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膳食饱和脂肪对男性 LDL 亚类和载脂蛋白 CIII 的影响。

Effects of dietary saturated fat on LDL subclasses and apolipoprotein CIII in men.

机构信息

Department of Atherosclerosis Research, Children's Hospital Oakland Research Institute, Oakland, CA 94609, USA.

出版信息

Eur J Clin Nutr. 2012 Nov;66(11):1229-33. doi: 10.1038/ejcn.2012.118. Epub 2012 Sep 5.

Abstract

BACKGROUND/OBJECTIVES: Small dense low-density lipoprotein (LDL) particles and apolipoprotein (apo) CIII are risk factors for cardiovascular disease (CVD) that can be modulated by diet, but there is little information regarding the effects of dietary saturated fat on their plasma levels. We tested the effects of high vs low saturated fat intake in the context of a high beef protein diet on levels and composition of LDL subclasses and on apoCIII levels in plasma and LDL.

SUBJECTS/METHODS: Following consumption of a baseline diet (50% carbohydrate (CHO), 13% protein, 38% total fat, 15% saturated fat) for 3 weeks, 14 healthy men were randomly assigned to two reduced CHO high beef protein diets (31% CHO, 31% protein, 38% fat) that differed in saturated fat content (15% vs 8%) for 3 weeks each in a crossover design.

RESULTS

The high saturated fat (HSF) diet resulted in higher mass concentrations of buoyant LDL I, medium density LDL II and dense LDL III, but not the very dense LDL IV; and significant increases in plasma and LDL apoCIII concentration of 9.4% and 33.5%, respectively. The saturated fat-induced changes in LDL apoCIII were specifically correlated with changes in apoCIII content of LDL IV.

CONCLUSIONS

Taken together with previous observations, these findings suggest that, at least in the context of a lower CHO high beef protein diet, HSF intake may increase CVD risk by metabolic processes that involve apoCIII.

摘要

背景/目的:小而密的低密度脂蛋白(LDL)颗粒和载脂蛋白(apo)CIII 是心血管疾病(CVD)的危险因素,可以通过饮食进行调节,但关于饮食中饱和脂肪对其血浆水平的影响的信息很少。我们测试了高饱和脂肪与低饱和脂肪摄入在高牛肉蛋白饮食的情况下对 LDL 亚类的水平和组成以及血浆和 LDL 中的 apoCIII 水平的影响。

受试者/方法:在摄入基础饮食(50%碳水化合物(CHO)、13%蛋白质、38%总脂肪、15%饱和脂肪)3 周后,14 名健康男性被随机分为两组,分别摄入两种低 CHO 高牛肉蛋白饮食(31%CHO、31%蛋白质、38%脂肪),其中饱和脂肪含量(15%与 8%)不同,交叉设计各持续 3 周。

结果

高饱和脂肪(HSF)饮食导致更轻的 LDL I、中等密度 LDL II 和更密集的 LDL III 的质量浓度增加,但不增加非常密集的 LDL IV;血浆和 LDL apoCIII 浓度分别显著增加 9.4%和 33.5%。饱和脂肪引起的 LDL apoCIII 变化与 LDL IV 中的 apoCIII 含量变化特别相关。

结论

综合以前的观察结果,这些发现表明,至少在低 CHO 高牛肉蛋白饮食的情况下,HSF 摄入可能会通过涉及 apoCIII 的代谢过程增加 CVD 风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03e5/3491165/0057af3e90b2/nihms399992f1.jpg

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