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沙棘降低并延迟含蔗糖浆果餐后胰岛素反应,改善血糖状况:超重和肥胖男性志愿者中丹麦沙棘和草莓的随机对照交叉研究。

Sea buckthorn decreases and delays insulin response and improves glycaemic profile following a sucrose-containing berry meal: a randomised, controlled, crossover study of Danish sea buckthorn and strawberries in overweight and obese male subjects.

机构信息

Department of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Rolighedsvej 30, 1958, Frederiksberg C, Denmark.

出版信息

Eur J Nutr. 2018 Dec;57(8):2827-2837. doi: 10.1007/s00394-017-1550-8. Epub 2017 Oct 11.

Abstract

PURPOSE

Berries and mixed berry products exert acute effects on postprandial glycaemia and insulinemia, but very few berries have been studied, and primarily in normal weight subjects. Sea buckthorn and strawberry are compositionally widely different berries and may likely produce different responses. The effects of strawberry and sea buckthorn on postprandial glycaemia and insulinemia were examined in overweight or obese male subjects. Subjective appetite sensations and ad libitum intake were also examined.

METHODS

The study was conducted as a randomised, controlled, single-blinded, three-way crossover study. Eighteen subjects were studied in three 2-h meal tests followed by a subsequent ad libitum meal. Test meals contained added sucrose and either sea buckthorn, strawberry or no berries with added fructose (control). Blood samples were collected at t = 0, 30, 45, 60, 90 and 120 min. Subjective appetite sensations were recorded at t = 0, 15, 30, 45, 60, 90, 120, and 140 min and subsequent ad libitum intake was recorded. Statistical differences in all continuous measures were evaluated based on the existence of a meal or a time-meal interaction by repeated measures linear model analyses or by differences in AUC by linear mixed models.

RESULTS

None of the berries affected postprandial glucose. However, sea buckthorn improved glycaemic profile (44.7%, p < 0.01) compared to control. Sea buckthorn also resulted in a decrease in plasma insulin concentration at 30 min (39.6%, p < 0.01) and at 45 min (16.5%, p < 0.05) compared to control and the maximal increase in plasma insulin was lower following sea buckthorn compared with control (23.6%, p < 0.01). Strawberry did not affect postprandial insulin concentrations compared to control. No differences between control and each of the two berries were observed for any of the appetite parameters, except for desire for something sweet, which was increased following the sea buckthorn meal compared to control.

CONCLUSIONS

There was no effect on postprandial glucose response to a sugar challenge given together with purees of strawberry or sea buckthorn. Sea buckthorn decreased and delayed the insulin response and improved glycaemic profile compared with control. Strawberry had no such effects. No important differences were seen for the appetite measures. Sea buckthorn might be useful as a culinary tool for lowering meal insulin response.

摘要

目的

浆果和混合浆果产品对餐后血糖和胰岛素水平有急性影响,但研究的浆果种类很少,且主要在正常体重人群中进行。沙棘和草莓在成分上有很大的不同,可能会产生不同的反应。本研究旨在观察超重或肥胖男性摄入草莓和沙棘对餐后血糖和胰岛素水平的影响,并检测其对食欲的影响。

方法

该研究采用随机、对照、单盲、三交叉研究设计。18 名受试者进行了 3 次 2 小时餐试,随后进行了自由进食餐试。餐试中添加了蔗糖和沙棘、草莓或不添加浆果的果糖(对照)。在 t=0、30、45、60、90 和 120 分钟时采集血样。在 t=0、15、30、45、60、90、120 和 140 分钟时记录主观食欲感觉,并记录随后的自由进食量。采用重复测量线性模型分析或线性混合模型分析 AUC 差异,评估所有连续测量指标在进食或进食时间交互作用存在时的统计学差异。

结果

没有一种浆果能影响餐后血糖。然而,与对照相比,沙棘改善了血糖谱(44.7%,p<0.01)。与对照相比,沙棘还导致 30 分钟(39.6%,p<0.01)和 45 分钟(16.5%,p<0.05)时血浆胰岛素浓度降低,且沙棘后血浆胰岛素的最大增加低于对照(23.6%,p<0.01)。与对照相比,草莓对餐后胰岛素浓度无影响。除餐后对甜食的渴望增加外,控制组和两种浆果组之间在任何食欲参数上均无差异。

结论

与单独摄入草莓或沙棘果泥相比,摄入糖挑战时,餐后血糖反应无变化。与对照相比,沙棘降低和延迟了胰岛素反应,并改善了血糖谱。草莓则没有这些作用。在食欲测量方面没有看到重要的差异。沙棘可能是一种降低餐食胰岛素反应的烹饪工具。

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