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食物蛋白质在血糖控制中的调节作用。

Food proteins in the regulation of blood glucose control.

机构信息

Department of Applied Human Nutrition, Mount Saint Vincent University, Halifax, Nova Scotia, Canada.

Department of Applied Human Nutrition, Mount Saint Vincent University, Halifax, Nova Scotia, Canada.

出版信息

Adv Food Nutr Res. 2022;102:181-231. doi: 10.1016/bs.afnr.2022.05.001. Epub 2022 Aug 1.

Abstract

Food proteins, depending on their origin, possess unique characteristics that regulate blood glucose via multiple physiological mechanisms, including the insulinotropic effects of amino acids, the activation of incretins, and slowing gastric emptying rate. The strategies aimed at curbing high blood glucose are important in preventing impaired blood glucose control, including insulin resistance, prediabetes and diabetes. The effect of proteins on blood glucose control can be achieved with high-protein foods short-term, and high-protein diets long-term using foods that are naturally high in protein, such as dairy, meat, soy and pulses, or by formulating high-protein functional food products using protein concentrates and isolates, or blended mixtures of proteins from different sources. Commercial sources of protein powders are represented by proteins and hydrolysates of caseins, whey proteins and their fractions, egg whites, soy, yellow pea and hemp which will be reviewed in this chapter. The effective doses of food protein that are capable of reducing postprandial glycemia start from 7 to 10g and higher per serving; however, the origin of protein, and macronutrient composition of a meal will determine the magnitude and duration of their effect on glycemia. The theoretical and methodological framework to evaluate the effect of foods, including food proteins, on postprandial glycemia for substantiation of health claims on food has been proposed in Canada and is discussed in the context of global efforts to harmonize the international food regulation and labeling.

摘要

食物蛋白质根据其来源具有独特的特性,通过多种生理机制调节血糖,包括氨基酸的胰岛素样作用、肠降血糖素的激活和减缓胃排空率。控制高血糖的策略对于预防血糖控制受损(包括胰岛素抵抗、糖尿病前期和糖尿病)非常重要。蛋白质对血糖控制的影响可以通过短期高蛋白食物和长期高蛋白饮食来实现,这些饮食天然富含蛋白质,如奶制品、肉类、大豆和豆类,或者通过使用蛋白质浓缩物和分离物或不同来源的蛋白质混合混合物来配方高蛋白功能性食品产品。商业来源的蛋白粉代表了乳清蛋白和乳清蛋白及其级分、蛋清、大豆、黄豌豆和大麻的蛋白质和水解物,这些将在本章中进行综述。能够降低餐后血糖的食物蛋白质的有效剂量从每份 7 到 10 克或更高开始;然而,蛋白质的来源和膳食的宏量营养素组成将决定其对血糖影响的幅度和持续时间。为了在食品上提出关于健康声称的科学依据,加拿大提出了评估食物(包括食物蛋白质)对餐后血糖影响的理论和方法框架,并在全球协调国际食品法规和标签的努力的背景下进行了讨论。

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