A Meta-Analysis of Red Yeast Rice: An Effective and Relatively Safe Alternative Approach for Dyslipidemia
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{"title"=>"A meta-analysis of red yeast rice: An effective and relatively safe alternative approach for dyslipidemia", "type"=>"journal", "authors"=>[{"first_name"=>"Yinhua", "last_name"=>"Li", "scopus_author_id"=>"56206602200"}, {"first_name"=>"Long", "last_name"=>"Jiang", "scopus_author_id"=>"56205043300"}, {"first_name"=>"Zhangrong", "last_name"=>"Jia", "scopus_author_id"=>"57198852172"}, {"first_name"=>"Wei", "last_name"=>"Xin", "scopus_author_id"=>"55274024300"}, {"first_name"=>"Shiwei", "last_name"=>"Yang", "scopus_author_id"=>"35172452000"}, {"first_name"=>"Qiu", "last_name"=>"Yang", "scopus_author_id"=>"56205305100"}, {"first_name"=>"Luya", "last_name"=>"Wang", "scopus_author_id"=>"7409180188"}], "year"=>2014, "source"=>"PLoS ONE", "identifiers"=>{"pui"=>"373323982", "sgr"=>"84902504375", "pmid"=>"24897342", "scopus"=>"2-s2.0-84902504375", "isbn"=>"1932-6203", "doi"=>"10.1371/journal.pone.0098611", "issn"=>"19326203"}, "id"=>"ed8c0039-5a2f-3a36-975d-208fb03722e7", "abstract"=>"OBJECTIVE To explore whether red yeast rice is a safe and effective alternative approach for dyslipidemia. METHODS 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. RESULTS 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. CONCLUSIONS 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.", "link"=>"http://www.mendeley.com/research/metaanalysis-red-yeast-rice-effective-relatively-safe-alternative-approach-dyslipidemia", "reader_count"=>73, "reader_count_by_academic_status"=>{"Unspecified"=>3, "Professor > Associate Professor"=>2, "Librarian"=>3, "Researcher"=>11, "Student > Doctoral Student"=>6, "Student > Ph. D. Student"=>5, "Student > Postgraduate"=>5, "Student > Master"=>18, "Other"=>9, "Student > Bachelor"=>10, "Lecturer"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>3, "Professor > Associate Professor"=>2, "Librarian"=>3, "Researcher"=>11, "Student > Doctoral Student"=>6, "Student > Ph. D. Student"=>5, "Student > Postgraduate"=>5, "Student > Master"=>18, "Other"=>9, "Student > Bachelor"=>10, "Lecturer"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>7, "Agricultural and Biological Sciences"=>9, "Arts and Humanities"=>2, "Chemistry"=>3, "Computer Science"=>1, "Nursing and Health Professions"=>9, "Biochemistry, Genetics and Molecular Biology"=>3, "Materials Science"=>1, "Medicine and Dentistry"=>27, "Pharmacology, Toxicology and Pharmaceutical Science"=>8, "Psychology"=>1, "Social Sciences"=>1, "Immunology and Microbiology"=>1}, "reader_count_by_subdiscipline"=>{"Materials Science"=>{"Materials Science"=>1}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>27}, "Social Sciences"=>{"Social Sciences"=>1}, "Psychology"=>{"Psychology"=>1}, "Unspecified"=>{"Unspecified"=>7}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>8}, "Arts and Humanities"=>{"Arts and Humanities"=>2}, "Chemistry"=>{"Chemistry"=>3}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>9}, "Computer Science"=>{"Computer Science"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>9}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>3}}, "reader_count_by_country"=>{"Netherlands"=>1, "United States"=>1, "Italy"=>1, "Spain"=>1}, "group_count"=>6}

