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发酵乳制品和非发酵乳制品的消费与血清 C-反应蛋白浓度的关系 - 一项横断面分析。

Associations of fermented and non-fermented dairy consumption with serum C-reactive protein concentrations - A cross-sectional analysis.

机构信息

University of Eastern Finland, Institute of Public Health and Clinical Nutrition, P.O. Box 1627, 70211 Kuopio, Finland.

University of Eastern Finland, Institute of Public Health and Clinical Nutrition, P.O. Box 1627, 70211 Kuopio, Finland; Department of Psychiatry, Kuopio University Hospital, Finland; Deakin University, Food & Mood Centre, IMPACT Strategic Research Centre, School of Medicine, Geelong, Australia.

出版信息

Clin Nutr ESPEN. 2022 Apr;48:401-407. doi: 10.1016/j.clnesp.2022.01.011. Epub 2022 Jan 15.

Abstract

BACKGROUND AND AIMS

The results of epidemiological studies on dairy products and low-grade inflammation are scarce and inconsistent. Some studies have suggested that the associations may vary depending on the type of dairy product consumed. The aim of this cross-sectional study was to investigate the associations between intake of fermented and non-fermented dairy products and separately butter and serum high-sensitivity C-reactive protein (hs-CRP), a common inflammation marker, among a population with high dairy intake.

METHODS

The study included 1338 generally healthy men aged 42-60 years and serum hs-CRP ≤10 mg/L from the Kuopio Ischaemic Heart Disease Risk Factory Study, examined in 1984-1989. Dietary intakes were assessed using 4-day food records. ANCOVA and linear and logistic regression were used for analyses.

RESULTS

The reported mean intakes of fermented and non-fermented dairy products and butter were 189 (SD 217), 522 (SD 330) and 33 (SD 27) g/d, respectively. In the model adjusted for age, year of examination and energy intake (Model 1), higher intake of total dairy, total non-fermented dairy, total milk and butter were associated with higher concentration of serum hs-CRP, whereas fermented dairy intake was not associated with serum hs-CRP. After further adjustment for potential confounders, only higher butter intake remained statistically significantly associated with increased serum hs-CRP (P-trend = 0.049). The odds ratio for elevated hs-CRP (>3 mg/L) in the highest vs. the lowest quartile was 2.50 (95% confidence interval 1.19-5.26, P-trend = 0.02).

CONCLUSIONS

These results suggest that high intake of butter, but not other dairy products may be associated with increased low-grade inflammation.

摘要

背景与目的

关于乳制品和低度炎症的流行病学研究结果稀缺且不一致。一些研究表明,这些关联可能因所消费的乳制品类型而异。本横断面研究的目的是调查在高乳制品摄入量人群中,摄入发酵和非发酵乳制品以及分别摄入黄油与血清高敏 C 反应蛋白(hs-CRP)(一种常见的炎症标志物)之间的关系。

方法

该研究纳入了 1984-1989 年在库奥皮奥缺血性心脏病风险工厂研究中接受检查的 1338 名年龄在 42-60 岁之间且血清 hs-CRP≤10mg/L 的一般健康男性。通过 4 天的食物记录评估膳食摄入量。使用协方差分析(ANCOVA)和线性及逻辑回归进行分析。

结果

报告的发酵和非发酵乳制品以及黄油的平均摄入量分别为 189(SD 217)、522(SD 330)和 33(SD 27)g/d。在调整年龄、检查年份和能量摄入的模型中(模型 1),总乳制品、总非发酵乳制品、总牛奶和黄油的摄入量越高,血清 hs-CRP 浓度越高,而发酵乳制品的摄入量与血清 hs-CRP 无关。在进一步调整潜在混杂因素后,只有黄油摄入量与血清 hs-CRP 升高呈统计学显著相关(P 趋势=0.049)。最高与最低 quartile 相比,hs-CRP 升高(>3mg/L)的比值比为 2.50(95%置信区间 1.19-5.26,P 趋势=0.02)。

结论

这些结果表明,黄油的高摄入量,而不是其他乳制品的摄入,可能与低度炎症的增加有关。

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