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超重中年男性的全谷物黑麦和小麦食品与肠道健康指标

Whole-grain rye and wheat foods and markers of bowel health in overweight middle-aged men.

作者信息

McIntosh Graeme H, Noakes Manny, Royle Peter J, Foster Paul R

机构信息

Commonwealth Scientific & Industrial Research Organisation Health Sciences and Nutrition, Adelaide, Australia.

出版信息

Am J Clin Nutr. 2003 Apr;77(4):967-74. doi: 10.1093/ajcn/77.4.967.

Abstract

BACKGROUND

Whole-grain cereal foods including rye have been identified as providing significant health benefits that do not occur when refined-cereal foods are ingested.

OBJECTIVES

Foods (90 g) containing whole-grain rye flour and whole-grain wheat flour were compared with low-fiber refined-cereal foods for their effects on markers of bowel health and the metabolic markers insulin and glucose.

DESIGN

Three 4-wk interventions were undertaken in a randomized crossover design with 28 overweight men aged 40-65 y who had no history of bowel disease. Against a background intake of 14 g dietary fiber (DF), the men were fed low-fiber cereal grain foods providing 5 g DF for a total of 19 g DF/d. High-fiber wheat foods provided 18 g DF, and high-fiber rye foods provided 18 g DF, both giving a total of 32 g DF/d. Fecal samples (48-h) and fasting and postprandial blood samples were collected at the end of each period and assayed.

RESULTS

Both high-fiber rye and wheat foods increased fecal output by 33-36% (P = 0.004) and reduced fecal beta-glucuronidase activity by 29% (P = 0.027). Postprandial plasma insulin was decreased by 46-49% (P = 0.0001) and postprandial plasma glucose by 16-19% (P = 0.0005). Rye foods were associated with significantly (P = 0.0001) increased plasma enterolactone (47% and 71%) and fecal butyrate (26% and 36%), relative to wheat and low-fiber options, respectively.

CONCLUSIONS

High-fiber rye and wheat food consumption improved several markers of bowel and metabolic health relative to that of low-fiber food. Fiber from rye appears more effective than that from wheat in overall improvement of biomarkers of bowel health.

摘要

背景

包括黑麦在内的全谷物谷类食品已被证实具有显著的健康益处,而食用精制谷类食品则无法获得这些益处。

目的

将含有全谷物黑麦粉和全谷物小麦粉的食品(90克)与低纤维精制谷类食品对肠道健康标志物以及代谢标志物胰岛素和葡萄糖的影响进行比较。

设计

对28名年龄在40 - 65岁、无肠道疾病史的超重男性采用随机交叉设计进行了三项为期4周的干预。在每日摄入14克膳食纤维(DF)的基础上,让这些男性食用提供5克DF的低纤维谷类食品,使每日DF总量达到19克。高纤维小麦食品提供18克DF,高纤维黑麦食品提供18克DF,两者每日DF总量均达到32克。在每个阶段结束时收集粪便样本(48小时)以及空腹和餐后血样并进行检测。

结果

高纤维黑麦和小麦食品均使粪便排出量增加33% - 36%(P = 0.004),并使粪便β - 葡萄糖醛酸酶活性降低29%(P = 0.027)。餐后血浆胰岛素降低46% - 49%(P = 0.0001),餐后血浆葡萄糖降低16% - 19%(P = 0.0005)。与小麦和低纤维食品相比,黑麦食品分别使血浆肠内酯显著增加(P = 0.0001)(47%和71%)以及粪便丁酸盐增加(26%和36%)。

结论

相对于低纤维食品,食用高纤维黑麦和小麦食品改善了肠道和代谢健康的多个标志物。在全面改善肠道健康生物标志物方面,黑麦纤维似乎比小麦纤维更有效。

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