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作 者:Ming Yu Xiao-Yu Feng Shuai Yao Chang Wang Ping Yang
机构地区:[1]Department of Cardiology,China-Japan Union Hospital of Jilin University,Jilin Provincial Cardiovascular Research Institute,Jilin Provincial Engineering Laboratory for Endothelial Function and Genetic Diagnosis of Cardiovascular Disease,Changchun 130031,Jilin Province,China [2]Department of Endocrinology,Jilin Guowen Hospital,Changchun 130021,Jilin Province,China [3]Department of Neurology,China-Japan Union Hospital of Jilin University,Changchun 130031,Jilin Province,China
出 处:《World Journal of Clinical Cases》2022年第26期9524-9535,共12页世界临床病例杂志
基 金:Supported by National Natural Science Foundation of China,No.81570360。
摘 要:BACKGROUND Sulfonylurea(SU)is a commonly used antidiabetic drugs effective for type 2diabetes mellitus.Previous studies have reported that the SU treatment could alter the serum free fatty acid(FFA)concentration in diabetic patients;however,their exact effects remain unknown.AIM To assess the impact of SU on the FFA level in diabetic patients.METHODS A systematic literature search was conducted by consulting the PubMed,EMBASE,Cochrane Library,Reference Citation Analysis(https://www.referencecitationanalysis.com/),and Web of Science databases from January 1,1991 to July 30,2021.Either a fixed-effects model or random-effects model was applied to study the association between SU treatment and FFA concentration according to the heterogeneity test.Two investigators independently performed data extraction.The mean difference(MD)and corresponding 95%confidence interval(CI)were used to measure effect size.R3.5.1 software was utilized for conducting statistical analyses.RESULTS A total of 13 studies with 2273 individuals were selected.Results indicated that FFA concentration increased slightly after treatment with SU(MD=0.08,95%CI:0.03-0.12,P<0.01).In addition,we found that SU treatment combined with other antidiabetics could also increase the concentration of serum FFA(MD=0.14,95%CI:0.01-0.28,P<0.01).Regarding the type of SU,there was no significant difference in FFA concentration with glimepiride or glibenclamide.FFA concentration was higher at≥12 wk(MD=0.09,95%CI:0.04-0.13)but not at<12 wk(MD=0.01,95%CI:-0.07-0.09).CONCLUSION SU treatment could increase the serum FFA concentration in diabetic patients.The fundamental underlying mechanism still needs further investigation.
关 键 词:SULFONYLUREA Free fatty acid Cardiovascular disease Diabetes mellitus Systematic review META-ANALYSIS
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