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Nutriceuticals in cardiovascular disease: psyllium.

机译:心血管疾病中的营养保健品:车前草。

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In recent years, there has been a growing interest in the use of dietary fiber in health maintenance and disease prevention. A deficiency of fiber in the Western diet may be contributing to the current epidemics of diabetes mellitus, coronary artery disease (CAD), and colonic cancer. The awareness of fiber as a dietary supplement may have contributed to the reported 30% decline in death rate from CAD observed over the past 15 years. Psyllium is a soluble gel-forming fiber that has been shown to bind to the bile acids in the gut and prevent their normal reabsorption, similar to the bile acid sequestrant drugs. Psyllium is useful as an adjunct to dietary therapy (step 1 or step 2 American Heart Association [AHA] diet) in the treatment of patients with mild-to-moderate hypercholesterolemia. In combination with other cholesterol-lowering drugs, such as statins, psyllium provides an added benefit on cholesterol lowering, and is well tolerated and cost-effective.
机译:近年来,人们越来越关注在健康维护和疾病预防中使用膳食纤维。西方饮食中纤维的缺乏可能会导致糖尿病,冠状动脉疾病(CAD)和结肠癌的当前流行。纤维作为膳食补充剂的意识可能导致过去15年中报告的CAD死亡率下降了30%。车前子是一种可溶的凝胶形成纤维,已显示与肠道中的胆汁酸结合并阻止其正常再吸收,类似于胆汁酸螯合剂。车前草可作为饮食疗法(美国心脏协会[AHA]饮食的第1步或第2步)的辅助手段,用于治疗轻度至中度高胆固醇血症的患者。车前草与其他降胆固醇药物(如他汀类药物)合用时,可以降低胆固醇,并且具有良好的耐受性和成本效益。

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