全谷物摄入量、色氨酸代谢与心理困扰的关系:一项随机对照试验的二次分析。
Association between whole-grain consumption, tryptophan metabolism and psychological distress: a secondary analysis of a randomised controlled trial.
机构信息
Department of Clinical Nutrition, Institute of Public Health and Clinical Nutrition, University of Eastern Finland, P.O. Box 1627, 70211Kuopio, Finland.
Department of Biotechnology, Food Sciences unit, University of Turku, 20014Turku, Finland.
出版信息
Br J Nutr. 2024 Aug 14;132(3):330-340. doi: 10.1017/S0007114524001077. Epub 2024 Jun 3.
This study aimed to investigate whether psychological distress, whole-grain consumption and tryptophan metabolism are associated with participants undergoing weight management intervention. Seventy-nine women and men (mean age 49·7 (sd 9·0) years; BMI 34·2(sd 2·5) kg/m) participated in a 7-week weight-loss (WL) period and in a 24-week weight maintenance (WM) intervention period. Whole-grain consumption was measured using 4 d food diaries. Psychological distress was assessed with the General Health Questionnaire-12 (GHQ), and participants were divided into three GHQ groups based on the GHQ scores before WL. Tryptophan metabolites were determined from the participants' fasting plasma using liquid chromatography-MS. GHQ scores were not associated with the whole-grain consumption. A positive association was observed between the whole-grain consumption and indole propionic acid (IPA) during the WM ( = 0·033). Serotonin levels were higher after the WL in the lowest GHQ tertile ( = 0·033), while the level at the end of the WM was higher compared with other timepoints in the highest GHQ tertile ( = 0·015 and = 0·001). This difference between groups was not statistically significant. Furthermore, levels of several tryptophan metabolites changed within the groups during the study. Tryptophan metabolism changed during the study in the whole study group, independently from the level of psychological distress. The association between whole-grain consumption and IPA is possibly explained by the effects of dietary fibre on gut microbiota. This broadens the understanding of the pathways behind the health benefits associated with the intake of whole grains.
本研究旨在探究心理困扰、全谷物摄入量和色氨酸代谢与参加体重管理干预的个体之间是否存在关联。79 名女性和男性(平均年龄 49·7(9·0)岁;BMI 34·2(2·5)kg/m)参加了为期 7 周的减肥(WL)期和为期 24 周的体重维持(WM)干预期。全谷物摄入量通过 4 天的食物日记进行测量。使用一般健康问卷-12(GHQ)评估心理困扰,根据 WL 前的 GHQ 评分将参与者分为三个 GHQ 组。使用液相色谱-MS 从参与者的空腹血浆中测定色氨酸代谢物。GHQ 评分与全谷物摄入量无关。在 WM 期间观察到全谷物摄入量与吲哚丙酸(IPA)之间存在正相关( = 0·033)。在 GHQ 得分最低的三分位数中,色氨酸水平在 WL 后升高( = 0·033),而在 GHQ 得分最高的三分位数中,WM 结束时的水平与其他时间点相比升高( = 0·015 和 = 0·001)。组间差异无统计学意义。此外,在研究期间,研究组内的几种色氨酸代谢物水平发生了变化。在整个研究组中,色氨酸代谢在研究期间发生了变化,而与心理困扰程度无关。全谷物摄入量与 IPA 之间的关联可能是膳食纤维对肠道微生物群的影响所致。这拓宽了对与全谷物摄入相关的健康益处背后途径的理解。