A Randomized Controlled Study on Gehu Tiaozhi Decoction Intervening Patients with Metabolic Syndrome

Background About a quarter of the world's population suffers from metabolic syndrome (MetS). In recent years, the prevalence of MetS in China has also increased year by year, posing a serious threat to life and health. Traditional chinese medicine has the advantages of multi-target and mult...

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Main Author: ZHENG Rong, LIU Zhidong, WANG Miao, ZHANG Xiao, CHEN Junlan, ZHOU Shigao
Format: Article
Language:zho
Published: Chinese General Practice Publishing House Co., Ltd 2024-01-01
Series:Zhongguo quanke yixue
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Online Access:https://www.chinagp.net/fileup/1007-9572/PDF/1680741568987-1869183868.pdf
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author ZHENG Rong, LIU Zhidong, WANG Miao, ZHANG Xiao, CHEN Junlan, ZHOU Shigao
author_facet ZHENG Rong, LIU Zhidong, WANG Miao, ZHANG Xiao, CHEN Junlan, ZHOU Shigao
author_sort ZHENG Rong, LIU Zhidong, WANG Miao, ZHANG Xiao, CHEN Junlan, ZHOU Shigao
collection DOAJ
description Background About a quarter of the world's population suffers from metabolic syndrome (MetS). In recent years, the prevalence of MetS in China has also increased year by year, posing a serious threat to life and health. Traditional chinese medicine has the advantages of multi-target and multi-link in the treatment of MetS, but there is a lack of high-quality randomized controlled studies and real-world studies in clinical practice. Objective To observe the effects of Gehu Tiaozhi Decoction on waist circumference (WC), body weight, body fat percentage (BFP) and glucose and lipid metabolism in patients with MetS. Methods From June 2021 to November 2022, 84 patients with MetS were prospectively selected from the outpatient department and inpatient department of LongHua Hospital Shanghai University of Traditional Chinese Medicine. The subjects were randomly divided into Gehu group (42 cases) and control group (42 cases). The patients in the Gehu group were treated with Gehu Tiaozhi Decoction (Pueraria lobamle radix 6 g, Dendrobium officinale 6 g). The patients were fasted once in the morning and once in the evening, 1 bag each time, taken orally for 8 weeks. The control group was treated with placebo granules. The patients were fasted once in the morning and once in the evening, 1 bag each time, taken orally for 8 weeks. During the intervention, the two groups of patients were given the same health education (including dietary regimen and exercise prescription guidance). After 8 weeks of intervention, the WC, body weight, BMI, BFP, triglyceride (TG), total cholesterol (TC), high density lipoprotein cholesterol (HDL-C), low density lipoprotein cholesterol (LDL-C) and fasting blood glucose (FBG) were compared between the two groups. Results Finally, 41 patients in the Gehu group and 41 patients in the control group completed the 8-week intervention study. No statistically significant differences of WC, body weight, BMI or BFP was found between the two groups before treatment (P>0. 05). The differences of WC, body weight, BMI and BFP between the two groups before and after treatment were statistically significant (P<0.05). No statistically significant differences of TG, TC, HDL-C, LDL-C or FBG was found between the two groups before treatment (P>0. 05). The differences of TG, TC and FBG between the two groups before and after treatment were statistically significant (P<0.05). During the treatment period and after the end of follow-up, there were no serious adverse reactions in either group. Conclusion Gehu Tiaozhi Decoction can better improve the WC, body weight, BMI, BFP, TG, TC and FBG of MetS patients, and has good safety.
