Dairy Research Institute, Rosemont, IL, USA.
Adv Nutr. 2011 Sep;2(5):396-407. doi: 10.3945/an.111.000646. Epub 2011 Sep 6.
Cardiometabolic syndrome (CMS), a cluster of metabolic abnormalities that increases the risk of cardiovascular disease (CVD) and type 2 diabetes, affects over one-third of American adults and accounts for billions of dollars in health care costs annually. Current evidence indicates an inverse association between consumption of dairy foods and risk of CMS and its related disease outcomes. Although the specific mechanism(s) underlying the beneficial effects of dairy consumption on the development of CMS, CVD, and type 2 diabetes have not been fully elucidated, there is evidence that specific components within dairy such as milkfat, vitamin D, calcium, magnesium, potassium, and whey proteins may be individually or collectively involved. Specifically, each of these dairy components has been implicated as having a neutral or beneficial effect on one or more elements of CMS, including the serum lipid profile, blood pressure, fasting glucose, and body composition. Although several mechanisms have been identified by which components in dairy may beneficially affect symptoms associated with CMS, further research is required to better understand how dairy and its components may contribute to metabolic health. The purpose of this review is to present the mechanisms by which specific dairy components modulate risk factors for CMS and identify opportunities for future research.
代谢综合征(CMS)是一组代谢异常,会增加心血管疾病(CVD)和 2 型糖尿病的风险,影响超过三分之一的美国成年人,每年造成数十亿美元的医疗保健费用。目前的证据表明,食用乳制品与 CMS 及其相关疾病结局的风险呈负相关。尽管乳制品消费对 CMS、CVD 和 2 型糖尿病发展的有益影响的确切机制尚未完全阐明,但有证据表明,乳制品中的某些成分(如乳脂肪、维生素 D、钙、镁、钾和乳清蛋白)可能单独或共同参与其中。具体而言,这些乳制品成分中的每一种都被认为对 CMS 的一个或多个元素具有中性或有益的影响,包括血清脂质谱、血压、空腹血糖和身体成分。尽管已经确定了几种机制,即乳制品中的成分可能通过这些机制有益地影响与 CMS 相关的症状,但仍需要进一步研究以更好地了解乳制品及其成分如何有助于代谢健康。本综述的目的是介绍特定乳制品成分调节 CMS 风险因素的机制,并确定未来研究的机会。