Kamphuis M M J W, Lejeune M P G M, Saris W H M, Westerterp-Plantenga M S
Department of Human Biology, Faculty of Health Sciences, Maastricht University, The Netherlands.
Int J Obes Relat Metab Disord. 2003 Jul;27(7):840-7. doi: 10.1038/sj.ijo.0802304.
To study the effects of 13 weeks conjugated linoleic acid (CLA) supplementation in overweight subjects after weight loss on weight regain, body composition, resting metabolic rate, substrate oxidation, and blood plasma parameters.
This study had a double-blind, placebo-controlled randomized design. Subjects were first submitted to a very-low-calorie diet (VLCD 2.1 MJ/d) for 3 weeks after which they started with the 13-week intervention period. They either received 1.8 g CLA or placebo per day (low dosage, LD) or 3.6 g CLA or placebo per day (high dosage, HD).
A total of 26 men and 28 women (age 37.8+/-7.7 y; body mass index (BMI) 27.8+/-1.5 kg/m(2)).
Before VLCD (t=-3), after VLCD but before CLA or placebo intervention (t=0) and after 13-week CLA or placebo intervention (t=13), body weight, body composition (hydrodensitometry and deuterium dilution), resting metabolic rate, substrate oxidation, physical activity, and blood plasma parameters (glucose, insulin, triacylglycerol, free fatty acids, glycerol and beta-hydroxy butyrate) were measured.
The VLCD significantly lowered body weight (6.9+/-1.7%), %body fat, fat mass, fat-free mass, resting metabolic rate, respiratory quotient and plasma glucose, insulin, and triacylglycerol concentrations, while free fatty acids, glycerol and beta-hydroxy butyrate concentrations were increased. Multiple regression analysis showed that at the end of the 13-week intervention, CLA did not affect %body weight regain (CLA LD 47.9+/-88.2%, CLA HD 27.4+/-29.8%, Placebo LD 32.0+/-42.8%, Placebo HD 22.5+/-37.9%). The regain of fat-free mass was increased by CLA (LD 6.2+/-3.9, HD 4.6+/-2.4%) compared to placebo (LD 2.8+/-3.2%, HD 3.4+/-3.6%), independent of %body weight regain and physical activity. As a consequence of an increased regain of fat-free mass by CLA, resting metabolic rate was increased by CLA (LD 12.0+/-11.4%, HD 13.7+/-14.4%) compared to placebo (LD 9.1+/-11.0%, HD 8.6+/-8.5%). Substrate oxidation and blood plasma parameters were not affected by CLA.
In conclusion, the regain of fat-free mass was favorably, dose-independently affected by a 13-week consumption of 1.8 or 3.6 g CLA/day and consequently increased the resting metabolic rate. However, it did not result in improved body weight maintenance after weight loss.
研究超重受试者在体重减轻后补充13周共轭亚油酸(CLA)对体重反弹、身体成分、静息代谢率、底物氧化及血浆参数的影响。
本研究采用双盲、安慰剂对照随机设计。受试者首先接受为期3周的极低热量饮食(每天2.1兆焦),之后开始为期13周的干预期。他们每天分别服用1.8克CLA或安慰剂(低剂量组,LD)或3.6克CLA或安慰剂(高剂量组,HD)。
共26名男性和28名女性(年龄37.8±7.7岁;体重指数(BMI)27.8±1.5千克/平方米)。
在极低热量饮食前(t=-3)、极低热量饮食后但在CLA或安慰剂干预前(t=0)以及13周CLA或安慰剂干预后(t=13),测量体重、身体成分(水下密度测量法和氘稀释法)、静息代谢率、底物氧化、身体活动及血浆参数(葡萄糖、胰岛素、三酰甘油、游离脂肪酸、甘油和β-羟基丁酸)。
极低热量饮食显著降低了体重(6.9±1.7%)、体脂百分比、脂肪量、去脂体重、静息代谢率、呼吸商以及血浆葡萄糖、胰岛素和三酰甘油浓度,而游离脂肪酸、甘油和β-羟基丁酸浓度升高。多元回归分析表明,在13周干预结束时,CLA对体重反弹百分比无影响(CLA低剂量组47.9±88.2%,CLA高剂量组27.4±29.8%,安慰剂低剂量组32.0±42.8%,安慰剂高剂量组22.5±37.9%)。与安慰剂相比(低剂量组2.8±3.2%,高剂量组3.4±3.6%),CLA使去脂体重的恢复增加(低剂量组6.2±3.9,高剂量组4.6±2.4%),且与体重反弹百分比和身体活动无关。由于CLA使去脂体重恢复增加,与安慰剂相比(低剂量组9.1±11.0%,高剂量组8.6±8.5%),CLA使静息代谢率增加(低剂量组12.0±11.4%,高剂量组13.7±14.4%)。底物氧化和血浆参数不受CLA影响。
总之,每天服用1.8克或3.6克CLA,连续13周,对去脂体重的恢复有积极的、剂量无关的影响,从而提高了静息代谢率。然而,它并未改善体重减轻后的体重维持情况。