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植酸与全谷物对健康的争议

Phytic Acid and Whole Grains for Health Controversy.

机构信息

Department of Human Biology, School for Nutrition and Translational Research in Metabolism, Maastricht University, 6200 MD Maastricht, The Netherlands.

出版信息

Nutrients. 2021 Dec 22;14(1):25. doi: 10.3390/nu14010025.

Abstract

Phytate (PA) serves as a phosphate storage molecule in cereals and other plant foods. In food and in the human body, PA has a high affinity to chelate Zn and Fe, Mg, Ca, K, Mn and Cu. As a consequence, minerals chelated in PA are not bio-available, which is a concern for public health in conditions of poor food availability and low mineral intakes, ultimately leading to an impaired micronutrient status, growth, development and increased mortality. For low-income countries this has resulted in communications on how to reduce the content of PA in food, by appropriate at home food processing. However, claims that a reduction in PA in food by processing per definition leads to a measurable improvement in mineral status and that the consumption of grains rich in PA impairs mineral status requires nuance. Frequently observed decreases of PA and increases in soluble minerals in in vitro food digestion (increased bio-accessibility) are used to promote food benefits. However, these do not necessarily translate into an increased bioavailability and mineral status in vivo. In vitro essays have limitations, such as the absence of blood flow, hormonal responses, neural regulation, gut epithelium associated factors and the presence of microbiota, which mutually influence the in vivo effects and should be considered. In Western countries, increased consumption of whole grain foods is associated with improved health outcomes, which does not justify advice to refrain from grain-based foods because they contain PA. The present commentary aims to clarify these seemingly controversial aspects.

摘要

植酸(PA)是谷物和其他植物性食物中磷的储存分子。在食物和人体中,PA 与 Zn 和 Fe、Mg、Ca、K、Mn 和 Cu 具有很强的螯合亲和力。因此,与 PA 螯合的矿物质不易被生物利用,这是在食物供应不足和矿物质摄入量低的情况下对公众健康的关注,最终导致微量营养素状况受损、生长发育不良和死亡率增加。对于低收入国家来说,这导致了关于如何通过在家中适当加工来降低食物中 PA 含量的交流。然而,声称通过加工降低食物中的 PA 含量会导致矿物质状况可衡量的改善,以及食用富含 PA 的谷物会损害矿物质状况的说法需要加以区分。在体外食品消化过程中经常观察到 PA 的降低和可溶性矿物质的增加(增加生物可利用性),以此来促进食品的益处。然而,这些并不一定转化为体内生物利用度和矿物质状况的提高。体外研究有其局限性,例如缺乏血流、激素反应、神经调节、肠道上皮相关因素和微生物群的存在,这些因素相互影响体内的作用,应该加以考虑。在西方国家,增加全谷物食品的消费与改善健康结果有关,但这并不意味着应该避免食用谷物类食物,因为它们含有 PA。本评论旨在澄清这些看似有争议的方面。

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