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反式脂肪酸与血脂状况:心血管疾病、癌症和糖尿病的严重风险因素。

Trans fatty acids and lipid profile: A serious risk factor to cardiovascular disease, cancer and diabetes.

作者信息

Islam Md Ashraful, Amin Mohammad Nurul, Siddiqui Shafayet Ahmed, Hossain Md Parvez, Sultana Farhana, Kabir Md Ruhul

机构信息

Department of Food Technology and Nutrition Science, Noakhali Science and Technology University, Noakhali, 3814, Bangladesh.

Department of Pharmacy, Atish Dipankar University of Science and Technology, Dhaka, 1230, Bangladesh.

出版信息

Diabetes Metab Syndr. 2019 Mar-Apr;13(2):1643-1647. doi: 10.1016/j.dsx.2019.03.033. Epub 2019 Mar 16.

Abstract

Trans Fatty acids (TFAs) have long been used in food manufacturing due in part to their melting point at room temperature between saturated and unsaturated fats. However, increasing epidemiologic and biochemical evidence suggests that excessive trans fats in the diet are a significant risk factor for cardiovascular events as well as a risk factor for cancer and diabetes. A 2% absolute increase in energy intake from trans-fat has been associated with a 23% increase in cardiovascular risk. They increase the levels of low-density lipoprotein which is bad for health. Moreover, several epidemiological studies have been demonstrated that a high intake of TFAs increases the incidence of cancer and diabetes. On the other hand, total elimination of TFAs is not possible in a balanced diet due to their natural presence in dairy and meat products. Many products with almost 0.5 g trans-fat, if consumed over the course of a day, may approximate or exceed the 2 g maximum as recommended by the American Heart Association. The objective of the review to demonstrate the causal association between trans fatty acid intake and increase the risk of coronary heart disease through their influence on lipoprotein, association with atherosclerosis, stroke, diabetes and cancer.

摘要

反式脂肪酸(TFAs)长期以来一直用于食品制造,部分原因是其在室温下的熔点介于饱和脂肪和不饱和脂肪之间。然而,越来越多的流行病学和生化证据表明,饮食中过量的反式脂肪是心血管事件的重要危险因素,也是癌症和糖尿病的危险因素。反式脂肪能量摄入量绝对增加2%与心血管风险增加23%相关。它们会提高对健康有害的低密度脂蛋白水平。此外,多项流行病学研究表明,高摄入反式脂肪酸会增加癌症和糖尿病的发病率。另一方面,由于乳制品和肉类产品中天然存在反式脂肪,在均衡饮食中完全消除反式脂肪是不可能的。许多反式脂肪含量几乎为0.5克的产品,如果在一天内食用,可能接近或超过美国心脏协会建议的2克上限。本综述的目的是通过反式脂肪酸对脂蛋白的影响、与动脉粥样硬化、中风、糖尿病和癌症的关联,证明反式脂肪酸摄入与冠心病风险增加之间的因果关系。

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