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全谷物与绝经前妇女血清高敏 C 反应蛋白浓度有关。

Whole grains are associated with serum concentrations of high sensitivity C-reactive protein among premenopausal women.

机构信息

Division of Epidemiology, Statistics, and Prevention Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD 20852, USA.

出版信息

J Nutr. 2010 Sep;140(9):1669-76. doi: 10.3945/jn.110.124164. Epub 2010 Jul 28.

Abstract

In premenopausal women, elevated C-reactive protein (CRP) concentrations have been associated with an increased risk of negative reproductive outcomes. Whole grain consumption has been associated with lower CRP concentrations in older women; however, less is known about this relationship in younger women. We investigated whether whole grain intake was associated with serum high sensitivity CRP (hs-CRP) concentrations in young women. BioCycle was a prospective cohort study conducted at the University of Buffalo from 2005 to 2007, which followed 259 healthy women aged 18-44 y for <or= 2 menstrual cycles. hs-CRP concentrations were measured longitudinally <or= 8 times/cycle with visits standardized to menstrual cycle phase. Whole grain intake was estimated by 24-h recalls <or= 4 times/cycle. Servings were defined as 16 g or 125 mL of a 100% whole grain food. Whole grain intake was inversely associated with hs-CRP concentrations after adjusting for age, race, BMI, illness, and antiinflammatory drug use. Consumers of between 0 and 1 serving/d of whole grains had, on average, 11.5% lower hs-CRP concentrations (P = 0.02) and consumers of >or= 1 serving/d had 12.3% lower hs-CRP concentrations (P = 0.02) compared with nonconsumers. Women who consumed >or= 1 serving/d of whole grain had a lower probability of having moderate (P = 0.008) or elevated (P = 0.001) hs-CRP according to the AHA criteria compared with nonconsumers. Given that elevated concentrations of hs-CRP have been linked to adverse reproductive outcomes and pregnancy complications, interventions targeting whole grain consumption may have the potential to improve health status among young women.

摘要

在绝经前女性中,C 反应蛋白(CRP)浓度升高与不良生殖结局风险增加相关。全谷物的摄入与老年女性 CRP 浓度降低相关,但对于年轻女性,这方面的了解较少。我们研究了年轻女性的全谷物摄入量与血清高敏 C 反应蛋白(hs-CRP)浓度之间的关系。BioCycle 是一项前瞻性队列研究,于 2005 年至 2007 年在布法罗大学进行,共对 259 名年龄在 18-44 岁的健康女性进行了随访,随访时间不超过 2 个月经周期。hs-CRP 浓度在每个周期内进行了 8 次以上的纵向测量,访问时间根据月经周期阶段进行标准化。全谷物摄入量通过每个周期 4 次以上的 24 小时回忆进行评估。一份全谷物的定义为 16 克或 125 毫升 100%全谷物食品。调整年龄、种族、BMI、疾病和抗炎药使用情况后,全谷物摄入量与 hs-CRP 浓度呈负相关。与非食用者相比,全谷物摄入量为 0-1 份/天的消费者的 hs-CRP 浓度平均降低 11.5%(P=0.02),全谷物摄入量>1 份/天的消费者的 hs-CRP 浓度降低 12.3%(P=0.02)。与非食用者相比,根据 AHA 标准,食用>1 份/天全谷物的女性hs-CRP 处于中度(P=0.008)或升高(P=0.001)的可能性较低。鉴于 hs-CRP 浓度升高与不良生殖结局和妊娠并发症有关,针对全谷物摄入的干预措施可能有潜力改善年轻女性的健康状况。

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