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乳清蛋白及其水解产物对年轻成年人进食量和餐后血糖及胰岛素反应的影响。

Effect of premeal consumption of whey protein and its hydrolysate on food intake and postmeal glycemia and insulin responses in young adults.

机构信息

Department of Nutritional Sciences, Faculty of Medicine, University of Toronto, Toronto, Canada.

出版信息

Am J Clin Nutr. 2010 Apr;91(4):966-75. doi: 10.3945/ajcn.2009.28406. Epub 2010 Feb 17.

Abstract

BACKGROUND

Dairy protein ingestion before a meal reduces food intake and, when consumed with carbohydrate, reduces blood glucose.

OBJECTIVE

The objective was to describe the effect of whey protein (WP) or its hydrolysate (WPH) when consumed before a meal on food intake, pre- and postmeal satiety, and concentrations of blood glucose and insulin in healthy young adults.

DESIGN

Two randomized crossover studies were conducted. WP (10-40 g) in 300 mL water was provided in experiment 1, and WP (5-40 g) and WPH (10 g) in 300 mL water were provided in experiment 2. At 30 min after consumption, the subjects were fed an ad libitum pizza meal (experiment 1) or a preset pizza meal (12 kcal/kg, experiment 2). Satiety, blood glucose, and insulin were measured at baseline and at intervals both before and after the meals.

RESULTS

In experiment 1, 20-40 g WP suppressed food intake (P < 0.0001) and 10-40 g WP reduced postmeal blood glucose concentrations and the area under the curve (AUC) (P < 0.05). In experiment 2, 10-40 g WP, but not WPH, reduced postmeal blood glucose AUC and insulin AUC in a dose-dependent manner (P < 0.05). The ratio of cumulative blood glucose to insulin AUCs (0-170 min) was reduced by > or =10 g WP but not by 10 g WPH.

CONCLUSIONS

WP consumed before a meal reduces food intake, postmeal blood glucose and insulin, and the ratio of cumulative blood glucose to insulin AUCs in a dose-dependent manner. Intact WP, but not WPH, contributes to blood glucose control by both insulin-dependent and insulin-independent mechanisms. This trial was registered at clinicaltrials.gov as NCT00988377 and NCT00988182.

摘要

背景

餐前摄入乳蛋白可减少食物摄入量,与碳水化合物同时摄入可降低血糖。

目的

本研究旨在描述健康年轻成年人餐前摄入乳清蛋白(whey protein,WP)或其水解产物(whey protein hydrolysate,WPH)对食物摄入、餐前和餐后饱腹感以及血糖和胰岛素浓度的影响。

设计

进行了两项随机交叉研究。在实验 1 中,受试者在 30 min 内饮用 300 mL 水,其中含有 10-40 g WP;在实验 2 中,受试者在 30 min 内饮用 300 mL 水,其中含有 5-40 g WP 和 10 g WPH。摄入后 30 min,受试者可随意食用一份比萨饼餐(实验 1)或一份预设的比萨饼餐(实验 2,12 kcal/kg)。在基线和餐前及餐后的不同时间点测量饱腹感、血糖和胰岛素。

结果

在实验 1 中,20-40 g WP 可抑制食物摄入(P < 0.0001),10-40 g WP 可降低餐后血糖浓度和曲线下面积(area under the curve,AUC)(P < 0.05)。在实验 2 中,10-40 g WP 可剂量依赖性地降低餐后血糖 AUC 和胰岛素 AUC(P < 0.05),但 WPH 无此作用。0-170 min 时,累积血糖与胰岛素 AUC 比值降低≥10 g WP,但 10 g WPH 无此作用。

结论

餐前摄入 WP 可剂量依赖性地减少食物摄入、餐后血糖和胰岛素以及累积血糖与胰岛素 AUC 比值。完整的 WP 而非 WPH 通过胰岛素依赖和非胰岛素依赖机制来控制血糖。本试验在 clinicaltrials.gov 登记,编号为 NCT00988377 和 NCT00988182。

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