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含抗性麦芽糊精饮料持续饮用的减脂效果和安全性:一项随机、双盲、安慰剂对照、平行组临床试验。

Visceral Fat-Reducing Effect and Safety of Continuous Consumption of Beverage Containing Resistant Maltodextrin: A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Clinical Trial.

机构信息

Matsutani Chemical Industry Co., Ltd.

Coca-Cola (Japan) Co., Ltd.

出版信息

J Nutr Sci Vitaminol (Tokyo). 2020;66(5):417-426. doi: 10.3177/jnsv.66.417.

DOI:10.3177/jnsv.66.417
PMID:33132344
Abstract

Obesity is regarded as a global concern with increasing prevalence, most notably in developed countries. Metabolic syndrome is a predictor of cardiovascular disease and type 2 diabetes mellitus and is defined as the accumulation of multiple risk factors caused by abdominal visceral obesity. Resistant maltodextrin (RMD) is a soluble dietary fiber that has been shown to reduce visceral fat in long-term clinical trials when continuously administered at 10 g, three times daily. Herein, we evaluated the effects of long-term consumption of 5 g RMD three times daily. A total of 140 healthy adults were randomly assigned to two intervention groups for a 12-wk randomized, double-blind, placebo-controlled, parallel-group trial. Participants ingested a test beverage containing 5 g RMD or a placebo beverage without RMD. Interviews, anthropometric measurements, physiological examination, blood tests, and urinalyses were conducted at baseline and every 4 wk during the trial. Computed tomography scans were performed at baseline and at the end of week 8 and 12. Results showed that abdominal visceral fat area (VFA) significantly decreased in the test group from 105.33±26.83 cm at baseline to 101.15±24.33 cm at week 12. Further, a significant difference was observed in the VFA between the test and control groups (p<0.05), confirming the function of continuous RMD consumption in reducing abdominal visceral fat. Furthermore, neither serious adverse events nor adverse clinical findings were observed in the blood or urine tests following consumption of RMD, suggesting that continuous consumption of RMD containing beverages is safe.

摘要

肥胖被认为是一个全球性的问题,其发病率在不断上升,尤其是在发达国家。代谢综合征是心血管疾病和 2 型糖尿病的预测因子,定义为腹部内脏肥胖引起的多种危险因素的积累。抗性麦芽糊精(RMD)是一种可溶性膳食纤维,已在长期临床试验中证明,每天连续服用 10 克,分三次服用时,可以减少内脏脂肪。在此,我们评估了长期每天服用 5 克 RMD 三次的效果。共有 140 名健康成年人被随机分配到两个干预组,进行为期 12 周的随机、双盲、安慰剂对照、平行组试验。参与者摄入含有 5 克 RMD 的测试饮料或不含 RMD 的安慰剂饮料。在试验期间的基线和每 4 周进行访谈、人体测量、生理检查、血液检查和尿液分析。在基线和第 8 周和第 12 周结束时进行计算机断层扫描。结果表明,试验组的腹部内脏脂肪面积(VFA)从基线时的 105.33±26.83 cm 显著下降到第 12 周时的 101.15±24.33 cm。此外,试验组和对照组之间的 VFA 差异显著(p<0.05),证实了连续 RMD 消耗在减少腹部内脏脂肪方面的作用。此外,在 RMD 消耗后的血液或尿液测试中,既没有观察到严重的不良事件,也没有观察到不良的临床发现,这表明连续饮用含有 RMD 的饮料是安全的。

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