A meta-analysis of red yeast rice: an effective and relatively safe alternative approach for dyslipidemia.

<h4>Objective</h4>To explore whether red yeast rice is a safe and effective alternative approach for dyslipidemia.<h4>Methods</h4>Pubmed, the Cochrane Library, EBSCO host, Chinese VIP Information (VIP), China National Knowledge Infrastructure (CNKI), Wanfang Databases were se...

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Autores principales: Yinhua Li, Long Jiang, Zhangrong Jia, Wei Xin, Shiwei Yang, Qiu Yang, Luya Wang
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Publicado: Public Library of Science (PLoS) 2014
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spelling oai:doaj.org-article:7806c0480add4e0388a54b30fe11f4552021-11-18T08:17:07ZA meta-analysis of red yeast rice: an effective and relatively safe alternative approach for dyslipidemia.1932-620310.1371/journal.pone.0098611https://doaj.org/article/7806c0480add4e0388a54b30fe11f4552014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24897342/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Objective</h4>To explore whether red yeast rice is a safe and effective alternative approach for dyslipidemia.<h4>Methods</h4>Pubmed, the Cochrane Library, EBSCO host, Chinese VIP Information (VIP), China National Knowledge Infrastructure (CNKI), Wanfang Databases were searched for appropriate articles. Randomized trials of RYR (not including Xuezhikang and Zhibituo) and placebo as control in patients with dyslipidemia were considered. Two authors read all papers and independently extracted all relevant information. The primary outcomes were serum total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), triglyceride (TG), and high-density lipoprotein cholesterol (HDL-C). The secondary outcomes were increased levels of alanine transaminase, aspartate aminotransferase, creatine kinase, creatinine and fasting blood glucose.<h4>Results</h4>A total of 13 randomized, placebo-controlled trials containing 804 participants were analyzed. Red yeast rice exhibited significant lowering effects on serum TC [WMD = -0.97 (95% CI: -1.13, -0.80) mmol/L, P<0.001], TG [WMD = -0.23 (95% CI: -0.31, -0.14) mmol/L, P<0.001], and LDL-C [WMD = -0.87 (95% CI: -1.03, -0.71) mmol/L, P<0.001] but no significant increasing effect on HDL-C [WMD = 0.08 (95% CI: -0.02, 0.19) mmol/L, P = 0.11] compared with placebo. No serious side effects were reported in all trials.<h4>Conclusions</h4>The meta-analysis suggests that red yeast rice is an effective and relatively safe approach for dyslipidemia. However, further long-term, rigorously designed randomized controlled trials are still warranted before red yeast rice could be recommended to patients with dyslipidemia, especially as an alternative to statins.Yinhua LiLong JiangZhangrong JiaWei XinShiwei YangQiu YangLuya WangPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 6, p e98611 (2014)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Yinhua Li
Long Jiang
Zhangrong Jia
Wei Xin
Shiwei Yang
Qiu Yang
Luya Wang
A meta-analysis of red yeast rice: an effective and relatively safe alternative approach for dyslipidemia.
description <h4>Objective</h4>To explore whether red yeast rice is a safe and effective alternative approach for dyslipidemia.<h4>Methods</h4>Pubmed, the Cochrane Library, EBSCO host, Chinese VIP Information (VIP), China National Knowledge Infrastructure (CNKI), Wanfang Databases were searched for appropriate articles. Randomized trials of RYR (not including Xuezhikang and Zhibituo) and placebo as control in patients with dyslipidemia were considered. Two authors read all papers and independently extracted all relevant information. The primary outcomes were serum total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), triglyceride (TG), and high-density lipoprotein cholesterol (HDL-C). The secondary outcomes were increased levels of alanine transaminase, aspartate aminotransferase, creatine kinase, creatinine and fasting blood glucose.<h4>Results</h4>A total of 13 randomized, placebo-controlled trials containing 804 participants were analyzed. Red yeast rice exhibited significant lowering effects on serum TC [WMD = -0.97 (95% CI: -1.13, -0.80) mmol/L, P<0.001], TG [WMD = -0.23 (95% CI: -0.31, -0.14) mmol/L, P<0.001], and LDL-C [WMD = -0.87 (95% CI: -1.03, -0.71) mmol/L, P<0.001] but no significant increasing effect on HDL-C [WMD = 0.08 (95% CI: -0.02, 0.19) mmol/L, P = 0.11] compared with placebo. No serious side effects were reported in all trials.<h4>Conclusions</h4>The meta-analysis suggests that red yeast rice is an effective and relatively safe approach for dyslipidemia. However, further long-term, rigorously designed randomized controlled trials are still warranted before red yeast rice could be recommended to patients with dyslipidemia, especially as an alternative to statins.
format article
author Yinhua Li
Long Jiang
Zhangrong Jia
Wei Xin
Shiwei Yang
Qiu Yang
Luya Wang
author_facet Yinhua Li
Long Jiang
Zhangrong Jia
Wei Xin
Shiwei Yang
Qiu Yang
Luya Wang
author_sort Yinhua Li
title A meta-analysis of red yeast rice: an effective and relatively safe alternative approach for dyslipidemia.
title_short A meta-analysis of red yeast rice: an effective and relatively safe alternative approach for dyslipidemia.
title_full A meta-analysis of red yeast rice: an effective and relatively safe alternative approach for dyslipidemia.
title_fullStr A meta-analysis of red yeast rice: an effective and relatively safe alternative approach for dyslipidemia.
title_full_unstemmed A meta-analysis of red yeast rice: an effective and relatively safe alternative approach for dyslipidemia.
title_sort meta-analysis of red yeast rice: an effective and relatively safe alternative approach for dyslipidemia.
publisher Public Library of Science (PLoS)
publishDate 2014
url https://doaj.org/article/7806c0480add4e0388a54b30fe11f455
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