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肥胖会改变青少年血清乳制品脂肪标志物与炎症和氧化应激之间的关系。

Obesity modifies the relations between serum markers of dairy fats and inflammation and oxidative stress among adolescents.

机构信息

Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, Minnesota, USA.

出版信息

Obesity (Silver Spring). 2011 Dec;19(12):2404-10. doi: 10.1038/oby.2011.234. Epub 2011 Jul 21.

Abstract

Pentadecanoic acid (15:0) and heptadecanoic acid (17:0), the dairy-specific saturated fatty acids have been inversely, while inflammation and oxidative stress have been positively related to the risk of cardiovascular disease (CVD). Both fatty acid metabolism and inflammation and oxidative stress may be influenced by adiposity. In the current cross-sectional analyses among adolescents (mean age 15 years), we determined whether overweight status modified the associations between dairy fatty acids (pentadecanoic acid (15:0) and heptadecanoic acid (17:0)) represented in serum phospholipids (PL) and markers of inflammation and oxidative stress. Six biomarkers for inflammation and oxidative stress were analyzed, including circulating adiponectin, C-reactive protein (CRP), cytokines interleukin-6 (IL-6) and tumor necrosis factor-α (TNF-α), and urinary 15-keto-dihydro-PGF2α (15-keto) and 8-iso-PGF2α (F2-iso). Generalized linear regression analyses, adjusted for age, gender, race, tanner score, total energy intake and physical activity, revealed that PL dairy fatty acids were inversely associated with CRP, F2-iso and 15-keto in overweight, but not in normal weight adolescents (all P(interaction) < 0.05). However, higher level of PL dairy fatty acids was associated with lower IL-6 among all adolescents. Further adjustment for dietary intake of calcium, vitamin D, protein, total flavonoids, and ω-3 fatty acids did not materially change the findings. Dairy-specific saturated fats, i.e., 15:0 and 17:0 fatty acids, may contribute to the potential health benefits of dairy products, especially for overweight adolescents.

摘要

十五烷酸(15:0)和十七烷酸(17:0)是乳脂中特有的饱和脂肪酸,与心血管疾病(CVD)的风险呈负相关,而炎症和氧化应激与 CVD 的风险呈正相关。脂肪酸代谢以及炎症和氧化应激都可能受到肥胖的影响。在当前青少年(平均年龄 15 岁)的横断面分析中,我们确定超重状态是否改变了血清磷脂(PL)中乳脂脂肪酸(十五烷酸(15:0)和十七烷酸(17:0))与炎症和氧化应激标志物之间的关联。分析了 6 种炎症和氧化应激的生物标志物,包括循环脂联素、C 反应蛋白(CRP)、细胞因子白细胞介素-6(IL-6)和肿瘤坏死因子-α(TNF-α)以及尿 15-酮-二氢-PGF2α(15-keto)和 8-异-PGF2α(F2-iso)。在调整年龄、性别、种族、成熟度评分、总能量摄入和体力活动后,广义线性回归分析显示,在超重青少年中,PL 乳脂脂肪酸与 CRP、F2-iso 和 15-keto 呈负相关,但在正常体重青少年中则无相关性(所有 P(交互作用)<0.05)。然而,在所有青少年中,PL 乳脂脂肪酸水平越高,IL-6 水平越低。进一步调整钙、维生素 D、蛋白质、总类黄酮和 ω-3 脂肪酸的膳食摄入量并没有改变这些发现。乳脂中特有的饱和脂肪,即 15:0 和 17:0 脂肪酸,可能有助于乳制品的潜在健康益处,尤其是对超重的青少年。

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