Departamento de Fisiología de la Nutrición, Universidad Nacional Autónoma de México, México, D.F.
J Nutr. 2012 Jan;142(1):64-9. doi: 10.3945/jn.111.147447. Epub 2011 Nov 16.
Metabolic syndrome (MetS) is a health problem throughout the world and is associated with cardiovascular disease and diabetes. Thus, the purpose of the present work was to evaluate the effects of a dietary pattern (DP; soy protein, nopal, chia seed, and oat) on the biochemical variables of MetS, the AUC for glucose and insulin, glucose intolerance (GI), the relationship of the presence of certain polymorphisms related to MetS, and the response to the DP. In this randomized trial, the participants consumed their habitual diet but reduced by 500 kcal for 2 wk. They were then assigned to the placebo (P; n = 35) or DP (n = 32) group and consumed the reduced energy diet plus the P or DP beverage (235 kcal) minus the energy provided by these for 2 mo. All participants had decreases in body weight (BW), BMI, and waist circumference during the 2-mo treatment (P < 0.0001); however, only the DP group had decreases in serum TG, C-reactive protein (CRP), and AUC for insulin and GI after a glucose tolerance test. Interestingly, participants in the DP group with MetS and the ABCA1 R230C variant had a greater decrease in BW and an increase in serum adiponectin concentration after 2 mo of dietary treatment than those with the ABCA1 R230R variant. The results from this study suggest that lifestyle interventions involving specific DP for the treatment of MetS could be more effective if local foods and genetic variations of the population are considered.
代谢综合征(MetS)是一个全球性的健康问题,与心血管疾病和糖尿病有关。因此,本工作的目的是评估一种饮食模式(DP;大豆蛋白、龙舌兰、奇亚籽和燕麦)对 MetS 的生化变量、血糖和胰岛素 AUC、葡萄糖耐量受损(GI)、与 MetS 相关的某些特定多态性的存在的关系以及对 DP 的反应的影响。在这项随机试验中,参与者摄入他们的习惯性饮食,但在 2 周内减少 500 卡路里。然后,他们被分配到安慰剂(P;n = 35)或 DP(n = 32)组,并在 2 个月内摄入减少能量的饮食,再加上 P 或 DP 饮料(235 卡路里)减去这些饮料提供的能量。所有参与者在 2 个月的治疗期间体重(BW)、BMI 和腰围均下降(P < 0.0001);然而,只有 DP 组在葡萄糖耐量试验后血清 TG、C 反应蛋白(CRP)和胰岛素 AUC 以及 GI 降低。有趣的是,在 DP 组中,患有 MetS 和 ABCA1 R230C 变体的参与者在 2 个月的饮食治疗后 BW 下降更大,血清脂联素浓度增加,而具有 ABCA1 R230R 变体的参与者则没有。本研究结果表明,如果考虑当地食物和人群的遗传变异,涉及特定 DP 的生活方式干预可能对治疗 MetS 更有效。