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  4. Salsalate Improves Postprandial Glycemic and Some Lipid Responses in Persons With Tetraplegia: A Randomized Clinical Pilot Trial With Crossover Design

Salsalate Improves Postprandial Glycemic and Some Lipid Responses in Persons With Tetraplegia: A Randomized Clinical Pilot Trial With Crossover Design

Top Spinal Cord Inj Rehabil, 2023 · DOI: 10.46292/sci22-00033 · Published: July 1, 2023

Spinal Cord InjuryPharmacologyEndocrinology

Simple Explanation

This study looked at how salsalate, a drug with anti-inflammatory properties, affects blood sugar, cholesterol, and inflammation in people with tetraplegia (spinal cord injury affecting all four limbs). The study involved 10 men with tetraplegia who took either salsalate or a placebo for a month each, with a break in between. Blood samples were taken before and after eating fast-food meals to see how their bodies responded. The results showed that salsalate helped lower blood sugar levels and improved some cholesterol levels. However, it didn't seem to have much effect on inflammation markers.

Study Duration
1 month treatment periods with 1-month wash-out
Participants
10 males aged 25 to 50 years with SCI at C5-8 levels for ≥1 year
Evidence Level
Randomized, double-blind, cross-over pilot trial

Key Findings

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    Salsalate significantly reduced fasting and postprandial glucose values in persons with tetraplegia.
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    Fasting free fatty acids were significantly reduced with salsalate treatment.
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    Fasting triglyceride levels were reduced with salsalate, although this reduction did not reach statistical significance.

Research Summary

This study investigated the effects of salsalate on fasting and postprandial glycemic, lipidemic, and inflammatory responses in persons with tetraplegia. The main findings were that salsalate significantly reduced fasting and PP glucose values, with a reciprocal increase in insulin. FFA were significantly reduced after salsalate treatment at fasting and early PP stages. In this pilot trial for persons with chronic tetraplegia, 1 month of salsalate decreased fasting and PP glucose response to fast-food meal challenge at regular intervals.

Practical Implications

Glycemic Control Improvement

Salsalate may be a useful pharmacological intervention for improving glycemic control in individuals with tetraplegia, who may have limited ability to manage blood sugar through lifestyle changes alone.

Lipid Profile Modification

Salsalate shows promise in improving lipid profiles, specifically reducing free fatty acids and triglycerides, which are important risk factors for cardiovascular disease in the SCI population.

Further Research Needed

Future studies should explore the long-term effects of salsalate, its efficacy in individuals with less favorable metabolic profiles, and the potential for synergistic effects when combined with exercise and diet interventions.

Study Limitations

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