Yu Lianlong, Li Yanmo, Zhang Qian, Zhu Lichao, Ding Ning, Zhang Bingyin, Zhang Junli, Liu Wenjie, Li Suyun, Zhang Jian
National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing, China.
Shandong Center for Disease Control and Prevention, Jinan, Shandong, China.
Amino Acids. 2021 May;53(5):635-644. doi: 10.1007/s00726-021-02970-4. Epub 2021 May 4.
Essential amino acids (EAAs) are involved in growth and development in children and adolescents. This study was aimed at exploring the relationship between dietary EAA intakes and metabolic biomarker, and the influence of obesity in children and adolescents. A total of 3566 subjects were analysed. Participators were classified according to weight status. Metabolic biomarkers were determined using standardized methods and conditions. Normal, overweight, and obesity statuses were defined according to the Working Group on Obesity in China (WGOC) BMI cutoff points based on age- and sex-specific screening criteria. In normal-weight group, blood uric acid was negatively correlated with dietary Ile, Leu, Lys, Phe, Thr, Val, and His, and zinc was negatively correlated with Ile, Leu, Lys, Phe, Thr, Val, His, Met, and Trp. In overweight group, TC was negatively correlated with Ile, Leu, Phe, Val, and His, and LDL-C was negatively correlated with Ile, Leu, Lys, Phe, Thr, Val, His, and Met, while TG was positively correlated with Leu, Lys, Phe, Thr, Val, and Met. In obesity group, hemoglobin was positively related to Ile, Leu, Lys, Phe, Thr, Val, His, and Trp, while vitamin D was positively correlated with His and Trp. The serum creatinine was negatively correlated with Ile, Leu, Phe, Val, His, and Met in normal-weight group, and positively correlated with Ile, Leu, Lys, Phe, Thr, Val, His, Met, Trp, His, and Trp in obesity group. Dietary amino acid score (AAS) and Leu intake were protective factors for obesity. The association between fasting blood glucose and EAAs intake was weak and labile. Metabolic biomarkers and EAA intakes were only related under certain weight status. The dietary AAS is positively correlated with HDL-C, LDL-C, serum creatinine, albumin, serum vitamin D, and zinc. The subtle relationship of EAAs and kidney function should be explored further. There is a complex relationship between EAAs and metabolic biomarkers, and overweight and obesity have a certain influence on this relationship.
必需氨基酸(EAAs)参与儿童和青少年的生长发育。本研究旨在探讨膳食必需氨基酸摄入量与代谢生物标志物之间的关系,以及肥胖对儿童和青少年的影响。共分析了3566名受试者。参与者根据体重状况进行分类。使用标准化方法和条件测定代谢生物标志物。根据中国肥胖问题工作组(WGOC)基于年龄和性别特异性筛查标准的BMI切点定义正常、超重和肥胖状态。在正常体重组中,血尿酸与膳食异亮氨酸、亮氨酸、赖氨酸、苯丙氨酸、苏氨酸、缬氨酸和组氨酸呈负相关,锌与异亮氨酸、亮氨酸、赖氨酸、苯丙氨酸、苏氨酸、缬氨酸、组氨酸、蛋氨酸和色氨酸呈负相关。在超重组中,总胆固醇(TC)与异亮氨酸、亮氨酸、苯丙氨酸、缬氨酸和组氨酸呈负相关,低密度脂蛋白胆固醇(LDL-C)与异亮氨酸、亮氨酸、赖氨酸、苯丙氨酸、苏氨酸、缬氨酸、组氨酸和蛋氨酸呈负相关,而甘油三酯(TG)与亮氨酸、赖氨酸、苯丙氨酸、苏氨酸、缬氨酸和蛋氨酸呈正相关。在肥胖组中,血红蛋白与异亮氨酸、亮氨酸、赖氨酸、苯丙氨酸、苏氨酸、缬氨酸、组氨酸和色氨酸呈正相关,而维生素D与组氨酸和色氨酸呈正相关。血清肌酐在正常体重组中与异亮氨酸、亮氨酸、苯丙氨酸、缬氨酸、组氨酸和蛋氨酸呈负相关,在肥胖组中与异亮氨酸、亮氨酸、赖氨酸、苯丙氨酸、苏氨酸、缬氨酸、组氨酸、蛋氨酸、色氨酸、组氨酸和色氨酸呈正相关。膳食氨基酸评分(AAS)和亮氨酸摄入量是肥胖的保护因素。空腹血糖与必需氨基酸摄入量之间的关联微弱且不稳定。代谢生物标志物和必需氨基酸摄入量仅在特定体重状态下相关。膳食AAS与高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇、血清肌酐、白蛋白、血清维生素D和锌呈正相关。必需氨基酸与肾功能之间的微妙关系应进一步探索。必需氨基酸与代谢生物标志物之间存在复杂关系,超重和肥胖对这种关系有一定影响。