马红, 钟宏婧. 高脂饮食与小鼠/大鼠肠道微生态结构改变相关性的Meta分析[J]. 循证医学, 2019, 19(2): 92-101. DOI: 10.12019/j.issn.1671-5144.2019.02.010
    引用本文: 马红, 钟宏婧. 高脂饮食与小鼠/大鼠肠道微生态结构改变相关性的Meta分析[J]. 循证医学, 2019, 19(2): 92-101. DOI: 10.12019/j.issn.1671-5144.2019.02.010
    MA Hong, ZHONG Hong-jing. The Meta Analysis of The Relationship between High Fat Diet and The Changes of Intestinal Microecology in Mice / Rats[J]. Journal of Evidence-Based Medicine, 2019, 19(2): 92-101. DOI: 10.12019/j.issn.1671-5144.2019.02.010
    Citation: MA Hong, ZHONG Hong-jing. The Meta Analysis of The Relationship between High Fat Diet and The Changes of Intestinal Microecology in Mice / Rats[J]. Journal of Evidence-Based Medicine, 2019, 19(2): 92-101. DOI: 10.12019/j.issn.1671-5144.2019.02.010

    高脂饮食与小鼠/大鼠肠道微生态结构改变相关性的Meta分析

    The Meta Analysis of The Relationship between High Fat Diet and The Changes of Intestinal Microecology in Mice / Rats

    • 摘要: 目的 系统评价高脂饮食与小鼠/大鼠肠道微生态结构改变的相关性。 方法 计算机检索PubMed、EMBASE、Cochrane 图书馆、中国生物医学文献数据库、中国知网、维普期刊数据库、万方数据库,查找关于高脂饮食与肠道微生态相关性的随机对照研究。对纳入的研究利用RevMan 5.3进行Meta分析。 结果 共纳入研究15篇,皆是随机对照实验研究。Meta分析结果表明,高脂饮食小鼠/大鼠肠道双歧杆菌的含量减少(标准化均数差-4.08,95%可信区间-6.10~-2.05,P=0.000 1);高脂饮食对小鼠拟杆菌水平变化无明显差异(标准化均数差-0.5,95%可信区间-1.73~0.72,P=0.42),而高脂饮食的大鼠内拟杆菌明显减少(标准化均数差-1.46,95%可信区间-2.58~-0.35,P=0.01);同时肠道内乳酸杆菌的含量减少(标准化均数差-4.52,95%可信区间-7.39~-1.52,P<0.002);而肠道肠杆菌含量增加(标准化均数差3.93,95%可信区间0.53~7.32, P=0.02)。结果也表明高脂饮食后小鼠/大鼠体质量增加(标准化均数差3.74,95%可信区间2.81~4.67, P<0.000 01);血浆总胆固醇(标准化均数差3.52,95%可信区间2.39~4.65,P<0.000 01)及甘油三酯(标准化均数差1.87,95%可信区间1.14~2.60, P<0.000 01)在高脂饮食后均显著升高。 结论 高脂饮食可导致小鼠/大鼠肠道微生态结构的改变。肠道微生态结构改变可能在肥胖、高脂血症等代谢性疾病的发生中发挥重要作用。

       

      Abstract: Objective A meta analysis was made to review the relationship between high fat diet and the changes of intestinal microecology in mice/rats systematically. Methods Databases included PubMed, EMBASE, the Cochrane Library, China Biology Medicine disc, China National Knowledge Infrastructure, VIP database and Wanfang database were searched to collect the randomized controlled studies on the correlation between high fat diet and intestinal microecology. The meta analysis was performed using the RevMan 5.3. Results All of the 15 studies were randomized controlled trials. The results of meta analysis showed that intestinal bifidobacteria decreased after high fat diet (SMD -4.08,95%CI -6.10~-2.05,P=0.000 1). There was a decrease in intestinal bacteroides in mice/rats after high-fat diet (SMD-0.5,95%CI -1.73~0.72, P=0.42; SMD -1.46, 95%CI-2.58~-0.35, P=0.01), and there was a significant decrease in intestinal lactobacillus as well(SMD -4.52,95%CI -7.39~-1.52, P<0.002). However, there was an increase in intestinal enterobacteriaceae in mice/rats after high-fat diet(SMD 3.93, 95%CI 0.53~7.32, P=0.02). Also, the results showed that the weight of mice/rats increased after high-fat diet(SMD 3.74, 95%CI 2.81~4.67, P<0.000 01). Concomitantly, the plasma total cholesterol (SMD 3.52,95%CI 2.39~4.65, P<0.000 01) and triglyceride (SMD 1.87, 95%CI 1.14~2.60, P<0.000 01) in the mice/rats increased significantly after the high fat diet. Conclusion High fat diet can lead to the change of intestinal micro ecological structure in mice/rats. The change of intestinal micro ecological structure may play an important role in the pathogenesis of metabolic diseases such as obesity and hyperlipidemia.

       

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