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回肠转位手术可减轻高脂饮食下体重增加效率的提高。

Ileal transposition surgery attenuates the increased efficiency of weight gain on a high-fat diet.

作者信息

Boozer C N, Choban P S, Atkinson R L

机构信息

Department of Internal Medicine, Eastern Virginia Medical School, Norfolk.

出版信息

Int J Obes. 1990 Oct;14(10):869-78.

PMID:2269581
Abstract

High-fat diets enhance weight gain in rats and humans. Ileal transposition surgery (IT) causes long-term weight loss on ad libitum food intake. This study was designed to study the effect of high-fat diets on weight loss following ileal transposition surgery. We weight matched 40 rats, performed IT or sham IT, and fed defined high-carbohydrate (12 percent kcal as fat) or high-fat (45 percent kcal as fat) diets for 15 weeks postsurgery (N = 10/group, data are means +/- s.e.m.). Overall, IT rats ate less than sham IT rats, 9587 +/- 304 v. 10,615 +/- 356 kcal (39.6 +/- 1.2 v. 43.8 +/- 1.5 MJ) (P less than 0.01), and gained less weight (-14 +/- 7.8 v. 46 +/- 13.7 g) (P less than 0.01). Sham IT rats had similar food intakes on the two diets, but body weights were increased on the high-fat diet. However, the IT rats on the high-fat diet did not gain more weight or have higher efficiency of weight gain than did the IT rats on the high-carbohydrate diet. We conclude that ileal transposition attenuates the increased efficiency of weight gain usually associated with consumption of a high-fat diet. The mechanisms of this decreased metabolic efficiency are unclear.

摘要

高脂饮食会增加大鼠和人类的体重。回肠转位手术(IT)可使大鼠在随意进食的情况下长期减重。本研究旨在探讨高脂饮食对回肠转位手术后体重减轻的影响。我们将40只大鼠按体重匹配,进行IT手术或假手术,并在术后15周给予特定的高碳水化合物(脂肪供能占12%千卡)或高脂(脂肪供能占45%千卡)饮食(每组N = 10只,数据为均值±标准误)。总体而言,IT大鼠的食量小于假手术大鼠,分别为9587±304千卡对10615±356千卡(39.6±1.2兆焦对43.8±1.5兆焦)(P<0.01),体重增加也较少(-14±7.8克对46±13.7克)(P<0.01)。假手术大鼠在两种饮食条件下的食量相似,但高脂饮食组体重增加。然而,高脂饮食组的IT大鼠与高碳水化合物饮食组的IT大鼠相比,体重增加并不更多,体重增加效率也不更高。我们得出结论,回肠转位可减弱通常与高脂饮食摄入相关的体重增加效率的提高。这种代谢效率降低的机制尚不清楚。

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