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食用低脂乳制品 6 个月可改善健康成年人的胰岛素抵抗,而不会对脂质或体重产生不利影响:一项随机自由生活交叉研究。

Consumption of low-fat dairy foods for 6 months improves insulin resistance without adversely affecting lipids or bodyweight in healthy adults: a randomized free-living cross-over study.

机构信息

Department of Exercise and Nutrition Sciences, School of Public Health and Health Professions, University at Buffalo, Buffalo, NY 14214, USA.

出版信息

Nutr J. 2013 May 2;12:56. doi: 10.1186/1475-2891-12-56.

Abstract

BACKGROUND

Given the highly debated role of dairy food consumption in modulating biomarkers of metabolic syndrome, this study was conducted to examine the influence of long-term (6 month) dairy consumption on metabolic parameters in healthy volunteers under free-living conditions without energy restriction.

METHODS

Twenty-three healthy subjects completed a randomized, crossover trial of 12 months. Participants consumed their habitual diets and were randomly assigned to one of two treatment groups: a high dairy supplemented group instructed to consume 4 servings of dairy per day (HD); or a low dairy supplemented group limited to no more than 2 servings of dairy per day (LD). Baseline, midpoint, and endpoint metabolic responses were examined.

RESULTS

Endpoint measurements of body weight and composition, energy expenditure, blood pressure, blood glucose, and blood lipid and lipoprotein responses did not differ (p > 0.05) between the LD and HD groups. HD consumption improved (p < 0.05) plasma insulin (-9%) and insulin resistance (-11%, p = 0.03) as estimated by HOMA-IR compared with the LD group.

CONCLUSIONS

Study results suggest that high dairy consumption (4 servings/d) may improve insulin resistance without negatively impacting bodyweight or lipid status under free-living conditions.

TRIAL REGISTRATION

Clinical Trials.gov: NCT01761955.

摘要

背景

鉴于乳制品消费在调节代谢综合征生物标志物方面存在高度争议,本研究旨在探讨在无能量限制的自由生活条件下,长期(6 个月)摄入乳制品对健康志愿者代谢参数的影响。

方法

23 名健康受试者完成了为期 12 个月的随机交叉试验。参与者按照习惯饮食,并随机分为两组:高乳制品补充组(每天摄入 4 份乳制品)(HD);或低乳制品补充组(每天不超过 2 份乳制品)(LD)。检测了基线、中点和终点的代谢反应。

结果

体重和成分、能量消耗、血压、血糖以及血脂和脂蛋白反应的终点测量值在 LD 和 HD 组之间没有差异(p > 0.05)。与 LD 组相比,HD 组的血浆胰岛素(-9%)和胰岛素抵抗(-11%,p = 0.03,通过 HOMA-IR 估计)有所改善。

结论

研究结果表明,在自由生活条件下,高乳制品摄入(每天 4 份)可能改善胰岛素抵抗,而不会对体重或脂质状况产生负面影响。

试验注册

ClinicalTrials.gov:NCT01761955。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/738f/3651862/05a90dcaf022/1475-2891-12-56-1.jpg

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