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低脂乳制品的摄入可降低收缩压,但不能改善超重和肥胖人群的其他代谢风险参数。

Low-fat dairy consumption reduces systolic blood pressure, but does not improve other metabolic risk parameters in overweight and obese subjects.

机构信息

Department of Human Biology, Nutrition and Toxicology Research Institute Maastricht, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands.

出版信息

Nutr Metab Cardiovasc Dis. 2011 May;21(5):355-61. doi: 10.1016/j.numecd.2009.10.008. Epub 2010 Feb 13.

Abstract

BACKGROUND AND AIMS

Epidemiological studies have indicated a negative relation between low-fat dairy consumption and the metabolic syndrome. However, evidence from intervention studies is scarce. Our aim was to investigate the effects of daily consumption of low-fat dairy products on metabolic risk parameters in overweight and obese men and women.

METHODS AND RESULTS

Thirty-five healthy subjects (BMI>27 kg/m(2)) consumed low-fat dairy products (500 mL low-fat milk and 150 g low-fat yogurt) or carbohydrate-rich control products (600 mL fruit juice and 3 fruit biscuits) daily for 8 weeks in random order. Compared with the control period, systolic blood pressure was decreased by 2.9 mm Hg (95% confidence interval (CI), -5.5 to -0.3 mm Hg; P=0.027), while the difference in diastolic blood pressure did not reach statistical significance (95% CI, -3.4 to 0.3 mm Hg; P=0.090). Low-fat dairy consumption decreased HDL-cholesterol concentrations by 0.04 mmol/L (95% CI, -0.07 to -0.01 mmol/L; P=0.021) and apo A-1 concentrations by 0.04 g/L (95% CI, -0.07 to -0.01 g/L; P=0.016) compared with control. Serum total cholesterol, LDL-cholesterol, apo B, triacylglycerols, non-esterified fatty acids, glucose, insulin, C-reactive protein and plasminogen activator inhibitor-1 were unchanged.

CONCLUSION

We conclude that in overweight and obese subjects, daily intake of low-fat dairy products for 8 weeks decreased systolic blood pressure, but did not improve other metabolic risk factors related to the metabolic syndrome.

摘要

背景与目的

流行病学研究表明,低脂乳制品的摄入与代谢综合征呈负相关。然而,干预研究的证据很少。我们的目的是研究超重和肥胖人群每天食用低脂乳制品对代谢风险参数的影响。

方法和结果

35 名健康受试者(BMI>27 kg/m2)随机顺序每天分别食用低脂乳制品(500 毫升低脂牛奶和 150 克低脂酸奶)或富含碳水化合物的对照产品(600 毫升果汁和 3 块水果饼干)8 周。与对照期相比,收缩压降低 2.9 mmHg(95%置信区间[CI],-5.5 至-0.3 mmHg;P=0.027),而舒张压的差异无统计学意义(95%CI,-3.4 至 0.3 mmHg;P=0.090)。与对照相比,低脂乳制品的摄入使 HDL-胆固醇浓度降低 0.04 mmol/L(95%CI,-0.07 至-0.01 mmol/L;P=0.021),载脂蛋白 A-1 浓度降低 0.04 g/L(95%CI,-0.07 至-0.01 g/L;P=0.016)。血清总胆固醇、LDL-胆固醇、载脂蛋白 B、三酰甘油、非酯化脂肪酸、葡萄糖、胰岛素、C 反应蛋白和纤溶酶原激活物抑制剂-1无变化。

结论

我们的结论是,在超重和肥胖人群中,8 周内每天摄入低脂乳制品可降低收缩压,但不能改善与代谢综合征相关的其他代谢风险因素。

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