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探究食用乳清蛋白对健康的影响:关于风险、不良反应及相关健康问题的叙述性综述

Investigating the Health Implications of Whey Protein Consumption: A Narrative Review of Risks, Adverse Effects, and Associated Health Issues.

作者信息

Cava Edda, Padua Elvira, Campaci Diego, Bernardi Marco, Muthanna Fares M S, Caprio Massimiliano, Lombardo Mauro

机构信息

Clinical Nutrition and Dietetics, San Camillo Forlanini Hospital, Rome, cir.ne Gianicolense 87, 00152 Rome, Italy.

Department of Human Sciences and Promotion of the Quality of Life, San Raffaele Open University, Via di Val Cannuta, 247, 00166 Rome, Italy.

出版信息

Healthcare (Basel). 2024 Jan 18;12(2):246. doi: 10.3390/healthcare12020246.

Abstract

This narrative review critically examines the current research on the health implications of whey protein (WP) supplementation, with a focus on potential risks and adverse effects. WP, commonly consumed for muscle building and weight loss, has been associated with various health concerns. Our comprehensive analysis involved a thorough search of multiple databases, resulting in the inclusion of 21 preclinical and human studies that collectively offer a detailed overview of WP's health impacts. The review reveals significant findings, such as WP's potential link to liver and kidney damage, alterations in gut microbiota, increased acne incidence, impacts on bone mass, and emotional and behavioural changes. These findings underscore the complexity of WP's effects on human health, indicating both beneficial and detrimental outcomes in relation to different posologies in a variety of settings. Our study suggests caution for the protein intake in situations of hepatic and renal compromised functions, as well as in acne susceptibility, while possible beneficial effects can be achieved for the intestinal microbiota, humoral and behavioural level, and finally bone and muscle mass in elderly. We emphasizes the importance of balanced WP consumption and call for more in-depth research to understand its long-term health effects. Health professionals and individuals considering WP supplementation should be aware of these potential risks and approach its use with informed caution.

摘要

这篇叙述性综述批判性地审视了目前关于补充乳清蛋白(WP)对健康影响的研究,重点关注潜在风险和不良影响。WP通常用于增肌和减肥,已引发各种健康问题。我们的全面分析包括对多个数据库的彻底检索,纳入了21项临床前和人体研究,这些研究共同提供了WP对健康影响的详细概述。该综述揭示了重要发现,如WP与肝损伤、肾损伤、肠道微生物群改变、痤疮发病率增加、对骨量的影响以及情绪和行为变化之间的潜在联系。这些发现强调了WP对人类健康影响的复杂性,表明在各种情况下,与不同用药剂量相关的既有有益结果也有有害结果。我们的研究表明,在肝功能和肾功能受损以及易患痤疮的情况下,应谨慎摄入蛋白质,而对于肠道微生物群、体液和行为水平,以及最终对老年人的骨量和肌肉量,可能会有有益影响。我们强调均衡摄入WP的重要性,并呼吁进行更深入的研究以了解其长期健康影响。考虑补充WP的健康专业人员和个人应意识到这些潜在风险,并在充分了解的情况下谨慎使用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51dd/10815430/6ed6d194cd66/healthcare-12-00246-g001.jpg

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