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Randomized controlled trial of omega-3 fatty acid supplementation and probiotic therapy on insulin sensitivity in obesity-related metabolic syndrome

Nargiza NurillaevaTashkent State Medical University. Department of Internal Diseases in Family Medicine and Fundamentals of Preventive Medicine, Tashkent, UzbekistanAshurova ManzuraThe Fergana Medical Institute of Public Health. Head of the Chair of Communal and Occupational Hygiene. Fergana, UzbekistanNigina XalikovaTermez University of Economics and Service. Department of Medical Fundamental Sciences, Termez, UzbekistanXulkar KasimovaMamun University. Department of Psychology, Khiva, UzbekistanAli M. AliThe Islamic University. Department of medical analysis technique, medical college technique, Najaf, IraqTripti DewanganKalinga University. Department of Pharmacy, Naya Raipur, Chhattisgarh, India
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Аннотация

The metabolic syndrome of obesity has well-defined habitat-related mechanisms associated with obesity, insulin resistance, dyslipidemia, and inflammation, which collectively serve as habit-challenging and problematic issues related to obesity and obesity-related metabolic syndrome. Clearly, nutritional approaches signify the most important types of non-pharmacological treatment that can be explored and are extremely relevant. Two approaches of specific interest, perhaps because they have overlapping yet complementary mechanisms, are omega-3 fatty acids and probiotics. The current nutrologic study assessed the effect of Omega-3 fatty acid vs probiotic treatment on insulin sensitivity in an obese population with metabolic syndrome. Omega-3 fatty acids have many systemic effects (i.e., EPA and DHA), specifically with respect to the metabolic processing of the lipid component of an underlying disordered metabolic state, reducing pro-inflammatory cytokines, and improving insulin signalling at the cellular level. Alternatively, probiotics may come from a different basis and also work via a gut–metabolic axis, through the modulation of gut microbiota, re-establishing the functional gut barrier, and increasing short-chain fatty acids, which may affect glucose metabolism. The clinical examination of the results showed that both dietary strategies influenced different indices of insulin sensitivity, whereas Omega-3 fatty acids influenced lipids, and probiotics tended to be more representative of the modulation of gut-related pathways by the varied dietary strategies. So the effects are synthetically presented here, i.e., in summary, mainly because of the comparisons made, but the differences were examined in several contexts in order to demonstrate the complementary dietary gradients in the two interventions. In conclusion, flexibility for both therapies may be realized with a consideration for their combined use under personalized nutrology protocols to generate better metabolic outcomes. This nutrological viewpoint respects the same perceptions of dietary strategies being very nuanced with modifications to address the burden of metabolic syndrome and supports longer duration studies or trials with prolonged exposure to treatment, considering therapies in different populations, as well as exploring possibilities of dose response or synergistic treatment in metering changes.

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