Effects of green tea extract on insulin resistance and glucagon-like peptide 1 in patients with type 2 diabetes and lipid abnormalities: a randomized, double-blinded, and placebo-controlled trial

The aim of this study is to investigate the effect of green tea extract on patients with type 2 diabetes mellitus and lipid abnormalities on glycemic and lipid profiles, and hormone peptides by a double-blinded, randomized and placebo-controlled clinical trial. This trial enrolled 92 subjects with t...

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Veröffentlicht in:PloS one 2014-03, Vol.9 (3), p.e91163
Hauptverfasser: Liu, Chia-Yu, Huang, Chien-Jung, Huang, Lin-Huang, Chen, I-Ju, Chiu, Jung-Peng, Hsu, Chung-Hua
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Huang, Chien-Jung
Huang, Lin-Huang
Chen, I-Ju
Chiu, Jung-Peng
Hsu, Chung-Hua
description The aim of this study is to investigate the effect of green tea extract on patients with type 2 diabetes mellitus and lipid abnormalities on glycemic and lipid profiles, and hormone peptides by a double-blinded, randomized and placebo-controlled clinical trial. This trial enrolled 92 subjects with type 2 diabetes mellitus and lipid abnormalities randomized into 2 arms, each arm comprising 46 participants. Of the participants, 39 in therapeutic arm took 500 mg green tea extract, three times a day, while 38 in control arm took cellulose with the same dose and frequency to complete the 16-week study. Anthropometrics measurements, glycemic and lipid profiles, safety parameters, and obesity-related hormone peptides were analyzed at screening and after 16-week course. Within-group comparisons showed that green tea extract caused a significant decrease in triglyceride and homeostasis model assessment of insulin resistance index after 16 weeks. Green tea extract also increased significantly high density lipoprotein cholesterol. The HOMA-IR index decreased from 5.4±3.9 to 3.5±2.0 in therapeutic arm only. Adiponectin, apolipoprotein A1, and apolipoprotein B100 increased significantly in both arms, but only glucagon-like peptide 1 increased in the therapeutic arm. However, only decreasing trend in triglyceride was found in between-group comparison. Our study suggested that green tea extract significantly improved insulin resistance and increased glucagon-like peptide 1 only in within-group comparison. The potential effects of green tea extract on insulin resistance and glucagon-like peptide 1 warrant further investigation. ClinicalTrials.gov NCT01360567.
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Adiponectin, apolipoprotein A1, and apolipoprotein B100 increased significantly in both arms, but only glucagon-like peptide 1 increased in the therapeutic arm. However, only decreasing trend in triglyceride was found in between-group comparison. Our study suggested that green tea extract significantly improved insulin resistance and increased glucagon-like peptide 1 only in within-group comparison. The potential effects of green tea extract on insulin resistance and glucagon-like peptide 1 warrant further investigation. 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Adiponectin, apolipoprotein A1, and apolipoprotein B100 increased significantly in both arms, but only glucagon-like peptide 1 increased in the therapeutic arm. However, only decreasing trend in triglyceride was found in between-group comparison. Our study suggested that green tea extract significantly improved insulin resistance and increased glucagon-like peptide 1 only in within-group comparison. The potential effects of green tea extract on insulin resistance and glucagon-like peptide 1 warrant further investigation. ClinicalTrials.gov NCT01360567.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>24614112</pmid><doi>10.1371/journal.pone.0091163</doi><tpages>e91163</tpages><oa>free_for_read</oa></addata></record>
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subjects Abnormalities
Adiponectin
Apolipoproteins
Biology
Body measurements
Care and treatment
Cellulose
Cholesterol
Clinical trials
Demography
Diabetes mellitus
Diabetes Mellitus, Type 2 - blood
Diabetes Mellitus, Type 2 - drug therapy
Diabetes therapy
Double-Blind Method
Female
Glucagon
Glucagon-like peptide 1
Glucagon-Like Peptide 1 - metabolism
Green tea
Health aspects
Homeostasis
Humans
Insulin
Insulin Resistance
Lipids - blood
Male
Medical research
Medicine
Middle Aged
Patients
Peptides
Placebos
Plant Extracts - pharmacology
Plant Extracts - therapeutic use
Product development
Randomization
Tea
Triglycerides
Type 2 diabetes
title Effects of green tea extract on insulin resistance and glucagon-like peptide 1 in patients with type 2 diabetes and lipid abnormalities: a randomized, double-blinded, and placebo-controlled trial
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