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乳清蛋白和膳食纤维摄入对腹型肥胖者胰岛素敏感性、身体成分、能量消耗、血压和食欲的影响。

Effects of whey protein and dietary fiber intake on insulin sensitivity, body composition, energy expenditure, blood pressure, and appetite in subjects with abdominal obesity.

机构信息

Department of Endocrinology and Internal Medicine, Aarhus University Hospital, Aarhus, Denmark.

Department of Internal Medicine, Regional Hospital Horsens, Horsens, Denmark.

出版信息

Eur J Clin Nutr. 2021 Apr;75(4):611-619. doi: 10.1038/s41430-020-00759-4. Epub 2020 Sep 18.

Abstract

BACKGROUND

Recently, we demonstrated that whey protein (WP) combined with low dietary fiber improved lipemia, a risk factor for cardiovascular disease in subjects with abdominal obesity. In the present study, we investigated the effects of intake of WP and dietary fiber from enzyme-treated wheat bran on other metabolic parameters of the metabolic syndrome.

METHODS

The study was a 12-week, double-blind, randomized, controlled, parallel intervention study. We randomized 73 subjects with abdominal obesity to 1 of 4 iso-energetic dietary interventions: 60 g per day of either WP hydrolysate or maltodextrin (MD) combined with high-fiber (HiFi; 30 g dietary fiber/day) or low-fiber (LoFi; 10 g dietary fiber/day) cereal products. We assessed changes in insulin sensitivity, gut hormones (GLP-1, GLP-2, GIP, and peptide YY), body composition, 24-h BP, resting energy expenditure and respiratory exchange ratio (RER), and appetite.

RESULTS

Sixty-five subjects completed the trial. Subjective hunger ratings were lower after 12 weeks of WP compared with MD, independent of fiber content (P = 0.02). We found no effects on ratings of satiety, fullness or prospective food consumption for either of the interventions. Intake of WP combined with LoFi increased the postprandial peptide YY response. There were no effects of WP or fiber on insulin sensitivity, body composition, energy expenditure, incretins, or 24-h BP.

CONCLUSIONS

WP consumption for 12 weeks reduced subjective ratings of hunger in subjects with abdominal obesity. Neither WP nor dietary fiber from wheat bran affected insulin sensitivity, 24-h BP, gut hormone responses, body composition, or energy expenditure compared with MD and low dietary fiber.

摘要

背景

最近,我们证明乳清蛋白(WP)与低膳食纤维相结合可以改善血脂异常,这是腹型肥胖患者心血管疾病的一个危险因素。在本研究中,我们研究了摄入 WP 和酶处理麦麸膳食纤维对代谢综合征其他代谢参数的影响。

方法

该研究是一项为期 12 周、双盲、随机、对照、平行干预研究。我们将 73 名腹型肥胖患者随机分为 4 种等能量饮食干预组之一:每天摄入 60 克 WP 水解物或麦芽糊精(MD),并与高纤维(HiFi;每天 30 克膳食纤维)或低纤维(LoFi;每天 10 克膳食纤维)谷物产品相结合。我们评估了胰岛素敏感性、肠道激素(GLP-1、GLP-2、GIP 和肽 YY)、身体成分、24 小时血压、静息能量消耗和呼吸交换率(RER)以及食欲的变化。

结果

65 名患者完成了试验。与 MD 相比,WP 干预 12 周后,主观饥饿感降低,且与纤维含量无关(P=0.02)。我们发现,两种干预措施对饱腹感、满足感或预期食物摄入量均无影响。WP 与 LoFi 联合摄入可增加餐后肽 YY 反应。WP 或麦麸膳食纤维对胰岛素敏感性、身体成分、能量消耗、肠促胰岛素或 24 小时血压均无影响。

结论

WP 摄入 12 周可降低腹型肥胖患者的主观饥饿感评分。与 MD 和低膳食纤维相比,WP 或麦麸膳食纤维均未影响胰岛素敏感性、24 小时血压、肠道激素反应、身体成分或能量消耗。

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