Journal of the Korean Society of Food Science and Nutrition (한국식품영양과학회지)

The Korean Society of Food Science and Nutrition (한국식품영양과학회)
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Effects of Laminaria Japonica Extract Supplement on Blood Glucose, Serum Lipids and Antioxidant Systems in Type ll Diabetic Patients

다시마추출물이 제2형 당뇨병 환자의 혈당, 지질 및 항산화 체계에 미치는 영향

  • Park, Min-Jung (Dept. of Food Science and Nutrition, Pusan National University) ;
  • Ryu, Ho-Kyung (Dept. of Food Science and Nutrition, Pusan National University) ;
  • Han, Ji-Sook (Dept. of Food Science and Nutrition, Pusan National University)
  • Published : 2007.11.30
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Abstract

We performed a randomized double-blind placebo-controlled trial to determine whether Laminaria japonica extract (LJE) supplement modulates blood glucose, serum lipids and antioxidant systems in type II diabetic patients. We also measured critical parameters assessing safety in liver and kidney functions after LJE supplement. A total of 37 patients (18 males and 19 females) were randomized to either LJE group or placebo group. The treatment group received four 350 mg of LJE capsules (1.4 g, total) per day for 12 weeks. The placebo group received the same dose of cellulose capsules. Baseline characteristics regarding general life style and dietary intake pattern were similar between the two groups. There were no significant influences of LJE supplement except for waist circumference on anthropometric parameters. As the whole, 12 weeks of LJE supplement resulted in a little decrease in fasting blood glucose (FBG) and glycated hemoglobin (HbA1c), but a significant decrease was not observed. Total cholesterol, LDL-cholesterol and triglyceride concentrations were significantly (p<0.05) lowered in LJE group. The antioxidant enzymes, glutathion peroxidase (GSH-px) and superoxide dismutase (SOD) levels were elevated in the LJE group (p<0.05) compared to the placebo. The increase of these enzymes was associated significantly with the decrease of MDA concentration (p<0.05). Furthermore, LJE supplement showed no adverse effects on the functions of liver and kidney. Findings from this study suggest that LJE supplement can help improve serum lipid status in type II diabetic subjects without adverse effects.

본 연구는 다시마의 활성성분을 열수추출하고, 그 추출물을 제 2형 당뇨병 환자에게 섭취시킴으로서 그들의 혈당, 혈중지질 및 항산화 체계 개선에 있어서 다시마추출물의 효능을 과학적으로 규명하고자 하였다. 다시마를 열수추출하고 동결건조한 후 캡슐화하여 1.4 g을 350 mg씩 4캡슐로 나누어, 아침과 저녁 식후에 2캡슐씩 제 2형 당뇨환자에게 12주간 섭취 시켰다. 위약군은 동량의 cellulose를 실험군과 동일하게 제조한 후 같은 방법으로 섭취하게 하였고 이중맹검법을 사용하였다. 섭취 전후 일반사항 및 식이섭취조사, 신체계측을 실시하였고, 혈액을 채취하여 혈당, 당화혈색소, 혈청지질, 지질과산화물 및 항산화 효소의 변화와 독성검사인 간 및 신장 기능의 변화를 측정하였다. 최종 연구는 총 37명으로 실험군 17명, 대조군 20명으로 양군간의 baseline 특성은 유의적 차이가 없었다. 다시마추출물 섭취군에서 공복혈당은 12주간 섭취 후 $156.0{\pm}15.2mg/dL$에서 $155.8{\pm}14.2mg/dL$로 나타났고, 당화혈색소 역시 $6.74{\pm}0.66%$에서 $6.65{\pm}0.64%$으로 유의적으로 감소하지 않았다. 다시마추출물의 섭취가 12주간 이루어지면서 총콜레스테롤은 $177.0{\pm}16.5mg/dL$에서 $168.6{\pm}15.0mg/dL$로 유의적 (p<0.05)으로 감소한 반면에, 위약군의 경우 $175.8{\pm}17.4mg/dL$에서 $179.8{\pm}19.9$로 변화되었다. 또한 다시마추출물 섭취군의 LDL-콜레스테롤, 중성지방의 변화에서도 섭취 전에 비해 섭취 후 유의적 (p<0.05) 감소를 나타내었으며, 특히 LDL-콜레스테롤의 농도를 고농도군, 정상군, 저농도군으로 분류시 LDL-콜레스테롤 농도가 높은 환자일수록 감소의 폭이 큼을 알 수 있었다. 지질과산물 농도의 변화를 보면 다시마추출물 섭취군은 $1.58{\pm}0.88nmol$에서 $1.13{\pm}0.03nmol$로 유의적(p<0.05)으로 감소되었고, GSH-px활성도 위약군에 비해 다시마추출물 섭취군은 $13.98{\pm}0.66I.U/mg$ protein에서 $14.58{\pm}0.22I.U/mg$ protein로 활성도가 약간 상승하였다. SOD 활성은 실험군($1.18{\pm}0.22$ vs. $1.28{\pm}0.18unit/mg$ protein)에서 유의적(p<0.05)으로 증가하였으며, 간 및 신장 기능 검사에서도 실험 전후 모든 군이 정상범위를 나타내었다. 따라서 본 연구는 당뇨병 환자들의 혈청지질 및 혈액 항산화 효소계에 도움을 줄 수 있는 안전한 보조제로서 다시마추출물의 사용 가능성을 제시하였다.

Keywords

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