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成年人对脂肪摄入量的反应及可接受范围。

Response to and range of acceptable fat intake in adults.

作者信息

Jéquier E

机构信息

Institute of Physiology, University of Lausanne, Switzerland.

出版信息

Eur J Clin Nutr. 1999 Apr;53 Suppl 1:S84-8; discussion S88-93. doi: 10.1038/sj.ejcn.1600747.

Abstract

Cellular energy metabolism depends on two main energy substrates: glucose and fatty acids. The major determinants of the fuel mix oxidized are glucose availability and insulin secretion that both promote glucose oxidation. Fatty acid oxidation occurs mainly when glucose availability is reduced, for instance during the postabsorptive period, or when energy expenditure is increased, for instance during exercise of long duration. When eucaloric diets with high carbohydrate and low fat content are ingested, de novo lipogenesis is stimulated in adults, but the rate of conversion of glucose to fatty acids is low, which means that carbohydrate intake does not have much influence on fat requirements. The lower limit of fat intake depends on three factors: the fat requirement to meet energy needs, the need for essential fatty acids, and the amount of fat in the diet that is necessary to absorb fat-soluble vitamins. The lower limit of fat intake to meet the energy needs of adults is assumed to be between 10 and 15% of dietary energy, provided that enough carbohydrates are available. For adults, the requirement for essential fatty acids is in the range of 3-5% of dietary energy for linoleic acid, and 0.5-1.0% of dietary energy for linolenic acid. Fat energy should not be below 10% of total energy intake in order to ensure an unrestricted absorption of fat-soluble vitamins, particularly vitamins A and E. The recommendations on upper limits of fat intake for adults must take into account the degree of physical activity. International recommendations indicate that active individuals in energy balance may consume up to 35% of their total energy intake as dietary fat, whereas sedentary individuals should not consume more than 30% of their energy from fat. Saturated fatty acids should not exceed 10% of the energy intake.

摘要

细胞能量代谢依赖于两种主要的能量底物

葡萄糖和脂肪酸。氧化的燃料组合的主要决定因素是葡萄糖可用性和胰岛素分泌,二者均促进葡萄糖氧化。脂肪酸氧化主要在葡萄糖可用性降低时发生,例如在吸收后阶段,或者在能量消耗增加时发生,例如在长时间运动期间。当摄入高碳水化合物和低脂肪含量的等热量饮食时,成人体内的从头脂肪生成会受到刺激,但葡萄糖转化为脂肪酸的速率较低,这意味着碳水化合物的摄入量对脂肪需求影响不大。脂肪摄入量的下限取决于三个因素:满足能量需求所需的脂肪量、必需脂肪酸的需求以及吸收脂溶性维生素所需的饮食中脂肪的量。假设在有足够碳水化合物的情况下,满足成年人能量需求的脂肪摄入量下限为膳食能量的10%至15%。对于成年人,必需脂肪酸的需求量为膳食能量的3 - 5%(亚油酸)和膳食能量的0.5 - 1.0%(亚麻酸)。脂肪能量不应低于总能量摄入的10%,以确保脂溶性维生素,特别是维生素A和E的不受限制的吸收。关于成年人脂肪摄入量上限的建议必须考虑身体活动程度。国际建议表明,能量平衡的活跃个体可将其膳食脂肪摄入量占总能量摄入的比例高达35%,而久坐不动的个体从脂肪中获取的能量不应超过其能量的30%。饱和脂肪酸不应超过能量摄入量的10%。

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