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  • {"files"=>["https://ndownloader.figshare.com/files/1520920"], "description"=>"<p>I: Intervention group, C: Control group, I1: high dose group, I2: low dose group, TC: total cholesterol, TG: triglyceride, LDL-C: low-density lipoprotein cholesterol, HDL-C: high-density lipoprotein cholesterol.</p>", "links"=>[], "tags"=>["Biochemistry", "lipids", "Lipid metabolism", "cardiology", "Cardiovascular pharmacology", "Clinical medicine", "Complementary and alternative medicine", "pharmacology", "Clinical pharmacology", "Vascular medicine", "atherosclerosis", "Coronary artery disease", "mathematics", "Statistics (mathematics)", "Statistical methods", "meta-analysis", "Research assessment", "Systematic reviews", "research design", "Clinical research design", "included"], "article_id"=>1045962, "categories"=>["Biological Sciences"], "users"=>["Yinhua Li", "Long Jiang", "Zhangrong Jia", "Wei Xin", "Shiwei Yang", "Qiu Yang", "Luya Wang"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0098611.t002", "stats"=>{"downloads"=>1, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Basic_characteristics_of_included_subjects_/1045962", "title"=>"Basic characteristics of included subjects.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-06-04 03:27:17"}
  • {"files"=>["https://ndownloader.figshare.com/files/1520921"], "description"=>"<p>RYR: Red yeast rice, I:Intervention group, C:Control group, I1: high dose group, I2:low dose group.</p>", "links"=>[], "tags"=>["Biochemistry", "lipids", "Lipid metabolism", "cardiology", "Cardiovascular pharmacology", "Clinical medicine", "Complementary and alternative medicine", "pharmacology", "Clinical pharmacology", "Vascular medicine", "atherosclerosis", "Coronary artery disease", "mathematics", "Statistics (mathematics)", "Statistical methods", "meta-analysis", "Research assessment", "Systematic reviews", "research design", "Clinical research design", "included"], "article_id"=>1045963, "categories"=>["Biological Sciences"], "users"=>["Yinhua Li", "Long Jiang", "Zhangrong Jia", "Wei Xin", "Shiwei Yang", "Qiu Yang", "Luya Wang"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0098611.t001", "stats"=>{"downloads"=>1, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Basic_characteristics_of_included_trials_/1045963", "title"=>"Basic characteristics of included trials.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-06-04 03:27:17"}
  • {"files"=>["https://ndownloader.figshare.com/files/1520923", "https://ndownloader.figshare.com/files/1520925", "https://ndownloader.figshare.com/files/1520926", "https://ndownloader.figshare.com/files/1520927"], "description"=>"<div><p>Objective</p><p>To explore whether red yeast rice is a safe and effective alternative approach for dyslipidemia.</p><p>Methods</p><p>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.</p><p>Results</p><p>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.</p><p>Conclusions</p><p>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.</p></div>", "links"=>[], "tags"=>["Biochemistry", "lipids", "Lipid metabolism", "cardiology", "Cardiovascular pharmacology", "Clinical medicine", "Complementary and alternative medicine", "pharmacology", "Clinical pharmacology", "Vascular medicine", "atherosclerosis", "Coronary artery disease", "mathematics", "Statistics (mathematics)", "Statistical methods", "meta-analysis", "Research assessment", "Systematic reviews", "research design", "Clinical research design", "yeast"], "article_id"=>1045965, "categories"=>["Biological Sciences"], "users"=>["Yinhua Li", "Long Jiang", "Zhangrong Jia", "Wei Xin", "Shiwei Yang", "Qiu Yang", "Luya Wang"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0098611.s001", "https://dx.doi.org/10.1371/journal.pone.0098611.s002", "https://dx.doi.org/10.1371/journal.pone.0098611.s003", "https://dx.doi.org/10.1371/journal.pone.0098611.s004"], "stats"=>{"downloads"=>9, "page_views"=>9, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_A_Meta_Analysis_of_Red_Yeast_Rice_An_Effective_and_Relatively_Safe_Alternative_Approach_for_Dyslipidemia_/1045965", "title"=>"A Meta-Analysis of Red Yeast Rice: An Effective and Relatively Safe Alternative Approach for Dyslipidemia", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2014-06-04 03:27:17"}

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Relative Metric

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