr. 2022 Sep 30:1-16. doi: 10.1080/10408398.2022.2128032. https://doi.org/10.1080/10408398.2022.2128032
Same Topic Review
Published Protocol
Review Type
Language
English
Country
Singapore
Review Stage
Review Completed published
First Submission Date
2021-12-13
Registration Date
2022-01-12
Anticipated Start Date
2021-08-19
Anticipated Completion Date
2022-03-04
Title Cn
乳酸发酵食品对成人糖尿病患者血糖控制的影响:随机对照试验的系统评价与Meta分析
Title En
Effect of lactic acid fermented foods on glycaemic control in diabetic adults: A Systemic Review and Meta-Analysis of Randomised Controlled Trials
Bilingual Status
complete