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食用棕榈油消费量增加对马来西亚原住民等人群营养状况、血脂谱及脂质过氧化的影响

The effect of increased consumption of edible palm oil on the nutritional status, lipid profiles and lipid peroxidation among malaysian aboriginestc.

作者信息

Alias Iskandar Zulkarnain, Mdisa Zaleha, Abdulkadir Khalid, Ali Osman

机构信息

Department of Community Health, Medical Faculty, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.

出版信息

Malays J Nutr. 2002 Sep;8(2):137-56. Epub 2002 Sep 15.

Abstract

This study was conducted to determine the effects of increased edible palm oil consumption on community health status in the aboriginal communities in Tual Post (treatment group) and Sinderut Post (control group), Kuala Lipis, Pahang. Nutritional status, blood pressure, lipid profiles, fasting blood glucose (FBG), vitamin E (alpha-tocopherol) levels and lipid peroxidation product (malonaldehyde) levels were taken as indicators of health status. This is a pre-and post-controlled community trial in which similar variables were measured in each group. Every family of 2-6 household members was given 2-5 kg cooking palm oil per month for a period of 18 months. All subjects were measured for height (cm), weight (kg) and waist-hip ratio (WHR). For calorie intake measurement, house-to-house interviews were conducted using 24-hour dietary recall method. Blood pressure, percent body fat, lipid profiles, namely total cholesterol, high density lipoprotein cholesterol, triglyceride and fasting blood glucose (FBG) were also measured. Vitamin E (alpha-tocopherol) levels and lipid peroxidation products (MDA) were also determined. There was a significant increase (p<0.05) in percent body fat (28.1%) and calorie intake (17.2%) following palm oil consumption. The proportion of fat intake as an energy source also increased from 4.6% to 33.9%. There was a reduction in the systolic blood pressure following consumption (p<0.05). However, diastolic blood pressure did not change. A significant decrease (p<0.05) was observed in total cholesterol, low density lipoprotein and triglyceride. No particular pattern in fasting blood glucose levels was observed among the indigenous inhabitants following palm oil consumption. There was a significant increase in alpha-tocopherol levels (p<0.0001) and a decrease in MDA levels (p<0.0001) following consumption. In conclusion, high consumption of edible palm oil for 18 months was found to be not harmful to health. For the Malaysian aborigines, it serves as a good source of fat and energy.

摘要

本研究旨在确定增加食用棕榈油对彭亨州瓜拉立卑图阿尔邮政区(治疗组)和辛德鲁特邮政区(对照组)原住民社区健康状况的影响。营养状况、血压、血脂谱、空腹血糖(FBG)、维生素E(α-生育酚)水平和脂质过氧化产物(丙二醛)水平被用作健康状况指标。这是一项前后对照的社区试验,在每组中测量相似的变量。每个由2至6名家庭成员组成的家庭每月被给予2至5公斤烹饪棕榈油,为期18个月。测量了所有受试者的身高(厘米)、体重(千克)和腰臀比(WHR)。采用24小时膳食回顾法逐户访谈以测量卡路里摄入量。还测量了血压、体脂百分比、血脂谱,即总胆固醇、高密度脂蛋白胆固醇、甘油三酯和空腹血糖(FBG)。还测定了维生素E(α-生育酚)水平和脂质过氧化产物(MDA)。食用棕榈油后,体脂百分比(28.1%)和卡路里摄入量(17.2%)显著增加(p<0.05)。作为能量来源的脂肪摄入量比例也从4.6%增加到33.9%。食用后收缩压有所降低(p<0.05)。然而,舒张压没有变化。总胆固醇、低密度脂蛋白和甘油三酯显著降低(p<0.05)。在食用棕榈油后,原住民空腹血糖水平未观察到特定模式。食用后α-生育酚水平显著增加(p<0.0001),MDA水平降低(p<0.0001)。总之,发现连续18个月高食用量的食用棕榈油对健康无害。对于马来西亚原住民来说,它是脂肪和能量的良好来源。

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