Department of Epidemiology, School of Public Health, Tianjin Medical University, Heping District, Tianjin, People's Republic of China.
Eur J Nutr. 2013 Mar;52(2):771-8. doi: 10.1007/s00394-012-0383-8. Epub 2012 May 31.
Although previous studies suggested that higher low-fat dairy consumption lower the risk of type 2 diabetes, the mediating factors are not well understood. Higher baseline adiponectin levels are related with a lower risk of type 2 diabetes. This study evaluated whether low-fat dairy is related with adiponectin in apparently healthy adults.
We investigated a cross-sectional (n = 938) and one-year longitudinal (n = 759) relationship between low-fat and whole-/high-fat dairy (both including cow's milk and yogurt) and adiponectin. Dairy consumption was assessed with a validated food frequency questionnaire. Serum adiponectin was measured by using a specific sandwich enzyme-linked immunosorbent assay.
In the cross-sectional analysis, the geometric means (95 % confidence intervals [95 % CIs]) of log-transformed adiponectin related with the low-fat dairy categories were 7.27 (6.80-7.77) for the lowest category, 7.67 (7.09-8.31) for the middle category, and 8.40 (7.73-9.13) for the highest category (p < 0.001) after adjustment for potential confounders (including all lifestyle factors). In the longitudinal analysis, repeated-measures ANCOVA adjusted for confounding factors showed a significant time-by-categories (categories of low-fat dairy) interaction in the change of adiponectin. In contrast, no significant relationship was found between the whole-/high-fat dairy categories and adiponectin.
This study has shown that higher consumption of low-fat dairy, but not of whole-/high-fat dairy, is related with higher levels of adiponectin and with the change of adiponectin level at the one-year follow-up. These results suggest that the consumption of low-fat dairy may have a beneficial effect on serum adiponectin levels.
尽管先前的研究表明,较高的低脂乳制品摄入量可降低 2 型糖尿病的风险,但其中介因素尚不清楚。较高的基础脂联素水平与较低的 2 型糖尿病风险相关。本研究评估了低脂乳制品与健康成年人脂联素之间的关系。
我们调查了横断面(n=938)和一年纵向(n=759)研究中低脂和全脂/高脂乳制品(包括牛奶和酸奶)与脂联素之间的关系。乳制品的摄入量通过验证的食物频率问卷进行评估。血清脂联素通过特定的夹心酶联免疫吸附试验进行测量。
在横断面分析中,调整潜在混杂因素(包括所有生活方式因素)后,与低脂乳制品类别相关的对数转换脂联素的几何均数(95%置信区间[95%CI])分别为最低类别为 7.27(6.80-7.77)、中间类别为 7.67(7.09-8.31),最高类别为 8.40(7.73-9.13)(p<0.001)。在纵向分析中,经混杂因素调整的重复测量方差分析显示,脂联素的变化存在时间与类别(低脂乳制品类别)的交互作用。相比之下,全脂/高脂乳制品类别与脂联素之间没有显著的关系。
本研究表明,较高的低脂乳制品摄入量与较高的脂联素水平以及一年随访时脂联素水平的变化有关,而全脂/高脂乳制品摄入量与脂联素水平无关。这些结果表明,低脂乳制品的摄入可能对血清脂联素水平有有益的影响。