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膳食氨基酸模式与肥胖人群中心血管代谢危险因素的横断面研究。

Dietary amino acid patterns and cardiometabolic risk factors among subjects with obesity; a cross-sectional study.

机构信息

Department of Community Nutrition, Faculty of Nutrition, Tabriz University of Medical Sciences, Attar Neyshabouri, Daneshgah Blv, Tabriz, Iran.

Department of Clinical Nutrition and Dietetics, Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

BMC Endocr Disord. 2024 Feb 14;24(1):21. doi: 10.1186/s12902-024-01549-w.

Abstract

BACKGROUND

The prevalence of obesity is a growing global public health concern. Certain dietary amino acids have been shown to have a potential therapeutic role in improving metabolic syndrome parameters and body composition in individuals with obesity. However, some amino acids have been linked to an increased risk of cardiometabolic disorders. This cross-sectional study aims to investigate the association between dietary amino acid patterns and cardiometabolic risk factors in individuals with obesity.

METHODS

This cross-sectional study included 335 participants with obesity (57.9% males and 41.5% females) from Tabriz and Tehran, Iran. The participants were between the ages of 20-50, with a body mass index (BMI) of 30 kg/m2 or higher, and free from certain medical conditions. The study examined participants' general characteristics, conducted anthropometric assessments, dietary assessments, and biochemical assessments. The study also used principal component analysis to identify amino acid intake patterns and determined the association between these patterns and cardiometabolic risk factors in individuals with obesity.

RESULTS

Upon adjusting for potential confounders, the study found that individuals in the third tertiles of pattern 1 and 2 were more likely to have lower LDL levels (OR = 0.99 and 95% CI (0.98-0.99)) for both. Additionally, a significant decrease in total cholesterol was observed in the third tertiles of pattern 2 in model II (OR = 0.99, 95% CI (0.98-0.99)). These findings suggest a potential cardioprotective effect of these amino acid patterns in managing cardiometabolic risk factors in individuals with obesity.

CONCLUSIONS

This study found that two identified amino acid patterns were associated with lower serum LDL and total cholesterol levels, while a third pattern was associated with higher serum triglycerides. The specific amino acids contributing to these patterns highlight the importance of targeted dietary interventions in managing cardiometabolic risk factors in individuals with obesity.

摘要

背景

肥胖的流行是一个日益严重的全球公共卫生问题。某些膳食氨基酸已被证明在改善肥胖个体的代谢综合征参数和身体成分方面具有潜在的治疗作用。然而,一些氨基酸与心血管代谢紊乱的风险增加有关。这项横断面研究旨在调查肥胖个体中饮食氨基酸模式与心血管代谢危险因素之间的关系。

方法

这项横断面研究包括来自伊朗大不里士和德黑兰的 335 名肥胖患者(57.9%为男性,41.5%为女性)。参与者年龄在 20-50 岁之间,体重指数(BMI)为 30kg/m2 或更高,并且没有某些疾病。该研究检查了参与者的一般特征,进行了人体测量评估、饮食评估和生化评估。该研究还使用主成分分析来确定氨基酸摄入模式,并确定这些模式与肥胖个体心血管代谢危险因素之间的关系。

结果

在调整了潜在的混杂因素后,研究发现,模式 1 和 2 的第三 tertiles 的个体 LDL 水平较低(OR=0.99 和 95%CI(0.98-0.99))。此外,在模型 II 中,模式 2 的第三 tertiles 的总胆固醇显著降低(OR=0.99,95%CI(0.98-0.99))。这些发现表明这些氨基酸模式在管理肥胖个体心血管代谢危险因素方面具有潜在的心脏保护作用。

结论

这项研究发现,两种确定的氨基酸模式与血清 LDL 和总胆固醇水平降低有关,而第三种模式与血清甘油三酯水平升高有关。导致这些模式的特定氨基酸突出了在管理肥胖个体心血管代谢危险因素方面进行有针对性的饮食干预的重要性。

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