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关于禁食七天后血脂谱和 C 反应蛋白的观察性研究。

Observational Study of Lipid Profile and C-Reactive Protein after a Seven-Day Fast.

机构信息

Laboratory of Human Nutrition, Institute of Food, Nutrition and Health, ETH Zurich, 8092 Zurich, Switzerland.

VMMT Research, 6950 Tesserete, Switzerland.

出版信息

Nutrients. 2021 Jan 17;13(1):255. doi: 10.3390/nu13010255.

Abstract

Fasting is becoming an increasingly popular practice. Nevertheless, its clinical benefits and possible inconveniences remain limitedly evaluated. We observed the effects of a seven-day fast conducted in a non-medical center located in the Swiss Alps. Clinical parameters were measured on the first and last day of fasting (D1 and D7), and two months later (D60). Among the 40 participants, blood analyses were done on 25 persons with an increased metabolic risk, with the primary goal of assessing the lasting effect on low-density lipoprotein (LDL) cholesterol. By comparing D60 with D1, high-density lipoprotein cholesterol (HDL) (+0.15 mmol/L) and insulin-like growth factor-1 (IGF-1) (+2.05 mmol/L) increased (both < 0.009), all other blood parameters (LDL, glucose, total cholesterol, triglycerides, C-reactive protein (CRP)) did not change; weight (-0.97 kg) and hearth rate (-7.31 min) decreased (both < 0.006). By comparing D7 with D1, total cholesterol (+0.44 mmol/L), triglycerides (+0.37 mmol/L) and CRP (+3.37 mg/L) increased (all < 0.02). The lack of LDL variation at D60 may be due to the low metabolic risk level of the participants. The increase of total cholesterol, triglycerides and CRP at D7 warrants studies to understand whether such fluctuations represent a stress reaction to the fasting state, which may vary in different fasting types.

摘要

禁食正变得越来越流行。然而,其临床益处和可能的不便仍在有限地评估中。我们观察了在瑞士阿尔卑斯山的一个非医疗中心进行的为期七天的禁食的效果。在禁食的第一天(D1)和最后一天(D7)以及两个月后(D60)测量了临床参数。在 40 名参与者中,对 25 名代谢风险增加的人进行了血液分析,主要目的是评估对低密度脂蛋白(LDL)胆固醇的持久影响。通过将 D60 与 D1 进行比较,高密度脂蛋白胆固醇(HDL)(+0.15mmol/L)和胰岛素样生长因子-1(IGF-1)(+2.05mmol/L)增加(均<0.009),所有其他血液参数(LDL、葡萄糖、总胆固醇、甘油三酯、C 反应蛋白(CRP))均未改变;体重(-0.97kg)和心率(-7.31min)下降(均<0.006)。通过将 D7 与 D1 进行比较,总胆固醇(+0.44mmol/L)、甘油三酯(+0.37mmol/L)和 CRP(+3.37mg/L)增加(均<0.02)。D60 时 LDL 无变化可能是由于参与者的代谢风险水平较低。D7 时总胆固醇、甘油三酯和 CRP 的增加需要进一步研究,以了解这种波动是否代表对禁食状态的应激反应,而这种反应可能因不同的禁食类型而有所不同。

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