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用真菌蛋白替代红肉类和加工肉类对健康志愿者心血管风险生物标志物的影响:来自真菌肉的次要终点分析。

The effects of substituting red and processed meat for mycoprotein on biomarkers of cardiovascular risk in healthy volunteers: an analysis of secondary endpoints from Mycomeat.

机构信息

Applied and Health Sciences, University of Northumbria, Sutherland Building, Ellison Place, Newcastle upon Tyne, NE1 8ST, UK.

NUTRAN, Northumbria University, Newcastle upon Tyne, UK.

出版信息

Eur J Nutr. 2023 Dec;62(8):3349-3359. doi: 10.1007/s00394-023-03238-1. Epub 2023 Aug 25.

Abstract

PURPOSE

Mycoprotein is a relatively novel food source produced from the biomass of Fusarium venenatum. It has previously been shown to improve CVD risk markers in intervention trials when it is compared against total meat. It has not hitherto been assessed specifically for benefits relative to red and processed meat.

METHODS

We leveraged samples from Mycomeat, an investigator-blind randomised crossover controlled trial in metabolically healthy male adults (n = 20), randomised to consume 240 g/day of red and processed meat for 14 days followed by mycoprotein, or vice versa. Blood biochemical indices were a priori defined secondary endpoints.

RESULTS

Mycoprotein consumption led to a 6.74% reduction in total cholesterol (P = 0.02) and 12.3% reduction in LDL cholesterol (P = 0.02) from baseline values. Change in fasted triglycerides was not significantly different between diets (+ 0.19 ± 0.11 mmol/l with mycoprotein, P = 0.09). There was a small but significant reduction in waist circumference for mycoprotein relative to meat (- 0.95 ± 0.42 cm, P = 0.04). Following the mycoprotein diet, mean systolic (- 2.41 ± 1.89 mmHg, P = 0.23) and diastolic blood pressure (- 0.80 ± 1.23 mmHg, P = 0.43) were reduced from baseline. There were no statistically significant effects of the intervention on urinary sodium, nitrite or TMAO; while urinary potassium (+ 126.12 ± 50.30 mmol/l, P = 0.02) and nitrate (+ 2.12 ± 0.90 mmol/l, P = 0.04) were both significantly higher with mycoprotein relative to meat. The study population comprised metabolically healthy adults, therefore, changes in plasma lipids had little effect on cardiovascular risk scores (- 0.34% FRS for mycoprotein P = 0.24).

CONCLUSIONS

These results confirm potential cardiovascular benefits when displacing red and processed meat with mycoprotein in the diet. Longer trials in higher risk study populations are needed to fully elucidate suggested benefits for blood pressure and body composition.

CLINICALTRIALS

gov Identifier: NCT03944421.

摘要

目的

真菌蛋白是一种相对较新的食物来源,由栓菌的生物质制成。此前的干预试验表明,与总肉相比,真菌蛋白可以改善心血管疾病风险标志物。但尚未专门评估其相对于红肉类和加工肉类的益处。

方法

我们利用了 Mycomeat 研究中的样本,这是一项在代谢健康的成年男性中进行的、研究者设盲的随机交叉对照临床试验(n=20),参与者随机选择连续 14 天每天食用 240 克红肉类和加工肉类或真菌蛋白,然后交叉食用。血液生化指标是预先定义的次要终点。

结果

与基线值相比,食用真菌蛋白可使总胆固醇降低 6.74%(P=0.02),使 LDL 胆固醇降低 12.3%(P=0.02)。两种饮食之间空腹甘油三酯的变化无显著差异(食用真菌蛋白时增加 0.19±0.11mmol/l,P=0.09)。与肉类相比,真菌蛋白可使腰围显著减小(-0.95±0.42cm,P=0.04)。食用真菌蛋白后,平均收缩压(-2.41±1.89mmHg,P=0.23)和舒张压(-0.80±1.23mmHg,P=0.43)均较基线水平降低。干预措施对尿钠、亚硝酸盐或 TMAO 无统计学显著影响;而尿钾(+126.12±50.30mmol/l,P=0.02)和硝酸盐(+2.12±0.90mmol/l,P=0.04)均显著高于食用肉类时。由于研究人群由代谢健康的成年人组成,因此,血浆脂质的变化对心血管风险评分影响很小(真菌蛋白组 FRS 降低 0.34%,P=0.24)。

结论

这些结果证实,在饮食中用真菌蛋白替代红肉类和加工肉类可带来潜在的心血管益处。需要在更高风险的研究人群中进行更长时间的试验,以充分阐明对血压和身体成分的建议益处。

临床试验

gov 标识符:NCT03944421。

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本文引用的文献

1
The effect of mycoprotein intake on biomarkers of human health: a systematic review and meta-analysis.
Am J Clin Nutr. 2023 Jul;118(1):141-150. doi: 10.1016/j.ajcnut.2023.03.019. Epub 2023 Jun 5.
3
Contemporary Review of Risk Scores in Prediction of Coronary and Cardiovascular Deaths.
Curr Cardiol Rep. 2022 Jan;24(1):7-15. doi: 10.1007/s11886-021-01620-1. Epub 2022 Jan 27.
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Meat consumption and risk of ischemic heart disease: A systematic review and meta-analysis.
Crit Rev Food Sci Nutr. 2023;63(3):426-437. doi: 10.1080/10408398.2021.1949575. Epub 2021 Jul 20.
7
The effect of oat β-glucan on postprandial blood glucose and insulin responses: a systematic review and meta-analysis.
Eur J Clin Nutr. 2021 Nov;75(11):1540-1554. doi: 10.1038/s41430-021-00875-9. Epub 2021 Feb 19.
8
Mycoprotein ingredient structure reduces lipolysis and binds bile salts during simulated gastrointestinal digestion.
Food Funct. 2020 Dec 1;11(12):10896-10906. doi: 10.1039/d0fo02002h. Epub 2020 Nov 26.

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