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在健康受试者中,无论是否存在载脂蛋白E2等位基因,饮食中蔗糖适度增加均不会影响空腹或餐后血脂。

Moderate increase in dietary sucrose does not influence fasting or postprandial serum lipids regardless of the presence of apolipoprotein E2 allele in healthy subjects.

作者信息

Erkkilä A T, Schwab U S, Agren J J, Hallikainen M, Gylling H, Uusitupa M I J

机构信息

School of Public Health and Clinical Nutrition, University of Kuopio, Kuopio, Finland.

出版信息

Eur J Clin Nutr. 2007 Sep;61(9):1094-101. doi: 10.1038/sj.ejcn.1602620. Epub 2007 Jan 17.

Abstract

OBJECTIVE

To investigate whether a moderate increase in dietary sucrose intake induces different serum lipid responses in normolipidemic subjects with the epsilon 2 allele compared with subjects without the epsilon 2 allele.

DESIGN

Controlled, parallel study.

SUBJECTS

There were 15 subjects with the apolipoprotein E (APOE)3/2 genotype and 19 subjects with the APOE 3/3 or 3/4 genotype, whose mean+/-s.d. age was 48+/-14 and 35+/-10 years, respectively. All subjects had normal glucose metabolism.

INTERVENTIONS

The subjects were instructed to increase their sucrose intake by 40 g/day for 8 weeks and to decrease the intake of saturated and unsaturated fat to maintain energy balance. Dietary adherence was monitored using food records and the actual increase in sucrose intake was 39.8+/-18.4 g/day. Sixteen subjects (nine with APOE 3/2 genotype, seven with APOE 3/3 or 3/4 genotypes) participated also in an 8 h oral fat tolerance test at the beginning and at the end of the intervention.

RESULTS

Body weight remained stable during the intervention. Sucrose intake did not have a significant effect on fasting concentrations of serum total and lipoprotein lipids, plasma glucose, serum insulin, squalene and non-cholesterol sterols in either genotype group. Neither were there any changes in postprandial lipid or insulin responses.

CONCLUSIONS

Moderate increase in sucrose intake does not affect fasting or postprandial serum lipid responses in healthy subjects with or without the epsilon 2 allele.

摘要

目的

研究与无ε2等位基因的血脂正常受试者相比,饮食中蔗糖摄入量适度增加是否会在携带ε2等位基因的血脂正常受试者中引发不同的血清脂质反应。

设计

对照平行研究。

受试者

15名载脂蛋白E(APOE)3/2基因型受试者和19名APOE 3/3或3/4基因型受试者,其平均±标准差年龄分别为48±14岁和35±10岁。所有受试者的葡萄糖代谢均正常。

干预措施

指导受试者连续8周每天将蔗糖摄入量增加40克,并减少饱和脂肪和不饱和脂肪的摄入量以维持能量平衡。通过食物记录监测饮食依从性,蔗糖摄入量的实际增加量为39.8±18.4克/天。16名受试者(9名APOE 3/2基因型,7名APOE 3/3或3/4基因型)在干预开始和结束时还参加了8小时口服脂肪耐量试验。

结果

干预期间体重保持稳定。蔗糖摄入量对任一基因型组的血清总脂质和脂蛋白脂质、血浆葡萄糖、血清胰岛素、角鲨烯和非胆固醇固醇的空腹浓度均无显著影响。餐后脂质或胰岛素反应也没有任何变化。

结论

蔗糖摄入量适度增加对携带或不携带ε2等位基因的健康受试者的空腹或餐后血清脂质反应均无影响。

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