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[通过富含甾醇的牛奶对年轻成年人群进行心血管疾病风险管理;随机对照临床试验]

[Risk management of cardiovascular disease through milk enriched with sterols in a young-adult population; randomized controlled clinical trial].

作者信息

San Mauro Martín Ismael, Collado Yurrita Luis, Ciudad Cabañas María José, Cuadrado Cenzual María Ángeles, Hernández Cabria Marta, Calle Purón María Elisa

机构信息

Departmento de Medicina (Universidad Complutense de Madrid)..

Unidad de Análisis clínicos. Hospital Universitario Clínico San Carlos de Madrid..

出版信息

Nutr Hosp. 2014 Oct 1;30(4):945-51. doi: 10.3305/nh.2014.30.4.7654.

Abstract

INTRODUCTION

Hypercholesterolemia is one of the most relevant risk factors in cardiovascular disease, where use of plant sterols one strategy evident.

AIM

To determine the effectiveness of a rich in phytosterols for reducing markers of cardiovascular disease in young adult population milk.

METHODS

A randomized, clinical controlled trial, double-blind crossover study. Sterols (2.24 g per day) were ingested through commercial milk, with two phases and three weeks respectively separated by a washout period of 2 weeks, for those subjects during the "milk of study", and the same amount of skim milk, sterols, for placebo. At the beginning and end of each phase blood draws were performed.. Lipid profile, hematology, inflammation, etc; anthropometric data, health habits and blood laboratory markers were collected.

RESULTS

Nineteen people completed the study of 34.68 years (± 6.91). Difference between baseline and final scores were 19.47 (± 29.10) mg/dl, 24.47 (± 30.68) mg/dl, 14.36 (± 44.16) mg/dl for LDL-cholesterol, total Cholesterol and Triglycerides, respectively. Without considerable changes in HDLc. There are significant differences between placebo and milk with sterols for LDL (p=0.009) and total Cholesterol (p=0.003).

CONCLUSIONS

Sterols supplied in a functional food, such as milk, can be a strategy for non- pharmacological treatment of hypercholesterolemia and therefore a tool for cardiovascular risk reduction globally.

摘要

引言

高胆固醇血症是心血管疾病中最相关的危险因素之一,使用植物甾醇是一种明显的策略。

目的

确定富含植物甾醇的牛奶对降低年轻成年人群心血管疾病标志物的有效性。

方法

一项随机、临床对照试验,双盲交叉研究。对于“研究牛奶”阶段的受试者,通过市售牛奶摄入甾醇(每天2.24克),分两个阶段,各为期三周,中间间隔两周的洗脱期,安慰剂组则饮用相同量的脱脂牛奶及甾醇。在每个阶段开始和结束时进行采血。收集血脂谱、血液学、炎症等指标;人体测量数据、健康习惯和血液实验室标志物。

结果

34名平均年龄34.68岁(±6.91岁)的受试者中,19人完成了研究。低密度脂蛋白胆固醇、总胆固醇和甘油三酯的基线与最终得分差异分别为19.47(±29.10)mg/dl、24.47(±30.68)mg/dl、14.36(±44.16)mg/dl。高密度脂蛋白胆固醇无显著变化。安慰剂组与含甾醇牛奶组在低密度脂蛋白(p = 0.009)和总胆固醇(p = 0.003)方面存在显著差异。

结论

在功能性食品(如牛奶)中提供的甾醇,可作为高胆固醇血症非药物治疗的一种策略,因此是全球降低心血管疾病风险的一种手段。

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