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沙棘油补充剂中 16:1n-7t 增加了代谢健康成年人血清中转棕榈油酸:一项随机交叉剂量递增研究。

Supplementation with Seabuckthorn Oil Augmented in 16:1n-7t Increases Serum Trans-Palmitoleic Acid in Metabolically Healthy Adults: A Randomized Crossover Dose-Escalation Study.

机构信息

Jean Mayer USDA Human Nutrition Research Center on Aging, Boston, MA, USA.

Friedman School of Nutrition Science & Policy, Tufts University, Boston, MA, USA.

出版信息

J Nutr. 2020 Jun 1;150(6):1388-1396. doi: 10.1093/jn/nxaa060.

Abstract

BACKGROUND

In animal models cis-palmitoleic acid (9-hexadecenoic acid; 16:1n-7c), a lipokine, improves insulin sensitivity, inflammation, and lipoprotein profiles; in humans trans-palmitoleic acid (16:1n-7t) has been associated with lower incidence of type 2 diabetes. The response to dose-escalation of supplements containing cis- and trans-palmitoleic acid has not been evaluated.

OBJECTIVES

We examined dose-escalation effects of oral supplementation with seabuckthorn oil and seabuckthorn oil augmented in 16:1n-7t on serum phospholipid fatty acids (PLFAs).

METHODS

Thirteen participants (7 women and 6 men; age 48 ± 16 y, BMI 30.4 ± 3.7 kg/m2) participated in a randomized, double-blind, crossover, dose-escalation trial of unmodified seabuckthorn oils relatively high in 16:1n-7c (380, 760, and 1520 mg 16:1n-7c/d) and seabuckthorn oils augmented in 16:1n-7t (120, 240, and 480 mg 16:1n-7t/d). Each of the 3 escalation doses was provided for 3 wk, with a 4-wk washout period between the 2 supplements. At the end of each dose period, fasting blood samples were used to determine the primary outcomes (serum concentrations of the PLFAs 16:1n-7t and 16:1n-7c) and the secondary outcomes (glucose homeostasis, serum lipids, and clinical measures). Trends across doses were evaluated using linear regression.

RESULTS

Compared with baseline, supplementation with seabuckthorn oil augmented in 16:1n-7t increased phospholipid 16:1n-7t by 26.6% at the highest dose (P = 0.0343). Supplementation with unmodified seabuckthorn oil resulted in a positive trend across the dose-escalations (P-trend = 0.0199). No significant effects of either supplement were identified on blood glucose, insulin, lipids, or other clinical measures, although this dosing study was not powered to detect such effects. No carryover or adverse effects were observed.

CONCLUSIONS

Supplementation with seabuckthorn oil augmented in 16:1n-7t and unmodified seabuckthorn oil moderately increased concentrations of their corresponding PLFAs in metabolically healthy adults, supporting the use of supplementation with these fatty acids to test potential clinical effects in humans.This trial was registered at clinicaltrials.gov as NCT02311790.

摘要

背景

在动物模型中,顺式棕榈油酸(9-十六烯酸;16:1n-7c)作为一种脂肪因子,可改善胰岛素敏感性、炎症和脂蛋白谱;在人类中,反式棕榈油酸(16:1n-7t)与 2 型糖尿病的发病率降低有关。口服补充顺式和反式棕榈油酸的剂量递增的反应尚未得到评估。

目的

我们研究了口服沙棘油和沙棘油中添加 16:1n-7t 对血清磷脂脂肪酸(PLFA)的剂量递增效应。

方法

13 名参与者(7 名女性和 6 名男性;年龄 48±16 岁,BMI 30.4±3.7kg/m2)参加了一项随机、双盲、交叉、剂量递增试验,试验采用相对高浓度的 16:1n-7c(380、760 和 1520mg 16:1n-7c/d)和添加 16:1n-7t 的沙棘油(120、240 和 480mg 16:1n-7t/d)进行非修饰的沙棘油和添加 16:1n-7t 的沙棘油。每个递增剂量持续 3 周,两种补充剂之间有 4 周的洗脱期。在每个剂量期结束时,抽取空腹血样,以确定主要终点(血清 16:1n-7t 和 16:1n-7c 的 PLFA 浓度)和次要终点(血糖稳态、血清脂质和临床指标)。使用线性回归评估剂量间的趋势。

结果

与基线相比,添加 16:1n-7t 的沙棘油补充剂使磷脂 16:1n-7t 最高剂量增加了 26.6%(P=0.0343)。未修饰的沙棘油补充剂的补充效果呈剂量递增趋势(P 趋势=0.0199)。两种补充剂均未对血糖、胰岛素、脂质或其他临床指标产生显著影响,尽管该剂量研究没有检测到这种影响的能力。未观察到残留或不良反应。

结论

添加 16:1n-7t 的沙棘油补充剂和未修饰的沙棘油补充剂可适度增加代谢健康成年人中相应 PLFA 的浓度,支持使用这些脂肪酸进行补充,以在人体中测试潜在的临床效果。该试验在 clinicaltrials.gov 上注册为 NCT02311790。

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