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四周摄入Wellnessup饮食后对有毒微量元素解毒、减少体脂的影响:一项三臂随机临床试验。

Effect of toxic trace element detoxification, body fat reduction following four-week intake of the Wellnessup diet: a three-arm, randomized clinical trial.

作者信息

Jung Su-Jin, Kim Woo-Lim, Park Byung-Hyun, Lee Seung-Ok, Chae Soo-Wan

机构信息

Clinical Trial Center for Functional Foods, Chonbuk National University Hospital, Jeonju, Jeonbuk 54907 South Korea.

Biomedical Research Institute, Chonbuk National University Hospital, Jeonju, Jeonbuk 54907 South Korea.

出版信息

Nutr Metab (Lond). 2020 Jun 22;17:47. doi: 10.1186/s12986-020-00465-9. eCollection 2020.

Abstract

BACKGROUND

Detox diet are known as a popular dieting strategies that helps toxins elimination and weight manage but there is very little clinical evidence. The Wellnessup diet (WD) used in the present study designed as a healthy meals based on organic plant based diets including various vegetables, fruits, whole grains, nuts and phytonutrients.

METHODS

To evaluate the effects of 4 week intake of the WD on toxic trace element detoxification, body fat reduction, and safety parameters. Forty-five women with body mass index (BMI) of 23.5-30 kg/m were recruited. Thirty of them were assigned 1:1 to the test group (WD, 15 subjects) and control group 1 (calorie-restricted diet, CRD, 15 subjects) in a single blind and randomized, and the remaining 15 subjects were assigned to control group 2 (maintaining regular diet, MRD). The primary outcome were toxic trace element levels in hair (29 types of heavy metals), and the secondary outcomes were changes in anthropometric and urinary organic acids.

RESULTS

The levels of four toxic trace elements in hair decreased in the WD group after the diet compared to before the diet. Ni, Rh, Sn, and Ga were significantly lower in the WD group than in the CRD or MRD group ( < 0.05). At the end of the trial, both WD and CRD groups had lower BMI, Waist Circumference(WC), Hip Circumference(HC) and WHR compared to the baseline values ( < 0.05). Compared to the WD group, the CRD group had a greater mean change ( < 0.05) from the baseline for weight loss (- 3.22 ± 0.48 kg vs - 1.88 ± 0.95 kg vs) and fat free mass (- 2.08 kg vs - 1.09 kg). The weight, BMI, body fat mass, fat free mass, WC, and HC of the CRD group were significantly decreased compared to the MRD ( < 0.05). No significant changes in any safety parameter were observed.

CONCLUSIONS

Use of WD might have several beneficial effects and safety such as body fat reduction and improving some the element detoxification through caloric restriction but did not reducing body fat mass more than calorie-restricted diet.

TRIAL REGISTRATION

This study was registered at Clinical Research Information Service (CRIS) of Republic of Korea (KCT0003002).

摘要

背景

排毒饮食是一种流行的节食策略,有助于毒素排出和体重管理,但临床证据非常少。本研究中使用的Wellnessup饮食(WD)设计为基于有机植物性饮食的健康餐食,包括各种蔬菜、水果、全谷物、坚果和植物营养素。

方法

为了评估4周摄入WD对有毒微量元素解毒、体脂减少和安全参数的影响。招募了45名体重指数(BMI)为23.5 - 30kg/m²的女性。其中30名女性以1:1的比例被随机分配到单盲试验组(WD,15名受试者)和对照组1(热量限制饮食,CRD,15名受试者),其余15名受试者被分配到对照组2(维持常规饮食,MRD)。主要结局指标是头发中的有毒微量元素水平(29种重金属),次要结局指标是人体测量学和尿有机酸的变化。

结果

与饮食前相比,WD组饮食后头发中四种有毒微量元素的水平降低。WD组中镍、铑、锡和镓的含量显著低于CRD组或MRD组(P < 0.05)。在试验结束时,WD组和CRD组的BMI、腰围(WC)、臀围(HC)和腰臀比(WHR)均低于基线值(P < 0.05)。与WD组相比,CRD组体重减轻(-3.22±0.48kg对-1.88±0.95kg)和去脂体重(-2.08kg对-1.09kg)从基线的平均变化更大(P < 0.05)。与MRD组相比,CRD组的体重、BMI、体脂肪量、去脂体重、WC和HC均显著降低(P < 0.05)。未观察到任何安全参数有显著变化。

结论

使用WD可能有多种有益效果和安全性,如通过热量限制减少体脂和改善某些元素的解毒,但在减少体脂肪量方面并不比热量限制饮食更有效。

试验注册

本研究在大韩民国临床研究信息服务(CRIS)注册(KCT0003002)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f82/7310262/ec65964fd672/12986_2020_465_Fig1_HTML.jpg

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