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富含单不饱和脂肪酸的饮食对血浆脂蛋白的影响——耶路撒冷营养研究。II. 单不饱和脂肪酸与碳水化合物的比较

Effects of diets rich in monounsaturated fatty acids on plasma lipoproteins--the Jerusalem Nutrition Study. II. Monounsaturated fatty acids vs carbohydrates.

作者信息

Berry E M, Eisenberg S, Friedlander Y, Harats D, Kaufmann N A, Norman Y, Stein Y

机构信息

Department of Medicine, Hadassah University Hospital, Jerusalem, Israel.

出版信息

Am J Clin Nutr. 1992 Aug;56(2):394-403. doi: 10.1093/ajcn/56.2.394.

DOI:10.1093/ajcn/56.2.394
PMID:1636617
Abstract

Seventeen male Yeshiva students were randomly allocated to a crossover study with two 12-wk dietary periods of monounsaturated fatty acids (MUFAs) vs a carbohydrate (CHO)-rich diet while concentrations of saturated (SFAs) and polyunsaturated (PUFAs) fatty acids were kept similar. Total plasma cholesterol (TC) decreased significantly by approximately 7.7% and low-density-lipoprotein cholesterol (LDL-C) by 14.4% on the MUFA diet, whereas on the CHO diet no significant change in cholesterol concentrations occurred, in contrast to that predicted by the equations of Keys and Hegsted. Concentrations of high-density-lipoprotein cholesterol (HDL-C) did not change significantly on either diet. On the MUFA diet there was a significantly lower proneness to peroxidation of plasma and LDL lipids and less extensive metabolism of conditioned LDL by peritoneal macrophages. We conclude that dietary MUFAs lower TC and LDL-C concentrations, independently of other dietary fatty acids and in addition may reduce the susceptibility of LDL to oxidative stress.

摘要

17名犹太神学院男学生被随机分配到一项交叉研究中,该研究包括两个为期12周的饮食阶段,分别是单不饱和脂肪酸(MUFA)饮食期和富含碳水化合物(CHO)的饮食期,同时保持饱和脂肪酸(SFA)和多不饱和脂肪酸(PUFA)的浓度相似。在MUFA饮食期间,总血浆胆固醇(TC)显著降低了约7.7%,低密度脂蛋白胆固醇(LDL-C)降低了14.4%,而在CHO饮食期间,胆固醇浓度没有显著变化,这与Keys和Hegsted方程预测的情况相反。两种饮食下高密度脂蛋白胆固醇(HDL-C)的浓度均无显著变化。在MUFA饮食中,血浆和LDL脂质过氧化的倾向显著降低,腹膜巨噬细胞对氧化型LDL的代谢也不那么广泛。我们得出结论,饮食中的MUFA可降低TC和LDL-C浓度,独立于其他膳食脂肪酸,此外还可能降低LDL对氧化应激的敏感性。

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