Department of Nursing, Cardinal Tien College of Healthcare and Management, Sindian District, New Taipei City, 23143, Taiwan.
J Clin Biochem Nutr. 2012 Jul;51(1):15-8. doi: 10.3164/jcbn.11-87. Epub 2011 Dec 13.
The aim of this study was to investigate the influence of rice bran oil consumption on plasma lipids and insulin resistance in patients with type 2 diabetes. Thirty-five patients with type 2 diabetes were randomly assigned to a placebo group or a rice bran oil group. The placebo group consumed 250 mL soybean oil-modified milk (18 g soybean oil) daily for 5 weeks, and the rice bran oil group consumed 250 mL rice bran oil modified milk (18 g rice bran oil) daily for 5 weeks. At week 0 and week 5, anthropometric measurements, hematology tests, and an oral-glucose-tolerance test were conducted. The results showed that the homeostasis model assessment index of insulin resistance, the area under the curve for postprandial serum insulin, and serum low-density-lipoprotein cholesterol concentrations increased significantly in the placebo group. In the rice bran oil group, fasting and 2-h postprandial blood glucose concentrations and the area under the curve for postprandial plasma glucose increased significantly; however, total serum cholesterol and low-density-lipoprotein cholesterol concentrations decreased significantly. However, the homeostasis model assessment index of insulin resistance was not significantly different. Consumption of 18 g rice bran oil modified milk daily for 5 weeks significantly decreased total serum cholesterol concentrations and tended to decrease low-density-lipoprotein cholesterol concentrations in patients with type 2 diabetes. However, no significant influence on insulin resistance was observed.
本研究旨在探讨米糠油摄入对 2 型糖尿病患者血脂和胰岛素抵抗的影响。将 35 例 2 型糖尿病患者随机分为安慰剂组和米糠油组。安慰剂组每天食用 250 毫升经大豆油改性的牛奶(含 18 克大豆油),连续 5 周;米糠油组每天食用 250 毫升经米糠油改性的牛奶(含 18 克米糠油),连续 5 周。在第 0 周和第 5 周,进行人体测量学指标、血液学检查和口服葡萄糖耐量试验。结果显示,安慰剂组的稳态模型评估胰岛素抵抗指数、餐后血清胰岛素曲线下面积和血清低密度脂蛋白胆固醇浓度显著升高。米糠油组空腹和餐后 2 小时血糖浓度以及餐后血糖曲线下面积显著升高,但总胆固醇和低密度脂蛋白胆固醇浓度显著降低。然而,胰岛素抵抗的稳态模型评估指数没有显著差异。每天食用 18 克经米糠油改性的牛奶连续 5 周,可显著降低 2 型糖尿病患者的总胆固醇浓度,并趋于降低低密度脂蛋白胆固醇浓度,但对胰岛素抵抗无明显影响。