Gebauer S K, Tracy R P, Baer D J
USDA, Agricultural Research Service, Beltsville Human Nutrition Research Center, Beltsville, MD, USA.
Department of Pathology, University of Vermont College of Medicine, Colchester, VT, USA.
Eur J Clin Nutr. 2014 Sep;68(9):1072-4. doi: 10.1038/ejcn.2014.62. Epub 2014 Apr 16.
The effects of stearic acid (STA) on cardiovascular disease risk beyond lipid and lipoprotein risk factors, including hemostasis, are unclear, particularly when compared with unsaturated fatty acids. The aim of the present study is to compare the effects of STA with those of oleic acid (OL) on markers of hemostasis. In a randomized crossover study, 50 men consumed six controlled diets for 5 weeks each (39% energy from fat, 15% energy from protein, 46% energy from carbohydrate (CHO)). Fat (8% energy) was replaced across diets by: STA, OL, CHO (control), trans fatty acids (TFAs), TFA/STA and 12:0-16:0 saturated fatty acids. Factor VIIc, plasminogen activator inhibitor-1 (PAI-1) and plasmin alpha-2-antiplasmin complex concentrations were not different between OL and STA (P>0.05). Compared with control, OL increased factor VIIc and PAI-1 (P≤0.05), whereas there were no differences with STA (P>0.05). STA and OL similarly affect markers of hemostasis in healthy men, within the context of a highly controlled diet.
硬脂酸(STA)对心血管疾病风险的影响,超出了脂质和脂蛋白风险因素(包括止血),目前尚不清楚,尤其是与不饱和脂肪酸相比时。本研究的目的是比较STA与油酸(OL)对止血标志物的影响。在一项随机交叉研究中,50名男性每人食用六种对照饮食,每种饮食持续5周(脂肪提供39%的能量,蛋白质提供15%的能量,碳水化合物(CHO)提供46%的能量)。不同饮食中脂肪(提供8%的能量)被替换为:STA、OL、CHO(对照)、反式脂肪酸(TFA)、TFA/STA和12:0 - 16:0饱和脂肪酸。OL和STA之间的因子VIIc、纤溶酶原激活物抑制剂-1(PAI-1)和纤溶酶α2-抗纤溶酶复合物浓度没有差异(P>0.05)。与对照相比,OL增加了因子VIIc和PAI-1(P≤0.05),而STA与之无差异(P>0.05)。在高度控制饮食的情况下,STA和OL对健康男性止血标志物的影响相似。