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表没食子儿茶素没食子酸酯(EGCG)能减少肥胖受试者的腹部脂肪吗?

Can EGCG reduce abdominal fat in obese subjects?

作者信息

Hill Alison M, Coates Alison M, Buckley Jonathan D, Ross Robert, Thielecke Frank, Howe Peter R C

机构信息

ATN Centre for Metabolic Fitness, School of Health Sciences University of South Australia, GPO Box 2471, Adelaide, SA 5001, Australia.

出版信息

J Am Coll Nutr. 2007 Aug;26(4):396S-402S. doi: 10.1080/07315724.2007.10719628.

Abstract

OBJECTIVE

To evaluate metabolic effects of epigallocatechin gallate (EGCG) supplementation when combined with a program of regular aerobic exercise in overweight/obese post-menopausal women.

METHODS

Thirty-eight overweight or obese postmenopausal women exercised at moderate intensity, viz. walking three times per week for 45 min at 75% of age-predicted maximum heart rate (HR), and took a 150 mg capsule of EGCG (Teavigo) or placebo (lactose) twice daily for 12 weeks. Blood parameters (lipids, glucose and insulin), blood pressure, heart rate, arterial function and anthropometry were assessed at 0, 6 and 12 wk. At wk 0 and 12, body composition was assessed by dual energy X-ray absorptiometry (DXA) and abdominal fat was assessed by DXA and computed tomography (CT).

RESULTS

Waist circumference (p < 0.01), total body fat (p < 0.02), abdominal fat (by DXA) (p < 0.01) and intra abdominal adipose tissue (by CT) (p < 0.01) were reduced in both treatment groups, with no difference between placebo and Teavigo. Teavigo significantly decreased resting HR (p < 0.01) and reduced plasma glucose in subjects with impaired glucose tolerance (p < 0.05).

CONCLUSIONS

Moderate consumption of EGCG can improve the health status of overweight individuals undergoing regular exercise by reducing HR and plasma glucose concentrations. Loss of body fat, however, may require a higher intake of EGCG, other catechins or addition of metabolic stimulants.

摘要

目的

评估表没食子儿茶素没食子酸酯(EGCG)补充剂与常规有氧运动计划相结合时,对超重/肥胖绝经后女性的代谢影响。

方法

38名超重或肥胖的绝经后女性进行中等强度运动,即每周步行3次,每次45分钟,运动强度为年龄预测最大心率(HR)的75%,并连续12周每天服用两次150毫克的EGCG胶囊(茶活力)或安慰剂(乳糖)。在第0、6和12周评估血液参数(血脂、血糖和胰岛素)、血压、心率、动脉功能和人体测量指标。在第0周和第12周,通过双能X线吸收法(DXA)评估身体成分,通过DXA和计算机断层扫描(CT)评估腹部脂肪。

结果

两个治疗组的腰围(p<0.01)、全身脂肪(p<0.02)、腹部脂肪(通过DXA)(p<0.01)和腹内脂肪组织(通过CT)(p<0.01)均有所减少,安慰剂组和茶活力组之间无差异。茶活力显著降低静息心率(p<0.01),并降低糖耐量受损受试者的血糖(p<0.05)。

结论

适量摄入EGCG可通过降低心率和血糖浓度,改善定期运动的超重个体的健康状况。然而,减少身体脂肪可能需要更高剂量的EGCG、其他儿茶素或添加代谢刺激剂。

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