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就心血管疾病而言,果糖指数比血糖指数更具相关性吗?

Is the fructose index more relevant with regards to cardiovascular disease than the glycemic index?

作者信息

Segal Mark S, Gollub Elizabeth, Johnson Richard J

机构信息

Division of Nephrology, Hypertension and Transplantation, University of Florida, Gainesville, FL, USA.

出版信息

Eur J Nutr. 2007 Oct;46(7):406-17. doi: 10.1007/s00394-007-0680-9. Epub 2007 Sep 1.

Abstract

The glycemic index (G.I.) is a means for categorizing carbohydrates based on their ability to raise blood glucose, subsequently this index has been popularized as a way for selecting foods to reduce the risk for obesity, diabetes, and cardiovascular disease. We suggest that the G.I. is better aimed at identifying foods that stimulate insulin secretion rather than foods that stimulate insulin resistance. In this regard, fructose has a low G.I. but may be causally linked with the obesity and cardiovascular disease epidemic. The reported association of high G.I. with cardiovascular disease may be due to the association of sugar intake which contains fructose, but which has a high G.I. due to its glucose content. We propose the use of a fructose index to categorize foods and propose studies to determine the effect of low fructose diets as a means to prevent obesity, diabetes, and cardiovascular disease in the population.

摘要

血糖生成指数(G.I.)是一种根据碳水化合物升高血糖的能力对其进行分类的方法,随后该指数作为一种选择食物以降低肥胖、糖尿病和心血管疾病风险的方式而得到推广。我们认为,血糖生成指数更适合用于识别刺激胰岛素分泌的食物,而非刺激胰岛素抵抗的食物。在这方面,果糖的血糖生成指数较低,但可能与肥胖和心血管疾病的流行存在因果关系。所报道的高血糖生成指数与心血管疾病的关联可能是由于含有果糖的糖摄入量的关联,但由于其葡萄糖含量,其血糖生成指数较高。我们建议使用果糖指数对食物进行分类,并提议开展研究以确定低果糖饮食作为预防人群肥胖、糖尿病和心血管疾病的一种手段的效果。

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