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spelling doaj.art-dde500274956485a8020c0a06c2be6142024-04-09T00:28:53ZzhoChinese General Practice Publishing House Co., LtdZhongguo quanke yixue1007-95722024-01-01270334334710.12114/j.issn.1007-9572.2023.0065A Randomized Controlled Study on Gehu Tiaozhi Decoction Intervening Patients with Metabolic SyndromeZHENG Rong, LIU Zhidong, WANG Miao, ZHANG Xiao, CHEN Junlan, ZHOU Shigao0Traditional Chinese Medicine Demonstration Department, LongHua Hospital Shanghai University of Traditional Chinese Medicine, Shanghai 200032, ChinaBackground About a quarter of the world's population suffers from metabolic syndrome (MetS). In recent years, the prevalence of MetS in China has also increased year by year, posing a serious threat to life and health. Traditional chinese medicine has the advantages of multi-target and multi-link in the treatment of MetS, but there is a lack of high-quality randomized controlled studies and real-world studies in clinical practice. Objective To observe the effects of Gehu Tiaozhi Decoction on waist circumference (WC), body weight, body fat percentage (BFP) and glucose and lipid metabolism in patients with MetS. Methods From June 2021 to November 2022, 84 patients with MetS were prospectively selected from the outpatient department and inpatient department of LongHua Hospital Shanghai University of Traditional Chinese Medicine. The subjects were randomly divided into Gehu group (42 cases) and control group (42 cases). The patients in the Gehu group were treated with Gehu Tiaozhi Decoction (Pueraria lobamle radix 6 g, Dendrobium officinale 6 g). The patients were fasted once in the morning and once in the evening, 1 bag each time, taken orally for 8 weeks. The control group was treated with placebo granules. The patients were fasted once in the morning and once in the evening, 1 bag each time, taken orally for 8 weeks. During the intervention, the two groups of patients were given the same health education (including dietary regimen and exercise prescription guidance). After 8 weeks of intervention, the WC, body weight, BMI, BFP, triglyceride (TG), total cholesterol (TC), high density lipoprotein cholesterol (HDL-C), low density lipoprotein cholesterol (LDL-C) and fasting blood glucose (FBG) were compared between the two groups. Results Finally, 41 patients in the Gehu group and 41 patients in the control group completed the 8-week intervention study. No statistically significant differences of WC, body weight, BMI or BFP was found between the two groups before treatment (P>0. 05). The differences of WC, body weight, BMI and BFP between the two groups before and after treatment were statistically significant (P<0.05). No statistically significant differences of TG, TC, HDL-C, LDL-C or FBG was found between the two groups before treatment (P>0. 05). The differences of TG, TC and FBG between the two groups before and after treatment were statistically significant (P<0.05). During the treatment period and after the end of follow-up, there were no serious adverse reactions in either group. Conclusion Gehu Tiaozhi Decoction can better improve the WC, body weight, BMI, BFP, TG, TC and FBG of MetS patients, and has good safety.https://www.chinagp.net/fileup/1007-9572/PDF/1680741568987-1869183868.pdfmetabolic syndrome|puerariae lobamle radix|dendrobium officinale|traditional chinese medicine and pharmacy|clinical research|treatment outcome
spellingShingle ZHENG Rong, LIU Zhidong, WANG Miao, ZHANG Xiao, CHEN Junlan, ZHOU Shigao
A Randomized Controlled Study on Gehu Tiaozhi Decoction Intervening Patients with Metabolic Syndrome
Zhongguo quanke yixue
metabolic syndrome|puerariae lobamle radix|dendrobium officinale|traditional chinese medicine and pharmacy|clinical research|treatment outcome
title A Randomized Controlled Study on Gehu Tiaozhi Decoction Intervening Patients with Metabolic Syndrome
title_full A Randomized Controlled Study on Gehu Tiaozhi Decoction Intervening Patients with Metabolic Syndrome
title_fullStr A Randomized Controlled Study on Gehu Tiaozhi Decoction Intervening Patients with Metabolic Syndrome
title_full_unstemmed A Randomized Controlled Study on Gehu Tiaozhi Decoction Intervening Patients with Metabolic Syndrome
title_short A Randomized Controlled Study on Gehu Tiaozhi Decoction Intervening Patients with Metabolic Syndrome
title_sort randomized controlled study on gehu tiaozhi decoction intervening patients with metabolic syndrome
topic metabolic syndrome|puerariae lobamle radix|dendrobium officinale|traditional chinese medicine and pharmacy|clinical research|treatment outcome
url https://www.chinagp.net/fileup/1007-9572/PDF/1680741568987-1869183868.pdf
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