Delimaris Ioannis
External Postdoctoral Research Team, Biology Unit, Faculty of Human Sciences, University of Thessaly, 38221 Volos, Greece.
ISRN Nutr. 2013 Jul 18;2013:126929. doi: 10.5402/2013/126929. eCollection 2013.
Background. While high-protein consumption-above the current recommended dietary allowance for adults (RDA: 0.8 g protein/kg body weight/day)-is increasing in popularity, there is a lack of data on its potential adverse effects. Objective. To determine the potential disease risks due to high protein/high meat intake obtained from diet and/or nutritional supplements in humans. Design. Review. Subjects. Healthy adult male and female subjects. Method. In order to identify relevant studies, the electronic databases, Medline and Google Scholar, were searched using the terms:"high protein diet," "protein overconsumption," "protein overuse," and "high meat diet." Papers not in English were excluded. Further studies were identified by citations in retrieved papers. Results. 32 studies (21 experimental human studies and 11 reviews) were identified. The adverse effects associated with long-term high protein/high meat intake in humans were (a) disorders of bone and calcium homeostasis, (b) disorders of renal function, (c) increased cancer risk, (d) disorders of liver function, and (e) precipitated progression of coronary artery disease. Conclusions. The findings of the present study suggest that there is currently no reasonable scientific basis in the literature to recommend protein consumption above the current RDA (high protein diet) for healthy adults due to its potential disease risks. Further research needs to be carried out in this area, including large randomized controlled trials.
背景。虽然高蛋白摄入量(高于目前成人推荐膳食摄入量,即每日每千克体重0.8克蛋白质)越来越普遍,但关于其潜在不良影响的数据却很缺乏。目的。确定人类因饮食和/或营养补充剂中高蛋白/高肉类摄入而导致的潜在疾病风险。设计。综述。对象。健康成年男性和女性受试者。方法。为了识别相关研究,使用 “高蛋白饮食”、“蛋白质摄入过量”、“蛋白质过度使用” 和 “高肉类饮食” 等术语对电子数据库Medline和谷歌学术进行了搜索。排除非英文论文。通过检索论文中的引用确定进一步的研究。结果。共识别出32项研究(21项人体实验研究和11项综述)。与人类长期高蛋白/高肉类摄入相关的不良影响包括:(a)骨骼和钙稳态紊乱;(b)肾功能紊乱;(c)癌症风险增加;(d)肝功能紊乱;(e)加速冠状动脉疾病进展。结论。本研究结果表明,由于其潜在的疾病风险,目前文献中没有合理的科学依据推荐健康成年人摄入高于目前推荐膳食摄入量的蛋白质(高蛋白饮食)。这一领域需要开展进一步研究,包括大型随机对照试验。