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每日食用富含维生素 B 的果味酸奶有助于 2 型糖尿病患者降低能量摄入和体重减轻:一项随机临床试验。

Daily consumption of fruit-flavored yoghurt enriched with vitamins B contributes to lower energy intake and body weight reduction, in type 2 diabetic patients: a randomized clinical trial.

机构信息

Laboratory of Chemistry-Biochemistry-Physical Chemistry of Foods, Department of Nutrition and Dietetics, Harokopio University, Athens, Greece.

Diabetes Laboratory, First Department of Propaedeutic Internal Medicine, Laiko General Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.

出版信息

Food Funct. 2019 Nov 1;10(11):7435-7443. doi: 10.1039/c9fo01796h. Epub 2019 Oct 30.

Abstract

Yoghurt naturally contains vitamins of B-complex which play a central role in energy metabolism. This study investigates the effects of consumption of yoghurt enriched with vitamins B, in comparison with conventional yoghurt, on body weight management and glycemic control of patients with Type 2 Diabetes Mellitus (T2DM). Thirty-three overweight/obese patients (BMI 27-36 kg m) were randomized into two groups receiving two servings of non-fat yoghurt per day, either strawberry-flavored enriched with vitamins B1, B5 and B6 (VY) or conventional (CY) for 12 weeks. At the beginning and the end of the dietary intervention, anthropometric characteristics, biochemical parameters, glycosylated haemoglobin (HbA), interleukin-6 (IL-6) and interleukin-1b (IL-1b), vitamins B and homocysteine concentrations were determined. Dietary assessments were also performed. At the end of the intervention, body weight and BMI were reduced in the VY group (86.5 ± 3.1 vs. 87.7 ± 3.0 kg, and 29.2 ± 1.0 vs. 29.6 ± 0.9 kg m, respectively, P < 0.05) and dietary intake was lower compared to the CY group (7277.6 ± 332.6 vs. 9918.2 ± 612.1 kJ day, P < 0.05). HbA was marginally reduced in the VY group (6.2 ± 0.2 vs. 6.4 ± 0.3%, P = 0.08), concentrations of B1, B2 and B6 were increased (63.8 ± 5.6 vs. 52.8 ± 1.7 μg L, P = 0.09, 9.2 ± 1.5 vs. 6.9 ± 1.4 μg L, P < 0.05 and 23.0 ± 2.8 vs. 14.9 ± 1.2 μg L, P < 0.05, respectively) and a trend towards reduced homocysteine concentrations was observed (16.9 ± 1.7 vs. 18.3 ± 2.0 μmol L, P = 0.06). IL-6 was decreased in both groups but significantly in the CY group (1.33 ± 0.13 vs. 1.67 ± 0.63 pg mL, P < 0.05). Daily consumption of fruit-flavored yoghurt enriched with vitamins B facilitates body weight management and improves vitamins B status and homocysteine levels in overweight/obese T2DM patients.

摘要

酸奶自然含有维生素 B 复合物,在能量代谢中起着核心作用。本研究调查了与常规酸奶相比,食用富含维生素 B 的酸奶对 2 型糖尿病 (T2DM) 患者体重管理和血糖控制的影响。33 名超重/肥胖患者(BMI 27-36 kg/m²)被随机分为两组,每天食用两份非脂酸奶,一种是草莓味的富含维生素 B1、B5 和 B6 的酸奶(VY),另一种是常规酸奶(CY),共 12 周。在饮食干预的开始和结束时,测定了人体测量特征、生化参数、糖化血红蛋白 (HbA)、白细胞介素-6 (IL-6) 和白细胞介素-1b (IL-1b)、维生素 B 和同型半胱氨酸浓度。还进行了饮食评估。干预结束时,VY 组体重和 BMI 均降低(86.5 ± 3.1 与 87.7 ± 3.0 kg,29.2 ± 1.0 与 29.6 ± 0.9 kg/m²,均 P<0.05),且与 CY 组相比,饮食摄入量较低(7277.6 ± 332.6 与 9918.2 ± 612.1 kJ/天,均 P<0.05)。VY 组的 HbA 略有降低(6.2 ± 0.2 与 6.4 ± 0.3%,P=0.08),B1、B2 和 B6 的浓度增加(63.8 ± 5.6 与 52.8 ± 1.7 μg/L,P=0.09;9.2 ± 1.5 与 6.9 ± 1.4 μg/L,P<0.05;23.0 ± 2.8 与 14.9 ± 1.2 μg/L,P<0.05),同型半胱氨酸浓度呈降低趋势(16.9 ± 1.7 与 18.3 ± 2.0 μmol/L,P=0.06)。两组白细胞介素-6 均降低,但 CY 组降低更显著(1.33 ± 0.13 与 1.67 ± 0.63 pg/mL,P<0.05)。每天食用富含维生素 B 的水果味酸奶有助于控制体重,改善超重/肥胖 2 型糖尿病患者的维生素 B 状态和同型半胱氨酸水平。

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