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将养殖三文鱼摄入量增加至推荐鱼类摄入量对年轻女性血脂水平的影响:一项为期8周的干预研究。

Effects of Increasing Farmed Salmon Intake to the Recommended Fish-Intake Amounts on Lipid Profile in Young Women: An 8-Week Intervention Study.

作者信息

Utri-Khodadady Zofia, Głąbska Dominika

机构信息

Department of Dietetics, Institute of Human Nutrition Sciences, Warsaw University of Life Sciences (WULS-SGGW), 159C Nowoursynowska Street, 02-776 Warsaw, Poland.

出版信息

Nutrients. 2024 Nov 26;16(23):4051. doi: 10.3390/nu16234051.

Abstract

BACKGROUND/OBJECTIVES: Habitual dietary changes that could help reduce the potential consequences of excessive body mass, such as hyperlipidemia and increased cardiovascular disease risk, are needed. The aim of this study is to assess the impact of a farmed-salmon-based dietary intervention on lipid profile parameters in young women with excessive body mass.

METHODS

The 8-week intervention involved 38 pair-matched women aged 18-30 years with excessive body weight defined as BMI ≥ 25.0 kg/m. Participants were randomly assigned to the intervention (200 g of smoked salmon weekly) or the control group. Lipid profile parameters (total cholesterol (TC), high-density lipoprotein (HDL), low-density lipoprotein (LDL), triglycerides (TAG)), as well as atherogenic indices (Atherogenic Index of Plasma (AIP), Atherogenic Coefficient (AC), Cholesterol Index (Cholindex), Castelli Risk Index 1 (CRI-1), Castelli Risk Index 2 (CRI-2) and the TAG/HDL ratio) were assessed before, during, and after the intervention.

RESULTS

At baseline, 47% of participants had at least one of the lipid profile parameters outside the recommended range. No statistically significant differences were observed in the TC, HDL, non-HDL, LDL, or TAG concentrations or in the various atherogenic indices between the intervention and the control group after the 8-week-long intervention. However, differences in the change of the LDL concentration were noted, with a decrease of 8.2 ± 20.7 mg/dL in the intervention group compared to an increase of 9.5 ± 20.0 mg/dL in the control group ( = 0.011), as well as in the change of the Cholindex for which a median decrease of 4.4 mg/dL was noted in the intervention group, while a median increase of 0.8 mg/dL in the control group was observed ( = 0.040). Additionally, across participants with a waist-to-height ratio (WHtR) greater than 0.5, an increase of 50.0 ± 68.3 mg/dL in the intervention group and a decrease of 8.6 ± 56.6 mg/dL in the control group was noted for the TAG concentration change ( = 0.040).

CONCLUSIONS

Concerning the observed beneficial influence of increasing farmed salmon intake to the recommended fish-intake amounts on decreasing LDL and Cholindex in young women with excessive body weight after 8 weeks, it seems that such a diet alteration might be recommended for this group to decrease their risk of cardiovascular disease in the future. Nonetheless, regarding the diverse influence on TAG, further studies are needed to assess the influence of increasing the intake of fatty fish available on the market at present on human health.

摘要

背景/目的:需要进行习惯性饮食改变,以帮助降低体重超标可能带来的后果,如高脂血症和心血管疾病风险增加。本研究的目的是评估以养殖三文鱼为主的饮食干预对体重超标的年轻女性血脂参数的影响。

方法

为期8周的干预涉及38对年龄在18 - 30岁、体重超标(定义为BMI≥25.0 kg/m²)的配对女性。参与者被随机分配到干预组(每周食用200克烟熏三文鱼)或对照组。在干预前、干预期间和干预后评估血脂参数(总胆固醇(TC)、高密度脂蛋白(HDL)、低密度脂蛋白(LDL)、甘油三酯(TAG))以及致动脉粥样硬化指数(血浆致动脉粥样硬化指数(AIP)、致动脉粥样硬化系数(AC)、胆固醇指数(Cholindex)、卡斯泰利风险指数1(CRI - 1)、卡斯泰利风险指数2(CRI - 2)和TAG/HDL比值)。

结果

在基线时,47%的参与者至少有一项血脂参数超出推荐范围。在为期8周的干预后,干预组和对照组在TC、HDL、非HDL、LDL或TAG浓度以及各种致动脉粥样硬化指数方面未观察到统计学上的显著差异。然而,注意到LDL浓度变化存在差异,干预组降低了8.2±20.7 mg/dL,而对照组增加了9.5±20.0 mg/dL(P = 0.011),Cholindex变化也有差异,干预组中位数下降了4.4 mg/dL,而对照组中位数增加了0.8 mg/dL(P = 0.040)。此外,在腰高比(WHtR)大于0.5的参与者中,干预组TAG浓度变化增加了(50.0\pm68.3) mg/dL,而对照组下降了(8.6\pm56.6) mg/dL(P = 0.040)。

结论

考虑到观察到增加养殖三文鱼摄入量至推荐的鱼类摄入量对体重超标的年轻女性在8周后降低LDL和Cholindex有有益影响,似乎可以建议该组进行这种饮食改变,以降低她们未来患心血管疾病的风险。尽管如此,鉴于对TAG有不同影响,需要进一步研究来评估增加目前市场上可获得的富含脂肪鱼类的摄入量对人类健康的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7826/11643451/5436c3ac0caf/nutrients-16-04051-g001.jpg

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