Purkins L, Love E R, Eve M D, Wooldridge C L, Cowan C, Smart T S, Johnson P J, Rapeport W G
Pfizer Global Research & Development, Pfizer Ltd., Ramsgate Road, Sandwich, Kent CT13 9NJ, UK.
Br J Clin Pharmacol. 2004 Feb;57(2):199-208. doi: 10.1046/j.1365-2125.2003.01969.x.
To investigate the effect of diet upon liver function tests and serum lipids within the restricted environment of a Phase I unit.
An open randomized three-way crossover study was designed with subjects consuming three types of diet. The diets comprised, a balanced normal calorie diet, a high-carbohydrate high-calorie diet and a high-fat high-calorie diet. Each diet was consumed in a randomized sequence over 8 days with a recovery period of 14 days between periods. The blood concentrations of various laboratory parameters were measured at intervals throughout each dietary period and during the recovery periods.
Blood transaminase activity and triglyceride concentrations increased significantly whilst subjects consumed a high-carbohydrate high-calorie diet but not when fed either a high-fat high-calorie diet or a balanced normal calorie diet.
The rises in transaminases and triglycerides were caused by the carbohydrate content of the diet rather than its calorific value. Sucrose rather than starch was the carbohydrate which caused the rise in transaminases and triglycerides. The importance of controlling diet in Phase I studies is stressed.
在Ⅰ期病房的受限环境中研究饮食对肝功能检查和血脂的影响。
设计一项开放随机三向交叉研究,让受试者食用三种类型的饮食。这些饮食包括均衡的正常热量饮食、高碳水化合物高热量饮食和高脂肪高热量饮食。每种饮食按随机顺序食用8天,各阶段之间有14天的恢复期。在每个饮食阶段及恢复期内定期测量各种实验室参数的血浓度。
受试者食用高碳水化合物高热量饮食时,血转氨酶活性和甘油三酯浓度显著升高,但食用高脂肪高热量饮食或均衡的正常热量饮食时则不然。
转氨酶和甘油三酯的升高是由饮食中的碳水化合物含量而非热量值引起的。导致转氨酶和甘油三酯升高的碳水化合物是蔗糖而非淀粉。强调了在Ⅰ期研究中控制饮食的重要性。