PMID- 31486447 OWN - NLM STAT- MEDLINE DCOM- 20200211 LR - 20200211 IS - 2042-650X (Electronic) IS - 2042-6496 (Linking) VI - 10 IP - 9 DP - 2019 Sep 1 TI - The effects of resveratrol on metabolic status in patients with type 2 diabetes mellitus and coronary heart disease. PG - 6042-6051 LID - 10.1039/c9fo01075k [doi] AB - This study was performed to investigate the effects of resveratrol on metabolic status in patients with type 2 diabetes mellitus (T2DM) and coronary heart disease (CHD). This randomized, double-blind, placebo-controlled trial was performed with 56 patients having T2DM and CHD. The patients were randomly divided into two groups to receive either 500 mg resveratrol per day (n = 28) or placebo (n = 28) for 4 weeks. Resveratrol reduced fasting glucose (beta-10.04 mg dL(-1); 95% CI, -18.23, -1.86; P = 0.01), insulin (beta-1.09 muIU mL(-1); 95% CI, -1.93, -0.24; P = 0.01) and insulin resistance (beta-0.48; 95% CI, -0.76, -0.21; P = 0.001) and significantly increased insulin sensitivity (beta 0.006; 95% CI, 0.001, 0.01; P = 0.02) when compared with the placebo. Resveratrol also significantly increased HDL-cholesterol levels (beta 3.38 mg dL(-1); 95% CI, 1.72, 5.05; P < 0.001) and significantly decreased the total-/HDL-cholesterol ratio (beta-0.36; 95% CI, -0.59, -0.13; P = 0.002) when compared with the placebo. Additionally, resveratrol caused a significant increase in total antioxidant capacity (TAC) (beta 58.88 mmol L(-1); 95% CI, 17.33, 100.44; P = 0.006) and a significant reduction in malondialdehyde (MDA) levels (beta-0.21 mumol L(-1); 95% CI, -0.41, -0.005; P = 0.04) when compared with the placebo. Resveratrol upregulated PPAR-gamma (P = 0.01) and sirtuin 1 (SIRT1) (P = 0.01) in the peripheral blood mononuclear cells (PBMCs) of T2DM patients with CHD. Resveratrol supplementation did not have any effect on inflammatory markers. Four-week supplementation of resveratrol in patients with T2DM and CHD had beneficial effects on glycemic control, HDL-cholesterol levels, the total-/HDL-cholesterol ratio, TAC and MDA levels. Resveratrol also upregulated PPAR-gamma and SIRT1 in the PBMCs of T2DM patients with CHD. FAU - Hoseini, Asma AU - Hoseini A AD - Research Center for Biochemistry and Nutrition in Metabolic Diseases, Kashan University of Medical Sciences, Kashan, Iran. asemi_r@yahoo.com namazi-gh@kaums.ac.ir. FAU - Namazi, Gholamreza AU - Namazi G AD - Research Center for Biochemistry and Nutrition in Metabolic Diseases, Kashan University of Medical Sciences, Kashan, Iran. asemi_r@yahoo.com namazi-gh@kaums.ac.ir. FAU - Farrokhian, Alireza AU - Farrokhian A AD - Department of Cardiology, School of Medicine, Kashan University of Medical Sciences, Kashan, Iran. FAU - Reiner, Zeljko AU - Reiner Z AD - Department of Internal Medicine, University Hospital Centre Zagreb, School of Medicine, University of Zagreb, Zagreb, Croatia. FAU - Aghadavod, Esmat AU - Aghadavod E AD - Research Center for Biochemistry and Nutrition in Metabolic Diseases, Kashan University of Medical Sciences, Kashan, Iran. asemi_r@yahoo.com namazi-gh@kaums.ac.ir. FAU - Bahmani, Fereshteh AU - Bahmani F AD - Research Center for Biochemistry and Nutrition in Metabolic Diseases, Kashan University of Medical Sciences, Kashan, Iran. asemi_r@yahoo.com namazi-gh@kaums.ac.ir. FAU - Asemi, Zatollah AU - Asemi Z AUID- ORCID: 0000-0001-5265-4792 AD - Research Center for Biochemistry and Nutrition in Metabolic Diseases, Kashan University of Medical Sciences, Kashan, Iran. asemi_r@yahoo.com namazi-gh@kaums.ac.ir. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20190905 PL - England TA - Food Funct JT - Food & function JID - 101549033 RN - 0 (Blood Glucose) RN - 0 (Cholesterol, HDL) RN - 0 (Insulin) RN - 0 (PPAR gamma) RN - 4Y8F71G49Q (Malondialdehyde) RN - EC 3.5.1.- (Sirtuin 1) RN - Q369O8926L (Resveratrol) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Blood Glucose/metabolism MH - Cholesterol, HDL/metabolism MH - Coronary Disease/*drug therapy/genetics/*metabolism MH - Diabetes Mellitus, Type 2/*drug therapy/genetics/*metabolism MH - Dietary Supplements/analysis MH - Double-Blind Method MH - Female MH - Humans MH - Insulin/metabolism MH - Insulin Resistance MH - Male MH - Malondialdehyde/metabolism MH - Middle Aged MH - PPAR gamma/genetics/metabolism MH - Resveratrol/*administration & dosage MH - Sirtuin 1/genetics/metabolism EDAT- 2019/09/06 06:00 MHDA- 2020/02/12 06:00 CRDT- 2019/09/06 06:00 PHST- 2019/09/06 06:00 [pubmed] PHST- 2020/02/12 06:00 [medline] PHST- 2019/09/06 06:00 [entrez] AID - 10.1039/c9fo01075k [doi] PST - ppublish SO - Food Funct. 2019 Sep 1;10(9):6042-6051. doi: 10.1039/c9fo01075k. Epub 2019 Sep 5.