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乳清蛋白、ω-3 脂肪酸和 Roux-en-Y 胃旁路术对肥胖大鼠模型体重、生化参数和器官功能的影响:实验研究。

Effects of Whey Protein, Omega-3 Fatty Acid and Roux-En-Y Gastric Bypass on Body Weight, Biochemical Parameters and Organ Functions in an Obese Rat Model: Experimental Research.

机构信息

Department of Nutrition and Dietetics, Faculty of Health Sciences, İstanbul Rumeli University, Piri Paşa Mah, Boduroğlu Sk. No:22, Beyoğlu, Istanbul, 34445, Türkiye.

Department of Nutrition and Dietetics, Institute of Health Sciences, İstanbul Medipol University, Göztepe Mah. Atatürk Cad. No:40/16, Beykoz, Istanbul, 34815, Türkiye.

出版信息

Obes Surg. 2023 May;33(5):1553-1563. doi: 10.1007/s11695-023-06560-z. Epub 2023 Mar 27.

Abstract

PURPOSE

Extreme obesity (EO) is one of the biggest public health problems in the world and has grown considerably over the years. The aim of the study is to examine the effect of Roux-en-Y gastric bypass (RYGB), whey protein (WP), and omega-3 polyunsaturated fatty acid (PUFA) supplementation applied to EO rats on weight loss, histopathological changes in internal organs and biochemical alterations.

MATERIALS AND METHODS

Wistar albino female rats (n = 28) were used in the study and randomly divided into four groups. All rats were made obese by adding high fructose corn syrup (HFCS) to their drinking water. After the EO, WP and omega-3 PUFA supplementation was given and RYGB process was applied. At the end of the study, glucose, total cholesterol, HDL, VLDL, AST, ALT and uric acid changes and liver, kidney and pancreatic tissues were evaluated histopathologically.

RESULTS

WP and omega-3 PUFA supplementation decreased body weight (p > 0.05). Omega-3 PUFA and RYGB caused a decrease in total cholesterol (p < 0.05), WP decreased HDL (p < 0.05), WP and omega-3 PUFA caused an increase in ALT (p < 0.05). WP has been shown to have greater curative effects in rat liver and kidney tissues. It has been determined that RYGB causes necrosis in the liver and HFCS causes inflammation in the kidney.

CONCLUSION

In the study; the positive effects of WP, omega-3 PUFA and bariatric surgery on obesity and dyslipidemia have been demonstrated. With this result, it was determined that WP, omega-3 PUFA supplementation and bariatric surgery were not superior to each other.

摘要

目的

极度肥胖(EO)是世界上最大的公共卫生问题之一,多年来一直在急剧增长。本研究旨在探讨胃旁路手术(RYGB)、乳清蛋白(WP)和ω-3 多不饱和脂肪酸(PUFA)补充剂对 EO 大鼠体重减轻、内脏器官组织病理学变化和生化变化的影响。

材料和方法

本研究使用 Wistar 白化雌性大鼠(n=28),并将其随机分为四组。所有大鼠均通过在饮用水中添加高果糖玉米糖浆(HFCS)来肥胖。在 EO 之后,给予 WP 和 ω-3 PUFA 补充剂,并进行 RYGB 手术。研究结束时,评估葡萄糖、总胆固醇、HDL、VLDL、AST、ALT 和尿酸变化以及肝、肾和胰腺组织的组织病理学变化。

结果

WP 和 ω-3 PUFA 补充剂降低了体重(p>0.05)。ω-3 PUFA 和 RYGB 降低了总胆固醇(p<0.05),WP 降低了 HDL(p<0.05),WP 和 ω-3 PUFA 增加了 ALT(p<0.05)。WP 在大鼠肝和肾组织中显示出更大的疗效。RYGB 导致肝脏坏死,HFCS 导致肾脏炎症。

结论

在本研究中;WP、ω-3 PUFA 和减肥手术对肥胖和血脂异常的积极影响得到了证实。有了这个结果,可以确定 WP、ω-3 PUFA 补充剂和减肥手术彼此之间没有优势。

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