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评估皮肤类胡萝卜素水平在估计类胡萝卜素以及水果和蔬菜膳食摄入量方面的效用:一项随机、平行组、对照喂养试验。

Examination of the utility of skin carotenoid status in estimating dietary intakes of carotenoids and fruits and vegetables: A randomized, parallel-group, controlled feeding trial.

作者信息

Ahn Seoeun, Hwang Jeong-Eun, Kim Yoon Jae, Eom Kunsun, Jung Myoung Hoon, Moon HyunSeok, Ham Dongwoo, Park Ji Min, Oh Se Uk, Park Jin-Young, Joung Hyojee

机构信息

Department of Public Health Science, Graduate School of Public Health, Seoul National University, Seoul, Republic of Korea; Institute of Health and Environment, Seoul National University, Seoul, Republic of Korea.

Department of Public Health Science, Graduate School of Public Health, Seoul National University, Seoul, Republic of Korea; Device Research Center, Samsung Advanced Institute of Technology, Samsung Electronics Co., Ltd., Suwon, Gyeonggi-do, Republic of Korea.

出版信息

Nutrition. 2024 Mar;119:112304. doi: 10.1016/j.nut.2023.112304. Epub 2023 Nov 19.

DOI:10.1016/j.nut.2023.112304
PMID:38154397
Abstract

OBJECTIVE

Optical spectroscopy-measured skin carotenoid status (SCS) has been validated for estimating fruit and vegetable (F&V) intake; however, there is limited research addressing SCS kinetics in whole-diet interventions. The aim of this controlled feeding trial was to explore SCS's response to carotenoid intake changes via whole-diet intervention, evaluating its biomarker potential.

METHODS

Eighty participants ages 20 to 49 y, without underlying diseases, were randomly allocated to the high-carotenoid group (HG; n = 40) or control group (CG; n = 40). The HG consumed a high-carotenoid diet (21 mg total carotenoids/2000 kcal), whereas the CG consumed a control diet (13.6 mg total carotenoids/2000 kcal) for 6 wk. Subsequently, skin and blood carotenoid concentrations were tracked without intervention for 4 wk. SCS was measured weekly via resonance Raman spectroscopy, and serum carotenoid concentrations were analyzed biweekly using high-performance liquid chromatography. Baseline carotenoid and F&V intakes were assessed via a 3-d diet record. The kinetics of SCS and serum carotenoid concentrations were analyzed using a weighted generalized estimating equation. Pearson's correlation analyses were used to examine baseline correlations between SCS and dietary carotenoid and F&V intakes, as well as serum carotenoid concentrations.

RESULTS

During the intervention, the HG showed a faster and greater SCS increase than the CG (difference in slope per week = 8.87 AU, P <0.001). Baseline SCS had positive correlations with total carotenoid intake (r = 0.45), total F&V intake (r = 0.49), and total serum carotenoid concentration (r = 0.79; P < 0.001 for all).

CONCLUSION

These results suggest that SCS is a valid biomarker for monitoring changes in carotenoid intake through whole diet, which supports using SCS for assessing carotenoid-rich F&V intake.

摘要

目的

通过光谱学测量的皮肤类胡萝卜素状态(SCS)已被证实可用于估计水果和蔬菜(F&V)摄入量;然而,针对全膳食干预中SCS动力学的研究有限。这项对照喂养试验的目的是通过全膳食干预探索SCS对类胡萝卜素摄入量变化的反应,评估其作为生物标志物的潜力。

方法

80名年龄在20至49岁、无基础疾病的参与者被随机分配至高类胡萝卜素组(HG;n = 40)或对照组(CG;n = 40)。HG组食用高类胡萝卜素饮食(每2000千卡含21毫克总类胡萝卜素),而CG组食用对照饮食(每2000千卡含13.6毫克总类胡萝卜素),为期6周。随后,在无干预的情况下对皮肤和血液中的类胡萝卜素浓度进行4周的跟踪。每周通过共振拉曼光谱测量SCS,每两周使用高效液相色谱分析血清类胡萝卜素浓度。通过3天饮食记录评估基线类胡萝卜素和F&V摄入量。使用加权广义估计方程分析SCS和血清类胡萝卜素浓度的动力学。采用Pearson相关分析来检验SCS与膳食类胡萝卜素和F&V摄入量以及血清类胡萝卜素浓度之间的基线相关性。

结果

在干预期间,HG组的SCS升高速度比CG组更快且幅度更大(每周斜率差异 = 8.87 AU,P < 0.001)。基线SCS与总类胡萝卜素摄入量(r = 0.45)、总F&V摄入量(r = 0.49)和血清总类胡萝卜素浓度(r = 0.79;所有P < 0.001)呈正相关。

结论

这些结果表明,SCS是监测全膳食中类胡萝卜素摄入量变化的有效生物标志物,这支持使用SCS来评估富含类胡萝卜素的F&V摄入量。

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