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补充脱脂米糠对高胆固醇血症超重/肥胖成年人代谢参数和炎症状态的影响:一项随机、安慰剂对照干预研究

Effect of defatted rice bran supplementation on metabolic parameters and inflammatory status in overweight/obese adults with hypercholesterolemia: a randomized, placebo-controlled intervention.

作者信息

Saphyakhajorn Weeraya, Sirirat Rawiwan, Sapwarobol Suwimol

机构信息

Department of Nutrition and Dietetics, Graduate Program in Food and Nutrition, Faculty of Allied Health Sciences, Chulalongkorn University, Bangkok, Thailand.

Center for Nutrition, Healthy Lifestyle, and Disease Prevention, School of Public Health, Loma Linda University, Loma Linda, California, USA.

出版信息

BMC Nutr. 2022 Sep 1;8(1):94. doi: 10.1186/s40795-022-00586-9.

Abstract

BACKGROUND

Defatted rice bran (DRB) is a byproduct of rice bran oil production rich in fiber, protein, and antioxidant compounds that may confer beneficial effects on metabolic profiles in humans. The current study aimed to investigate the effects of DRB supplementation on anthropometric and blood biochemical indices, dietary intake, and inflammatory status in overweight/obese subjects with hypercholesterolemia.

METHODS

In a 12-week-randomized placebo-controlled trial, 61 overweight/obese participants with a total cholesterol level > 200 mg/dL were randomly assigned either to 30 g/d DRB (n = 30) or to 10 g/d maltodextrin (n = 31).

RESULTS

DRB intervention significantly reduced systolic and diastolic blood pressure by 4.27 and 4.50%, respectively (126.20 ± 13.63 to 120.60 ± 13.72 mmHg, p = 0.0003 and 80.87 ± 7.38 to 77.17 ± 9.83 mmHg, p = 0.0035). HbA1c also decreased significantly by 3.59% (5.89% ± 0.76% to 5.66% ± 0.62%, p = 0.0001) after DRB supplementation. Total cholesterol, triglyceride, and low-density lipoprotein cholesterol levels also decreased insignificantly by 3.12, 1.32, and 1.53%, respectively, after DRB supplementation. Insignificant differences in fasting blood glucose, insulin, homeostatic model assessment of insulin resistance, quantitative insulin sensitivity check index, hs-CRP and homocysteine levels were also observed after DRB intervention. Reduction in caloric and fat intake were reported in DRB groups.

CONCLUSIONS

DRB supplementation improved blood pressure and HbA1c levels. It also lowered blood cholesterol, albeit insignificantly. Caloric and fat intake were also significantly lower after DRB supplementation. Further study is needed to evaluate the mechanisms by which DRB improves these metabolic indices.

TRIAL REGISTRATION

Thai Clinical Trial Registration ( https://www.thaiclinicaltrials.org/. ) Thai Clinical Trial Registration number: TCTR20191020003. Registered 20 October 2019.

摘要

背景

脱脂米糠(DRB)是米糠油生产的副产品,富含纤维、蛋白质和抗氧化化合物,可能对人体代谢状况产生有益影响。本研究旨在探讨补充DRB对高胆固醇血症超重/肥胖受试者的人体测量指标、血液生化指标、饮食摄入和炎症状态的影响。

方法

在一项为期12周的随机安慰剂对照试验中,61名总胆固醇水平>200mg/dL的超重/肥胖参与者被随机分为两组,一组每天补充30g DRB(n = 30),另一组每天补充10g麦芽糖糊精(n = 31)。

结果

DRB干预使收缩压和舒张压分别显著降低4.27%和4.50%(从126.20±13.63mmHg降至120.60±13.72mmHg,p = 0.0003;从80.87±7.38mmHg降至77.17±9.83mmHg,p = 0.0035)。补充DRB后,糖化血红蛋白(HbA1c)也显著降低了3.59%(从5.89%±0.76%降至5.66%±0.62%,p = 0.0001)。补充DRB后,总胆固醇、甘油三酯和低密度脂蛋白胆固醇水平也分别无显著降低3.12%、1.32%和1.53%。DRB干预后,空腹血糖、胰岛素、胰岛素抵抗稳态模型评估、定量胰岛素敏感性检查指数、高敏C反应蛋白(hs-CRP)和同型半胱氨酸水平也无显著差异。DRB组报告热量和脂肪摄入量减少。

结论

补充DRB可改善血压和HbA1c水平。它还能降低血液胆固醇水平,尽管不显著。补充DRB后热量和脂肪摄入量也显著降低。需要进一步研究以评估DRB改善这些代谢指标的机制。

试验注册

泰国临床试验注册中心(https://www.thaiclinicaltrials.org/.)。泰国临床试验注册号:TCTR20191020003。于2019年10月20日注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc48/9434873/b0fee3496dc2/40795_2022_586_Fig1_HTML.jpg

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