Rondanelli Mariangela, Nichetti Mara, Peroni Gabriella, Naso Maurizio, Faliva Milena Anna, Iannello Giancarlo, Di Paolo Enrica, Perna Simone
IRCCS Mondino Foundation, 27100 Pavia, Italy.
Department of Public Health, Experimental and Forensic Medicine, University of Pavia, 27100 Pavia, Italy.
Nutrients. 2021 Mar 17;13(3):975. doi: 10.3390/nu13030975.
The consumption of dietary amino acids has been evaluated for therapeutic and safety intervention in obesity. In particular, three molecules have been shown to be effective: arginine, glutamine and leucine (and its metabolite beta-hydroxy-beta-methylbutyrate, HMB). This randomized, double-blinded pilot study in obese postmenopausal patients aimed to evaluate the efficacy of the administration of a specific food for special medical purposes (FSMP) consisting of arginine, glutamine and HMB on body composition, in particular, visceral adipose tissue (VAT), assessed by dual-energy X-ray absorptiometry (DXA), as the primary endpoint. The secondary endpoint was to evaluate the effects on skin health through a validated self-reported questionnaire. A significant improvement on VAT of Δ = -153.600, = 0.01 was recorded in the intervention group. Skin health showed a significant improvement in the treatment group for the following: bright Δ = 1.400 (0.758; 2.042), elasticity Δ = 0.900 (0.239; 1.561), wrinkles Δ = 0.800 (0.276; 1.324), and on total score, Δ = 3.000 (1.871; 4.129). In the intervention group, the improvement in VAT was associated with an improvement in the bright score (r = -0.58; = 0.01). In conclusion, this study demonstrated that the intake for 4-weeks of arginine, glutamine and HMB effects a significant reduction in VAT and improves skin condition, while fat free mass (FFM) is maintained, thus achieving "high-quality" weight loss.
饮食中氨基酸的摄入已被评估用于肥胖症的治疗和安全干预。特别是,有三种分子已被证明是有效的:精氨酸、谷氨酰胺和亮氨酸(及其代谢产物β-羟基-β-甲基丁酸酯,HMB)。这项针对肥胖绝经后患者的随机双盲试验研究旨在评估一种特殊医学用途食品(FSMP)(由精氨酸、谷氨酰胺和HMB组成)对身体成分的影响,特别是通过双能X线吸收法(DXA)评估的内脏脂肪组织(VAT),将其作为主要终点。次要终点是通过一份经过验证的自我报告问卷来评估对皮肤健康的影响。干预组中,VAT有显著改善,Δ = -153.600,P = 0.01。治疗组在以下方面皮肤健康有显著改善:亮度Δ = 1.400(0.758;2.042),弹性Δ = 0.900(0.239;1.561),皱纹Δ = 0.800(0.276;1.324),总分Δ = 3.000(1.871;4.129)。在干预组中,VAT的改善与亮度评分的改善相关(r = -0.58;P = 0.01)。总之,这项研究表明,摄入精氨酸、谷氨酰胺和HMB 4周可显著减少VAT并改善皮肤状况,同时维持去脂体重(FFM),从而实现“高质量”的体重减轻。