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[食用藜麦(藜属藜麦)作为糖尿病前期患者营养干预辅助手段的效果]

[Effect of quinua (Chenopodium quinoa)consumption as a coadjuvant in nutritional intervention in prediabetic subjects].

作者信息

Abellán Ruiz María Salud, Barnuevo Espinosa María Dolores, García Santamaría Carlos, Contreras Fernández Carlos Javier, Aldeguer García Miriam, Soto Méndez Fulgencio, Guillén Guillén Isabel, Luque Rubia Antonio Jesús, Quinde Ràzuri Francisco Javier, Martínez Garrido Antonio, López Román Francisco Javier

机构信息

Universidad Católica de Murcia.

出版信息

Nutr Hosp. 2017 Oct 24;34(5):1163-1169. doi: 10.20960/nh.843.

Abstract

INTRODUCTION

Quinoa is a pseudocereal containing low glycemic index carbohydrates, dietary fiber, high biological value protein, phytosterols, and n-3 and n-6 fatty acids, which has generated interest in prediabetes nutritional interventions. This randomized (2:1), placebo-controlled, double-blind study evaluated the effects of processed quinoa on body mass index (BMI), glycated hemoglobin (HbA1c), fasting plasma glucose (FPG) and the satiation and fullness (complete) degree in prediabetic patients.

MATERIAL AND METHOD

Thirty patients were randomized (2:1) in two study arms: Kuska Active product (processed quinoa) and placebo (maltodextrin), with an intake period of 28 days. BMI, HbA1c and FPG were determined before starting treatment and at 28-day intake. Satiety and fullness sensation were just assessed by visual analog scale (VAS) at the day 28. ANOVA was performed for repeated measures with two factors to study (within-subject factor: time; intersubject factor: product consumed) to demonstrate the effectiveness of processed quinoa on the study variables.

RESULTS

Twenty-nine patients (placebo, n = 10; quinoa, n = 19) completed the study, and the quinoa group shows a significant decrease in BMI (p < 0.05) and HbA1c values (p < 0.001), and an increase in the satiation and fullness (complete) degree (p < 0.001). No significant differences were found in FPG levels from baseline to post-intake period.

CONCLUSIONS

The results show that processed quinoa intake during 28 days decreases BMI and HbA1c levels, maintains FPG levels, and incr eases the satiation and fullness (complete) degree in prediabetic patients.

摘要

引言

藜麦是一种假谷物,含有低血糖指数碳水化合物、膳食纤维、高生物价值蛋白质、植物甾醇以及n-3和n-6脂肪酸,这使其在糖尿病前期营养干预方面受到关注。这项随机(2:1)、安慰剂对照、双盲研究评估了加工藜麦对糖尿病前期患者体重指数(BMI)、糖化血红蛋白(HbA1c)、空腹血糖(FPG)以及饱腹感和饱足感(完全程度)的影响。

材料与方法

30名患者被随机(2:1)分为两个研究组:库斯卡活性产品组(加工藜麦)和安慰剂组(麦芽糊精),摄入期为28天。在开始治疗前和摄入28天时测定BMI、HbA1c和FPG。仅在第28天通过视觉模拟量表(VAS)评估饱腹感和饱足感。采用双因素重复测量方差分析来研究(组内因素:时间;组间因素:食用产品),以证明加工藜麦对研究变量的有效性。

结果

29名患者(安慰剂组,n = 10;藜麦组,n = 19)完成了研究,藜麦组的BMI(p < 0.05)和HbA1c值显著降低(p < 0.001),饱腹感和饱足感(完全程度)增加(p < 0.001)。从基线到摄入后期,FPG水平未发现显著差异。

结论

结果表明,糖尿病前期患者在28天内摄入加工藜麦可降低BMI和HbA1c水平,维持FPG水平,并增加饱腹感和饱足感(完全程度)。

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