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共轭亚油酸(CLA)可减少有代谢综合征迹象的肥胖中年男性的腹部脂肪组织:一项随机对照试验。

Conjugated linoleic acid (CLA) reduced abdominal adipose tissue in obese middle-aged men with signs of the metabolic syndrome: a randomised controlled trial.

作者信息

Risérus U, Berglund L, Vessby B

机构信息

Clinical Nutrition Research Unit, Department of Public Health and Caring Sciences/Geriatrics, Faculty of Medicine, Uppsala University, Uppsala, Sweden.

出版信息

Int J Obes Relat Metab Disord. 2001 Aug;25(8):1129-35. doi: 10.1038/sj.ijo.0801659.

Abstract

BACKGROUND

Abdominal obesity is strongly related to metabolic disorders. Recent research suggests that dietary conjugated linoleic acid (CLA) reduces body fat and may improve metabolic variables in animals. The metabolic effects of CLA in abdominally obese humans have not yet been tested.

OBJECTIVE

To investigate the short-term effect of CLA on abdominal fat and cardiovascular risk factors in middle-aged men with metabolic disorders.

METHODS

Twenty-five abdominally obese men (waist-to-hip ratio (WHR), 1.05+/-0.05; body mass index (BMI), 32+/-2.7 kg/m(2) (mean+/-s.d.)) who were between 39 and 64-y-old participated in a double-blind randomised controlled trial for 4 weeks. Fourteen men received 4.2 g CLA/day and 10 men received a placebo. The main endpoints were differences between the two groups in sagittal abdominal diameter (SAD), serum cholesterol, low-density lipoprotein, high-density lipoprotein, triglycerides, free fatty acids, glucose and insulin.

RESULTS

At baseline, there were no significant differences between groups in anthropometric or metabolic variables. After 4 weeks there was a significant decrease in SAD (cm) in the CLA group compared to placebo (P=0.04, 95% CI; -1.12, -0.02). Other measurements of anthropometry or metabolism showed no significant differences between the groups.

CONCLUSIONS

These results indicate that CLA supplementation for 4 weeks in obese men with the metabolic syndrome may decrease abdominal fat, without concomitant effects on overall obesity or other cardiovascular risk factors. Because of the limited sample size, the effects of CLA in abdominal obesity need to be further investigated in larger trials with longer duration.

摘要

背景

腹部肥胖与代谢紊乱密切相关。近期研究表明,膳食共轭亚油酸(CLA)可减少动物体内脂肪,并可能改善代谢指标。CLA对腹部肥胖人群的代谢影响尚未得到验证。

目的

探讨CLA对患有代谢紊乱的中年男性腹部脂肪和心血管危险因素的短期影响。

方法

25名年龄在39至64岁之间的腹部肥胖男性(腰臀比(WHR)为1.05±0.05;体重指数(BMI)为32±2.7kg/m²(均值±标准差))参与了一项为期4周的双盲随机对照试验。14名男性每天服用4.2gCLA,10名男性服用安慰剂。主要终点指标为两组间在腹部矢状径(SAD)、血清胆固醇、低密度脂蛋白、高密度脂蛋白、甘油三酯、游离脂肪酸、葡萄糖和胰岛素方面的差异。

结果

在基线时,两组在人体测量学或代谢指标方面无显著差异。4周后,与安慰剂组相比,CLA组的SAD(cm)显著降低(P=0.04,95%CI:-1.12,-0.02)。人体测量学或代谢的其他测量指标在两组间无显著差异。

结论

这些结果表明,对患有代谢综合征的肥胖男性补充CLA4周可能会减少腹部脂肪,而对总体肥胖或其他心血管危险因素无伴随影响。由于样本量有限,CLA在腹部肥胖中的作用需要在更大规模、更长疗程的试验中进一步研究。

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