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蛋白质、体重与心血管健康。

Protein, body weight, and cardiovascular health.

作者信息

Hu Frank B

机构信息

Harvard School of Public Health, Boston, MA 02115, USA.

出版信息

Am J Clin Nutr. 2005 Jul;82(1 Suppl):242S-247S. doi: 10.1093/ajcn/82.1.242S.

Abstract

Widespread popularity of high-protein diets has drawn controversy as well as scientific interest. By reducing intake of carbohydrates and increasing consumption of fats and proteins, such diets are thought to increase satiety, facilitate weight loss, and improve cardiovascular risk factors. In recent years, many randomized controlled studies have compared the effects of higher-protein diets on weight loss and cardiovascular risk factors with those of lower-protein diets. The aim of this review was to provide an overview of experimental and epidemiologic evidence regarding the role of protein in weight loss and cardiovascular risk. Emerging evidence from clinical trials indicates that higher-protein diets increase short-term weight loss and improve blood lipids, but long-term data are lacking. Findings from epidemiologic studies show a significant relationship between increased protein intake and lower risk of hypertension and coronary heart disease. However, different sources of protein appear to have different effects on cardiovascular disease. Although optimal amounts and sources of protein cannot be determined at this time, evidence suggests a potential benefit of partially replace refined carbohydrates with protein sources low in saturated fats.

摘要

高蛋白饮食的广泛流行引发了争议以及科学界的兴趣。通过减少碳水化合物的摄入量并增加脂肪和蛋白质的消耗量,这类饮食被认为能增强饱腹感、促进体重减轻并改善心血管危险因素。近年来,许多随机对照研究比较了高蛋白饮食与低蛋白饮食对体重减轻和心血管危险因素的影响。本综述的目的是概述关于蛋白质在体重减轻和心血管风险中作用的实验和流行病学证据。临床试验的新证据表明,高蛋白饮食可增加短期体重减轻并改善血脂,但缺乏长期数据。流行病学研究结果显示,蛋白质摄入量增加与高血压和冠心病风险降低之间存在显著关联。然而,不同的蛋白质来源似乎对心血管疾病有不同影响。尽管目前尚无法确定蛋白质的最佳摄入量和来源,但有证据表明,用饱和脂肪含量低的蛋白质来源部分替代精制碳水化合物可能有益。

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