Laboratorio de Investigación en Enfermedades Metabólicas: Obesidad y Diabetes, Hospital Infantil de México 'Federico Gómez' (HIMFG), Mexico City, Mexico.
División de Investigación, Facultad de Medicina, Universidad Nacional Autónoma de México (UNAM), Mexico City, Mexico.
Nutr Bull. 2024 Mar;49(1):19-39. doi: 10.1111/nbu.12657. Epub 2024 Jan 16.
Milk and dairy products are known to have a significant role in human development and tissue maintenance due to their high nutritional value. With the higher incidence of obesity and metabolic diseases, nutrition and public health authorities have recommended the intake of fat-free or low-fat dairy due to the saturated fatty acid content of whole-fat products and their effect on serum cholesterol levels. However, recent studies have questioned the association between milk fat consumption and cardiometabolic risk. This literature review aims to compile the scientific evidence of the metabolic effects of milk fatty acids in clinical and basic research studies, as well as their relationship with metabolic disorders and gut microbiota composition. Research shows that various milk fatty acids exert effects on metabolic alterations (obesity, type 2 diabetes and cardiovascular diseases) by modifying glucose homeostasis, inflammation and lipid profile-related factors. Additionally, recent studies have associated the consumption of milk fatty acids with the production of metabolites and the promotion of healthy gut microbiota. From mainly observational studies, evidence suggests that milk and dairy fatty acids are not directly linked to cardiometabolic risk, but further controlled research is necessary to clarify such findings and to assess whether dietary recommendations to choose low-fat dairy foods are necessary for the population for the prevention of obesity and cardiometabolic disease.
牛奶和乳制品由于其高营养价值,被认为在人类发育和组织维持方面发挥着重要作用。随着肥胖症和代谢性疾病发病率的上升,营养和公共卫生部门建议摄入无脂或低脂乳制品,因为全脂产品中的饱和脂肪酸含量及其对血清胆固醇水平的影响。然而,最近的研究对牛奶脂肪摄入与心血管代谢风险之间的关联提出了质疑。本文献综述旨在综合临床和基础研究中牛奶脂肪酸的代谢作用的科学证据,以及它们与代谢紊乱和肠道微生物组成的关系。研究表明,各种牛奶脂肪酸通过调节葡萄糖稳态、炎症和脂质谱相关因素,对代谢变化(肥胖、2 型糖尿病和心血管疾病)产生影响。此外,最近的研究还将牛奶脂肪酸的消耗与代谢物的产生和促进健康的肠道微生物群联系起来。主要来自观察性研究的证据表明,牛奶和乳脂脂肪酸与心血管代谢风险没有直接关联,但需要进一步的对照研究来澄清这些发现,并评估对于预防肥胖和心血管代谢疾病,人群是否有必要选择低脂乳制品。