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在超重和肥胖成年人中,膳食纤维与血液甘油三酯独立相关。

Dietary Fiber Is Independently Related to Blood Triglycerides Among Adults with Overweight and Obesity.

作者信息

Hannon Bridget A, Thompson Sharon V, Edwards Caitlyn G, Skinner Sarah K, Niemiro Grace M, Burd Nicholas A, Holscher Hannah D, Teran-Garcia Margarita, Khan Naiman A

机构信息

Division of Nutritional Sciences, University of Illinois, Urbana, IL.

Department of Kinesiology and Community Health, University of Illinois, Urbana, IL.

出版信息

Curr Dev Nutr. 2018 Nov 28;3(2):nzy094. doi: 10.1093/cdn/nzy094. eCollection 2019 Feb.

Abstract

BACKGROUND

Metabolic syndrome (MetS), a cluster of visceral adiposity-related risk factors, affects approximately 35% of the United States population. Although improvement in diet quality is an important approach to reducing MetS risk, the role of particular dietary components remains unclear, especially among younger adults. Individual dietary components have been implicated in ameliorating or exacerbating MetS risk; however, the extent to which these factors contribute to MetS prevention has received little attention.

OBJECTIVE

This cross-sectional study aimed to assess relations between diet and individual MetS components in young to middle-aged adults who are overweight and/or obese.

METHODS

Participants aged 25-45 y ( = 117) with overweight and obesity, but no other diagnosed metabolic disease, recorded dietary intake over 7 d. MetS components (waist circumference, blood pressure, glucose, triglycerides [TGs], and high-density lipoprotein cholesterol [HDL]) were measured. Visceral adipose tissue was measured by dual-energy X-ray absorptiometry. Linear regression was used to assess relations between diet and MetS risk factors, adjusting for age, sex, and visceral adipose tissue.

RESULTS

MetS prevalence in this sample was 32%. Energy-adjusted total fiber intake (β = -0.21,  = 0.02) was inversely associated with TG concentrations. No significant relations were observed between other dietary factors and MetS components. These findings indicate that among MetS components, TG concentrations are potentially sensitive to fiber consumption.

CONCLUSIONS

These results provide cross-sectional evidence supporting the protective influence of dietary fiber on MetS components among young to middle-aged adults. Additional, well-designed clinical trials are needed to assess the causal relations between various types of dietary fiber and metabolic disease.

摘要

背景

代谢综合征(MetS)是一组与内脏肥胖相关的危险因素,影响着约35%的美国人口。尽管改善饮食质量是降低MetS风险的重要方法,但特定饮食成分的作用仍不明确,尤其是在年轻人中。个体饮食成分被认为与改善或加剧MetS风险有关;然而,这些因素对MetS预防的贡献程度很少受到关注。

目的

本横断面研究旨在评估超重和/或肥胖的年轻至中年成年人的饮食与个体MetS成分之间的关系。

方法

年龄在25 - 45岁(n = 117)的超重和肥胖参与者,但无其他已诊断的代谢疾病,记录7天的饮食摄入量。测量MetS成分(腰围、血压、血糖、甘油三酯[TGs]和高密度脂蛋白胆固醇[HDL])。通过双能X线吸收法测量内脏脂肪组织。使用线性回归评估饮食与MetS危险因素之间的关系,并对年龄、性别和内脏脂肪组织进行校正。

结果

该样本中MetS患病率为32%。能量校正后的总纤维摄入量(β = -0.21,P = 0.02)与TG浓度呈负相关。未观察到其他饮食因素与MetS成分之间存在显著关系。这些发现表明,在MetS成分中,TG浓度可能对纤维摄入敏感。

结论

这些结果提供了横断面证据,支持膳食纤维对年轻至中年成年人MetS成分的保护作用。需要进行更多设计良好的临床试验来评估不同类型膳食纤维与代谢疾病之间的因果关系。

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