富含菊粉蔬菜的饮食对健康人群肠道健康和营养行为的影响。

Effects of a diet based on inulin-rich vegetables on gut health and nutritional behavior in healthy humans.

机构信息

Metabolism and Nutrition Research Group, Louvain Drug Research Institute, Université catholique de Louvain, Brussels, Belgium.

Gembloux Agro-Bio Tech, Université de Liège, Gembloux, Belgium.

出版信息

Am J Clin Nutr. 2019 Jun 1;109(6):1683-1695. doi: 10.1093/ajcn/nqz001.

Abstract

BACKGROUND

Inulin-type fructans (ITFs) are a type of fermentable dietary fiber that can confer beneficial health effects through changes in the gut microbiota. However, their effect on gut sensitivity and nutritional behavior is a matter of debate.

OBJECTIVE

We evaluated the impact of consuming ITF-rich vegetables daily on gut microbiota, gastro-intestinal symptoms, and food-related behavior in healthy individuals.

METHODS

A single group-design trial was conducted in 26 healthy individuals. During 2 wk, the participants were instructed to adhere to a controlled diet based on ITF-rich vegetables (providing a mean intake of 15 g ITF/d). Three test days were organized: before and after the nutritional intervention and 3 wk after returning to their usual diet. We assessed nutrient intake, food-related behavior, fecal microbiota composition, microbial fermentation, and gastrointestinal symptoms.

RESULTS

The major microbial modifications during the intervention were an increased proportion of the Bifidobacterium genus, a decreased level of unclassified Clostridiales, and a tendency to decrease Oxalobacteraceae. These changes were reversed 3 wk after the intervention. The volunteers showed greater satiety, a reduced desire to eat sweet, salty, and fatty food, and a trend to increase hedonic attitudes towards some inulin-rich vegetables. Only flatulence episodes were reported during the dietary intervention, whereas intestinal discomfort, inversely associated with Clostridium cluster IV and Ruminococcus callidus, was improved at the end of the intervention.

CONCLUSIONS

A higher consumption of ITF-rich vegetables allows a substantial increase in well-tolerated dietary fiber, which may in turn improve food-related behavior. Moreover, it leads to beneficial modifications of the gut microbiota composition and function. This trial is registered at clinicaltrial.gov as NCT03540550.

摘要

背景

菊粉型果聚糖(ITF)是一种可发酵膳食纤维,可通过改变肠道微生物群来产生有益的健康影响。然而,其对肠道敏感性和营养行为的影响仍存在争议。

目的

我们评估了每日食用富含 ITF 的蔬菜对健康个体的肠道微生物群、胃肠道症状和与食物相关行为的影响。

方法

在 26 名健康个体中进行了单组设计试验。在 2 周内,参与者被要求遵循富含 ITF 的蔬菜的控制饮食(提供平均 15 克 ITF/d 的摄入量)。组织了 3 个测试日:营养干预前后和恢复到常规饮食 3 周后。我们评估了营养摄入、与食物相关的行为、粪便微生物群组成、微生物发酵和胃肠道症状。

结果

干预期间主要的微生物变化是双歧杆菌属的比例增加,未分类的梭菌目水平降低,以及 Oxalobacteraceae 的趋势下降。这些变化在干预 3 周后逆转。志愿者表现出更高的饱腹感,对甜食、咸食和高脂肪食物的食欲降低,并且对一些富含菊粉的蔬菜的享乐态度增加。仅在饮食干预期间报告了放气事件,而在干预结束时,与 Clostridium cluster IV 和 Ruminococcus callidus 呈负相关的肠道不适得到改善。

结论

更高的 ITF 富含蔬菜的消费可以显著增加可耐受的膳食纤维,这反过来又可以改善与食物相关的行为。此外,它还导致有益的肠道微生物群组成和功能的改变。该试验在 clinicaltrial.gov 上注册为 NCT03540550。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13d6/6537941/ba0c57f2384f/nqz001fig1.jpg

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