Division of Endocrinology, Metabolism and Diabetes, First Department of Pediatrics, National and Kapodistrian University of Athens Medical School, 'Aghia Sophia' Children's Hospital, Athens, Greece.
Department of Clinical Biochemistry, 'Aghia Sophia' Children's Hospital, Athens, Greece.
Eur J Clin Invest. 2019 Feb;49(2):e13042. doi: 10.1111/eci.13042. Epub 2018 Nov 16.
Childhood obesity represents a major health problem of our century. The benefits of natural products, such as honey, in the management of obesity have gained renewed interest. In this study, we investigated the effect of honey on glucose and insulin concentrations in obese prepubertal girls.
Thirty healthy obese girls aged 10.55 (±SEM:0.34) years with a mean body mass index (BMI) above the 97th centile for age (28.58 ± 1.40 kg/m , BMI z-score 2.96) underwent a standard oral glucose tolerance test (OGTT) followed by an oral honey tolerance test (OHTT) 2 weeks later. Both solutions contained 75 g of glucose. Subsequently, subjects were randomized to receive either 15 g of honey or 15 g of marmalade daily, while both groups complied with dietetic instructions. Six months later all subjects were re-evaluated with an OGTT and an OHTT.
At the end of the study, all subjects demonstrated a significant reduction in BMI (27.57 ± 1.40, z-score: 2.54 vs 28.58 ± 1.40 kg/m , z-score: 2.96, P < 0.001), however, there were no significant differences in BMI and all parameters tested between the group that received honey and the control group. The areas under the concentration-time curve for glucose and insulin for the entire population were significantly lower following ingestion of honey than glucose solution (P < 0.001) both at the beginning and at the end of study.
These findings indicate that honey does not have an effect on stimulated plasma glucose and serum insulin concentrations compared with the standard glucose solution in obese prepubertal girls.
儿童肥胖是我们这个时代的一个主要健康问题。天然产物(如蜂蜜)在肥胖管理中的益处重新引起了人们的兴趣。在这项研究中,我们研究了蜂蜜对肥胖青春期前女孩血糖和胰岛素浓度的影响。
30 名健康肥胖的女孩年龄为 10.55(±SEM:0.34)岁,平均体重指数(BMI)超过年龄的第 97 百分位数(28.58±1.40kg/m,BMI z 分数为 2.96),进行了标准口服葡萄糖耐量试验(OGTT),2 周后进行了口服蜂蜜耐量试验(OHTT)。两种溶液均含有 75g 葡萄糖。随后,将受试者随机分为两组,一组每天服用 15g 蜂蜜,另一组每天服用 15g 果酱,同时两组均遵守饮食指导。6 个月后,所有受试者均再次进行 OGTT 和 OHTT 检查。
研究结束时,所有受试者的 BMI 均显著降低(27.57±1.40,z 分数:2.54 vs 28.58±1.40kg/m,z 分数:2.96,P<0.001),但接受蜂蜜组和对照组之间的 BMI 和所有测试参数均无显著差异。与葡萄糖溶液相比,整个研究人群的血糖和胰岛素浓度时间曲线下面积在摄入蜂蜜后显著降低(P<0.001),在研究开始和结束时均如此。
这些发现表明,与标准葡萄糖溶液相比,蜂蜜对肥胖青春期前女孩的刺激血浆葡萄糖和血清胰岛素浓度没有影响。