Svahn J C E, Feldl F, Räihä N C R, Koletzko B, Axelsson I E M
Department of Pediatrics, Lund University, University Hospital, Malmö, Sweden.
Acta Paediatr. 2002;91(1):20-9. doi: 10.1080/080352502753457897.
In this study we compared plasma contents of long-chain polyunsaturated fatty acids (LC-PUFAs) and trans fatty acids in triglycerides (TG), phospholipids (PL) and cholesterolesters (CE) in young children fed milk diets containing different amounts of linoleic (LA) and alpha-linolenic acid (ALA). Because the diets differed in vitamin A and E content, plasma concentrations of vitamin A and E were also studied. Thirty-seven 1-y-old children were randomly assigned to one of four feeding groups: (1) low-fat milk (LF) (1.0 g cow's milk fat/dL); (2) standard-fat milk (SF) (3.5 g cow's milk fat/dL); (3) partially vegetable fat milk (PVF) (3.5 g fat/dL; 50% vegetable fat from rapeseed oil, 50% milk fat); and (4) full vegetable fat milk (FVF) (3.5 g fat/dL; 100% vegetable fat from palm-, coconut- and soybean oil). We found higher amounts of plasma LA in the FVF group than in the LF and SF groups (p < 0.001) and higher amounts of ALA in the PVF group than in the SF (p < 0.001 in TGs, p < 0.05 in CEs) and LF (p < 0.01 in PLs and CEs, p < 0.05 in TGs) groups. However, amounts of plasma arachidonic acid (AA) were similar between groups as well as the amounts of docosahexaenoic acid (DHA) in CEs and PLs. Total trans FAs were lower in CEs in the PVF and FVF groups than in the SF group (p < 0.05 SF vs PVF; p < 0.01 SF vs FVF). Plasma concentrations of alpha-tocopherol were higher in the FVF group than in the other groups (p < 0.05 FVF vs SF, p < 0.01 FVF vs SF and PVF).
Children consuming milk diets containing high amounts of vegetable fat present with higher plasma LA and ALA without any effects on amounts of plasma LC-PUFA. The plasma LC-PUFA status is not adversely affected by a low-fat milk diet. AHA and DHA in plasma are not affected by the diets studied, presumably because 15-mo-old children may be able to compensate for dietary influences through endogenous LC-PUFA metabolism.
在本研究中,我们比较了食用含有不同量亚油酸(LA)和α-亚麻酸(ALA)的牛奶饮食的幼儿,其甘油三酯(TG)、磷脂(PL)和胆固醇酯(CE)中长链多不饱和脂肪酸(LC-PUFA)和反式脂肪酸的血浆含量。由于饮食中的维生素A和E含量不同,因此也研究了维生素A和E的血浆浓度。37名1岁儿童被随机分配到四个喂养组之一:(1)低脂牛奶(LF)(1.0 g牛奶脂肪/分升);(2)标准脂肪牛奶(SF)(3.5 g牛奶脂肪/分升);(3)部分植物脂肪牛奶(PVF)(3.5 g脂肪/分升;50%来自菜籽油的植物脂肪,50%牛奶脂肪);(4)全植物脂肪牛奶(FVF)(3.5 g脂肪/分升;100%来自棕榈油、椰子油和大豆油的植物脂肪)。我们发现FVF组的血浆LA含量高于LF组和SF组(p < 0.001),PVF组的ALA含量高于SF组(TG中p < 0.001,CE中p < 0.05)和LF组(PL和CE中p < 0.01,TG中p < 0.05)。然而,各组分之间的血浆花生四烯酸(AA)含量以及CE和PL中的二十二碳六烯酸(DHA)含量相似。PVF组和FVF组CE中的总反式脂肪酸含量低于SF组(SF与PVF比较,p < 0.05;SF与FVF比较,p < 0.01)。FVF组的α-生育酚血浆浓度高于其他组(FVF与SF比较,p < 0.05;FVF与SF和PVF比较,p < 0.01)。
食用含有大量植物脂肪的牛奶饮食的儿童,其血浆LA和ALA含量较高,而对血浆LC-PUFA含量没有任何影响。低脂牛奶饮食不会对血浆LC-PUFA状态产生不利影响。血浆中的AHA和DHA不受所研究饮食的影响,可能是因为15个月大的儿童或许能够通过内源性LC-PUFA代谢来补偿饮食的影响。