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饮食方法预防高血压(DASH)饮食,即富含动物蛋白或植物蛋白的饮食,对肥胖代谢综合征患者心血管代谢危险因素的影响:一项随机临床试验。

Effect of dietary approaches to stop hypertension (DASH) diet, high in animal or plant protein on cardiometabolic risk factors in obese metabolic syndrome patients: A randomized clinical trial.

作者信息

Vasei Mohamad-Hassan, Hosseinpour-Niazi Somayeh, Ainy Elaheh, Mirmiran Parvin

机构信息

Nutrition and Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Vice Chancellor Research Affairs, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Prim Care Diabetes. 2022 Oct;16(5):634-639. doi: 10.1016/j.pcd.2022.09.001. Epub 2022 Sep 9.

DOI:10.1016/j.pcd.2022.09.001
PMID:36089507
Abstract

AIMS

This study aimed to investigate the effect of replacing plant proteins with animal proteins in the dietary approaches to stop hypertension (DASH) diet on cardiometabolic risk factors in obese metabolic syndrome participants.

METHODS

In this double-blind randomized controlled clinical trial, 90 obese patients with metabolic syndrome, aged 30-70 years were randomly allocated into the DASH diet based on plant or animal proteins for 8 weeks. Fasting blood samples were collected to assess the biochemical markers. Also, blood pressure, weight, and waist circumference (WC) were measured at the beginning and end of the trial.

RESULTS

The participants in both groups experienced significant reductions in the fasting plasma glucose (FPG), systolic blood pressure (SBP) and diastolic blood pressure (DBP), triglyceride (TG) concentrations, weight and WC. However the reduction in FPG and SBP was higher in the plant-based DASH group, compared to the animal-based DASH group, after adjustment for weight change. No significant changes were found within or between groups with regard to total cholesterol, LDL-C, HDL-C.

CONCLUSIONS

Substituting plant proteins with animal proteins in the DASH diet improves FPG and SBP in obese individuals with metabolic syndrome, independent of weight change. IRCT registration number: IRCT20090203001640N16.

摘要

目的

本研究旨在探讨在“终止高血压膳食疗法(DASH)”饮食中用动物蛋白替代植物蛋白对肥胖代谢综合征参与者心血管代谢危险因素的影响。

方法

在这项双盲随机对照临床试验中,90名年龄在30至70岁之间的肥胖代谢综合征患者被随机分配到基于植物蛋白或动物蛋白的DASH饮食组,为期8周。采集空腹血样以评估生化指标。此外,在试验开始和结束时测量血压、体重和腰围(WC)。

结果

两组参与者的空腹血糖(FPG)、收缩压(SBP)和舒张压(DBP)、甘油三酯(TG)浓度、体重和腰围均显著降低。然而,在调整体重变化后,与基于动物蛋白的DASH组相比,基于植物蛋白的DASH组FPG和SBP的降低幅度更大。在总胆固醇、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)方面,组内或组间均未发现显著变化。

结论

在DASH饮食中用动物蛋白替代植物蛋白可改善肥胖代谢综合征个体的FPG和SBP,与体重变化无关。伊朗临床试验注册编号:IRCT20090203001640N16。

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