Department of Clinical Sciences and Community Health, University of Milan, via Vanvitelli 32, 20129 Milan, Italy.
Department of Medical Biotechnologies, University of Siena, 53100 Siena, Italy.
Nutrients. 2019 Jan 23;11(2):247. doi: 10.3390/nu11020247.
Proteins, particularly whey proteins, represent the most satiating macronutrient in animals and humans. A dietetic regimen based on proteins enriched preload before eating might be a strategy to counteract obesity.
The aim of the present study was to evaluate the effects of an isocaloric drink containing whey proteins or maltodextrins (preload) on appetite (satiety/hunger measured by a visual analogue scale or VAS), glucometabolic control (blood glucose/insulin), and anorexigenic gastrointestinal peptides (pancreatic polypeptide or PP, glucagon-like peptide 1 or GLP-1 and peptide YY or PYY) in a cohort of obese young women ( = 9; age: 18.1 ± 3.0 years; body mass index, BMI: 38.8 ± 4.5 kg/m²). After two and a half hours, they were administered with a mixed meal at a fixed dose; satiety and hunger were measured by VAS.
Each drink significantly augmented satiety and reduced hunger, and the effects were more evident with whey proteins than maltodextrins. Similarly, there were significant increases in GLP-1 and PYY levels (but not PP) after the ingestion of each drink; these anorexigenic responses were higher with whey proteins than maltodextrins. While insulinemia identically increased after each drink, whey proteins induced a lower glycemic response than maltodextrins. No differences in satiety and hunger were found after the meal, which is presumably due to the late administration of the meal test, when the hypophagic effect of whey proteins was disappearing.
While whey proteins actually reduce appetite, stimulate anorexigenic gastrointestinal peptides, and improve glucometabolic homeostasis in young obese women, further additional studies are mandatory to demonstrate their hypophagic effects in obese subjects, when administered as preload before eating.
蛋白质,尤其是乳清蛋白,是动物和人类最具饱腹感的宏量营养素。基于富含蛋白质的预负荷饮食方案可能是对抗肥胖的一种策略。
本研究旨在评估含有乳清蛋白或麦芽糊精(预负荷)的等热量饮料对食欲(饱腹感/饥饿感通过视觉模拟量表或 VAS 测量)、糖代谢控制(血糖/胰岛素)和摄食性胃肠肽(胰多肽或 PP、胰高血糖素样肽 1 或 GLP-1 和肽 YY 或 PYY)的影响,研究对象为肥胖年轻女性(=9;年龄:18.1±3.0 岁;体重指数,BMI:38.8±4.5kg/m²)。两小时半后,她们以固定剂量摄入混合餐;通过 VAS 测量饱腹感和饥饿感。
两种饮料均显著增加饱腹感并降低饥饿感,乳清蛋白的效果比麦芽糊精更明显。同样,两种饮料摄入后 GLP-1 和 PYY 水平均显著升高(但 PP 没有);乳清蛋白组的这些摄食反应高于麦芽糊精组。虽然两种饮料摄入后胰岛素血症均升高,但乳清蛋白诱导的血糖反应低于麦芽糊精。餐后饱腹感和饥饿感无差异,这可能是由于餐后试验的给药时间较晚,此时乳清蛋白的抑制食欲作用正在消失。
虽然乳清蛋白实际上可降低食欲、刺激摄食性胃肠肽并改善肥胖年轻女性的糖代谢稳态,但仍需进一步研究以证明其在肥胖受试者中的抑制食欲作用,即作为餐前预负荷给予。