Pittaway Jane K, Robertson Iain K, Ball Madeleine J
School of Human Life Sciences, University of Tasmania, Locked Bag 1320, Launceston, Tasmania, Australia 7250.
J Am Diet Assoc. 2008 Jun;108(6):1009-13. doi: 10.1016/j.jada.2008.03.009.
Optimal replacement macronutrient/s for dietary saturated fat to reduce cardiovascular disease risk remains controversial. Chickpeas are rich in dietary fiber and polyunsaturated fatty acids. This exploratory study, conducted from September 2004 to May 2005, assessed the effect of incorporating chickpeas in the ad libitum diet of 45 free-living adults. Participants consumed a minimum of 728 g of canned, drained chickpeas per week (the amount in four 300-g cans) as part of their habitual diet for 12 weeks (chickpea phase), followed by 4 weeks of habitual diet without chickpeas (usual phase). In the chickpea phase, mean dietary fiber intake was 6.77 g/day more and mean polyunsaturated fatty acid consumption (as a percentage of total fat) was 2.66% more (both P<0.001), causing the polyunsaturated to saturated fatty acids ratio to change from 0.39 to 0.47 (P=0.045). Serum total cholesterol and low-density lipoprotein cholesterol were 7.7 mg/dL (0.20 mmol/L) and 7.3 mg/dL (0.19 mmol/L) less, respectively, after the chickpea phase (P<or=0.01), fasting insulin was 0.75 microIU/mL (5.21 pmol/L) less (P=0.045), and the homeostasis assessment model of insulin resistance was 0.21 less (P=0.01). Univariate analysis revealed that dietary fiber had the greatest single effect, reducing serum total cholesterol by 15.8 mg/dL (0.41 mmol/L) (P=0.01). Polyunsaturated and saturated fatty acids had equivalent but opposing effects on serum total cholesterol and insulin. Larger studies on populations with greater degrees of hypercholesterolemia and/or hyperglycemia than the participants in this study are warranted.
用何种最佳常量营养素替代膳食中的饱和脂肪以降低心血管疾病风险仍存在争议。鹰嘴豆富含膳食纤维和多不饱和脂肪酸。这项于2004年9月至2005年5月开展的探索性研究,评估了在45名自由生活的成年人随意饮食中加入鹰嘴豆的效果。参与者每周至少食用728克罐装沥干鹰嘴豆(相当于四罐300克罐装鹰嘴豆的量),作为其习惯性饮食的一部分,持续12周(鹰嘴豆阶段),随后是4周不食用鹰嘴豆的习惯性饮食(常规阶段)。在鹰嘴豆阶段,平均膳食纤维摄入量增加了6.77克/天,平均多不饱和脂肪酸摄入量(占总脂肪的百分比)增加了2.66%(均P<0.001),使得多不饱和脂肪酸与饱和脂肪酸的比例从0.39变为0.47(P=0.045)。鹰嘴豆阶段后,血清总胆固醇和低密度脂蛋白胆固醇分别降低了7.7毫克/分升(0.20毫摩尔/升)和7.3毫克/分升(0.19毫摩尔/升)(P≤0.01),空腹胰岛素降低了0.75微国际单位/毫升(5.21皮摩尔/升)(P=0.045),胰岛素抵抗的稳态评估模型降低了0.21(P=0.01)。单因素分析显示,膳食纤维的单一作用最大,使血清总胆固醇降低了15.8毫克/分升(0.41毫摩尔/升)(P=0.01)。多不饱和脂肪酸和饱和脂肪酸对血清总胆固醇和胰岛素有同等但相反的影响。有必要针对比本研究参与者胆固醇血症和/或高血糖程度更高的人群开展更大规模的研究。