Centro per le Malattie Dismetaboliche e l'Arteriosclerosi, Azienda Ospedaliera G. Brotzu, Cagliari, Italy.
Br J Nutr. 2013 Apr 28;109(8):1453-62. doi: 10.1017/S0007114512003224. Epub 2012 Aug 24.
Intake of dairy fat has long been considered as a risk factor for CVD. Pasture and dietary lipid supplementation have been reported to be reliable strategies in ruminant nutrition, in order to increase the content of α-linolenic acid (ALA), conjugated linoleic acid (CLA) and vaccenic acid (VA), and decrease SFA in milk fat. In the present study, we aimed at verifying whether consumption of a sheep cheese, naturally enriched in ALA, CLA and VA, would modify the plasma lipid and endocannabinoid profiles in mildly hypercholesterolaemic subjects. A total of forty-two adult volunteers (nineteen males and twenty-three females) with diagnosed mildly hypercholesterolaemia (total cholesterol 5·68-7·49 mmol/l) were randomly assigned to eat 90 g/d of a control or enriched cheese for 3 weeks, with a cross-over after 3 weeks of washout. Plasma lipids, endocannabinoids, adipokines and inflammatory markers were measured. The intake of enriched cheese significantly increased the plasma concentrations of CLA, VA, the n-3 fatty acids ALA and EPA, and more remarkably decreased that of the endocannabinoid anandamide. LDL-cholesterol decreased significantly (7%). No changes were detected in the levels of inflammatory markers; however, a significant correlation was found between the plasma levels of anandamide and leptin. The control cheese modified none of the parameters measured. The results obtained do not support the view that intake of dairy fat is detrimental to hypercholesterolaemic subjects. Indeed, they show that a naturally enriched cheese possesses beneficial properties, since it ameliorates the plasma lipid profile, and more remarkably reduces endocannabinoid biosynthesis.
摄入乳脂一直被认为是 CVD 的风险因素。过去已经报道过,牧场和膳食脂质补充是反刍动物营养中的可靠策略,以增加α-亚麻酸(ALA)、共轭亚油酸(CLA)和瘤胃酸(VA)的含量,并降低乳脂中的饱和脂肪酸(SFA)。在本研究中,我们旨在验证食用富含 ALA、CLA 和 VA 的绵羊奶酪是否会改变轻度高胆固醇血症患者的血浆脂质和内源性大麻素谱。共有 42 名成年志愿者(19 名男性和 23 名女性)被诊断为轻度高胆固醇血症(总胆固醇 5.68-7.49mmol/l),随机分为 3 周内每天食用 90g 对照或富含奶酪,3 周洗脱期后交叉。测量血浆脂质、内源性大麻素、脂肪因子和炎症标志物。摄入富含奶酪显著增加了 CLA、VA、n-3 脂肪酸 ALA 和 EPA 的血浆浓度,更显著地降低了内源性大麻素花生四烯酸酰胺的浓度。LDL-胆固醇显著降低(7%)。炎症标志物水平没有变化;然而,发现花生四烯酸酰胺和瘦素的血浆水平之间存在显著相关性。对照奶酪未改变所测量的参数。研究结果不支持摄入乳脂对高胆固醇血症患者有害的观点。事实上,它们表明,天然富含奶酪具有有益的特性,因为它改善了血浆脂质谱,更显著地降低了内源性大麻素的生物合成。