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肥胖者低热量饮食后血清及脂肪组织脂肪酸组成随膳食脂肪含量的变化

[Changes in serum and adipose tissue fatty acid composition after low calorie diet with respect to dietary fat content in obese].

作者信息

Vecka M, Richterová B, Zák A, Tvrzická E, Srámková P, Stanková B, Klimcáková E, Stich V

机构信息

IV. interní klinika I. LF UK a VFN, Praha.

出版信息

Cas Lek Cesk. 2006;145(6):464-9.

Abstract

BACKGROUND

Recently, a new attention has been paid to beneficial effects of high-fat diet on the body weight reduction and metabolic profile in obese subjects. In this study we compared the effects of two hypocaloric diets with different proportion of fat on fatty acid composition (FA) in blood and adipose tissue (AT).

METHODS AND RESULTS

Forty-four obese subjects were submitted to 10 weeks' low-calorie diet. Subjects were randomized into low-fat diet (LFD) (20-25% of energy content) and high-fat diet groups (HFD) (40-45%). Before and at the end of the intervention, samples of blood and subcutaneous AT were taken for the analysis of fatty acid composition. The diet-induced body weight and fat mass reduction were not different between the two diets. Plasma triacylglycerols (TAG) were reduced during HFD only. Both diets reduced proportion of n-3 polyunsaturated fatty acids in AT and of saturated fatty acid in blood TAG, with no difference between the diets. HFD induced a higher increase of monounsaturated fatty acids in blood TAG. No other diet-induced changes were found in proportion of major classes of fatty acids. In respect to individual fatty acids, the diets induced a number of changes in AT and blood, the changes, however, not being different between the diets.

CONCLUSION

Hypocaloric diets induce a number of changes in fatty acid composition in blood and adipose tissue, with little differences in respect to the proportion of fat in the diet. The results suggest the diet-induced changes in fatty acid composition are controlled by the calorie deficit of the diet and the proportion of dietary fat plays a minor role.

摘要

背景

最近,高脂饮食对肥胖受试者体重减轻和代谢状况的有益作用受到了新的关注。在本研究中,我们比较了两种不同脂肪比例的低热量饮食对血液和脂肪组织中脂肪酸组成(FA)的影响。

方法与结果

44名肥胖受试者接受了为期10周的低热量饮食。受试者被随机分为低脂饮食组(LFD)(能量含量的20 - 25%)和高脂饮食组(HFD)(40 - 45%)。在干预前后,采集血液和皮下脂肪组织样本用于分析脂肪酸组成。两种饮食在饮食诱导的体重和脂肪量减少方面没有差异。仅在高脂饮食期间血浆三酰甘油(TAG)降低。两种饮食均降低了脂肪组织中n - 3多不饱和脂肪酸的比例以及血液TAG中饱和脂肪酸的比例,两种饮食之间无差异。高脂饮食使血液TAG中单不饱和脂肪酸的增加幅度更大。在主要脂肪酸类别比例方面未发现其他饮食诱导的变化。就个体脂肪酸而言,两种饮食在脂肪组织和血液中均引起了一些变化,但这些变化在两种饮食之间并无差异。

结论

低热量饮食会引起血液和脂肪组织中脂肪酸组成的一些变化,饮食中脂肪比例的差异影响较小。结果表明,饮食诱导的脂肪酸组成变化受饮食热量 deficit 控制,饮食脂肪比例起次要作用。 (注:原文中“calorie deficit”表述有误,推测可能是“calorie intake”热量摄入,翻译时按推测内容译出)

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