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RETRACTED: Melatonin administration lowers biomarkers of oxidative stress and cardio-metabolic risk in type 2 diabetic patients with coronary heart disease: A randomized, double-blind, placebo-controlled trial
Abstract
Background & aims Melatonin may benefit diabetic people with coronary heart disease (CHD) through its beneficial effects on biomarkers of oxidative stress and cardio-metabolic risk. This investigation evaluated the effects of melatonin administration on metabolic status in diabetic patients with CHD.Methods This randomized, double-blind, placebo-controlled trial was conducted and involved 60 diabetic patients with CHD. Subjects were randomly allocated into two groups to receive either 10 mg melatonin (2 melatonin capsules, 5 mg each) (n = 30) or placebo (n = 30) once a day for 12 weeks.Results Compared with the placebo, melatonin supplementation resulted in significant increases in plasma glutathione (GSH) (+64.7 ± 105.7 vs. -11.1 ± 137.6 μmol/L, P = 0.02) and nitric oxide (NO) (+0.9 ± 4.7 vs. -3.3 ± 9.6 μmol/L, P = 0.03), and significant decreases in malondialdehyde (MDA) (-0.2 ± 0.3 vs. +0.1 ± 0.5 μmol/L, P = 0.007), protein carbonyl (PCO) (-0.12 ± 0.08 vs. +0.03 ± 0.07 mmol/mg protein, P < 0.001) and serum high sensitivity C-reactive protein (hs-CRP) levels (-1463.3 ± 2153.8 vs. +122.9 ± 1230.4 ng/mL, P = 0.001). In addition, taking melatonin, compared with the placebo, significantly reduced fasting plasma glucose (-29.4 ± 49.0 vs. -5.5 ± 32.4 mg/dL, P = 0.03), serum insulin concentrations (-2.2 ± 4.1 vs. +0.7 ± 4.2 μIU/mL, P = 0.008), homeostasis model of assessment-estimated insulin resistance (-1.0 ± 2.2 vs. +0.01 ± 1.6, P = 0.04), total-/HDL-cholesterol ratio (-0.18 ± 0.38 vs. +0.03 ± 0.35, P = 0.02) and systolic (-4.3 ± 9.6 vs. +1.0 ± 7.5 mmHg, P = 0.01) and diastolic blood pressure (-2.8 ± 7.3 vs. +0.1 ± 3.6 mmHg, P = 0.04). Melatonin treatment also significantly increased quantitative insulin sensitivity check index (+0.006 ± 0.01 vs. -0.004 ± 0.01, P = 0.01) and serum HDL-cholesterol (+2.6 ± 5.5 vs. -0.01 ± 4.4 mg/dL, P = 0.04). Supplementation with melatonin had no significant effect on other metabolic parameters.Conclusions Overall, melatonin intake for 12 weeks to diabetic patients with CHD had beneficial effects on plasma GSH, NO, MDA, PCO, serum hs-CRP levels, glycemic control, HDL-cholesterol, total-/HDL-cholesterol ratio, blood pressures and parameters of mental health. Registered under ClinicalTrials.gov Identifier no. http://www.irct.ir: IRCT2017051333941N1.
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“The investigations about melatonin's effect on obesity in humans are scarce. 18-20”
From Melatonin supplementation improves glycemic hemostasis, lipid profile, and adipokine concentrations of obese women: A double-blind randomized clinical trial (2024) · cites this paper as [20]
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“Furthermore, A recent RCT observed that melatonin supplementation during 12 weeks in patients with T2DM and coronary heart disease remarkably declined FBS, and serum insulin, and promoted the HOMA-IR 20”
From Melatonin supplementation improves glycemic hemostasis, lipid profile, and adipokine concentrations of obese women: A double-blind randomized clinical trial (2024) · cites this paper as [20]
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Metadata
- Authors
- Raygan, F., Ostadmohammadi, V., Bahmani, F., Reiter, R. J., & Asemi, Z.
- Affiliations
- Kashan University of Medical Sciences (IR)
- The University of Texas at San Antonio Health Science Center (US)
- Venue
- Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2019-02
- Volume
- 38
- Issue
- 1
- Pages
- 191-196
- ISSN
- 0261-5614 (ISSN-L)
- OpenAlex
- W2774713064
- Cited by
- 147
- References
- 30
- Citations by year
- 2026: 5 · 2025: 15 · 2024: 28 · 2023: 14 · 2022: 23 · 2021: 17 · 2020: 18 · 2019: 16
- FWCI
- 7.55
- Type
- journal article
- Language
- en
- Status
- Retracted
- Open access
- closed
- Locations
- Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Vice-chancellor for Research, KUMS, Kashan, and Iran (96025)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Health Sciences › Medicine › Biochemistry (medical) › Antioxidant Activity and Oxidative Stress
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Keywords
- melatonin supplementation, type 2 diabetes, coronary artery disease, oxidative stress, cardiometabolic risk, insulin resistance, insulin sensitivity, lipid profile, C-reactive protein, inflammation, nitric oxide, glutathione, malondialdehyde, protein carbonyls, fasting blood glucose, serum insulin, HDL cholesterol, LDL cholesterol, HDL/HDL2 ratio, HDL2
- MeSH terms
- Aged, Aged, 80 and over, Antioxidants, Blood Glucose, Blood Pressure, C-Reactive Protein, Coronary Disease, Diabetes Mellitus, Type 2, Double-Blind Method, Female, Glutathione, Humans, Insulin, Cholesterol, HDL, Male, Malondialdehyde, Melatonin, Middle Aged, Nitric Oxide, Biomarkers, Oxidative Stress
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