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乳制品来源的饱和脂肪与2型糖尿病和代谢综合征风险无关:德黑兰脂质与葡萄糖研究。

Dairy-derived saturated fats were not associated with risk of type 2 diabetes mellitus and metabolic syndrome: Tehran Lipid and Glucose Study.

作者信息

Gaeini Zahra, Mirmiran Parvin, Alvirdizadeh Sevda, Azizi Fereidoun

机构信息

Nutrition and Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, No. 24, Shahid-Erabi St., Yeman St., Velenjak, Tehran, 19395-4763, Iran.

Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Diabetol Metab Syndr. 2025 May 29;17(1):178. doi: 10.1186/s13098-025-01751-3.

Abstract

Emerging evidence indicates that the health effects of saturated fatty acids (SFA) may differ depending on the food source from which they are derived. We aimed to determine the association between dairy-derived SFA and the risk of type 2 diabetes mellitus (T2DM) and metabolic syndrome (MetS). This research was carried out in the Tehran Lipid and Glucose Study, a cohort study of 2256 T2DM-free adults and 1713 MetS-free adults. Adjusted hazard ratios and 95% confidence intervals of T2DM and MetS were calculated in tertile categories of dairy-derived SFA. The risk of T2DM and MetS was estimated through multivariable Cox regression to substitute dairy-derived SFA with other sources of SFA. Participants in the second tertile of dairy-derived SFA had a higher risk of T2DM (HR = 1.59, 95% CI = 1.14-2.21); however, the association did not remain significant in the third tertile (P for trend = 0.082). There were no associations between dairy-derived SFA and the risk of MetS. Substituting dairy-derived SFA for other dietary sources of SFA was not related to the risk of T2DM or MetS. The association between dairy-derived SFA and the risk of T2DM and MetS is still an ongoing research topic. When making dietary choices, it is advisable to consider an overall balanced diet and lifestyle factors.

摘要

新出现的证据表明,饱和脂肪酸(SFA)对健康的影响可能因其来源的食物不同而有所差异。我们旨在确定源自乳制品的饱和脂肪酸与2型糖尿病(T2DM)和代谢综合征(MetS)风险之间的关联。这项研究在德黑兰脂质与葡萄糖研究中进行,该研究是一项针对2256名无T2DM成年人和1713名无MetS成年人的队列研究。根据源自乳制品的饱和脂肪酸三分位数类别计算T2DM和MetS的调整后风险比及95%置信区间。通过多变量Cox回归估计T2DM和MetS的风险,以将源自乳制品的饱和脂肪酸替换为其他来源的饱和脂肪酸。源自乳制品的饱和脂肪酸处于第二个三分位数的参与者患T2DM的风险更高(风险比=1.59,95%置信区间=1.14-2.21);然而,在第三个三分位数中该关联不再显著(趋势P值=0.082)。源自乳制品的饱和脂肪酸与MetS风险之间无关联。用其他饮食来源的饱和脂肪酸替代源自乳制品的饱和脂肪酸与T2DM或MetS风险无关。源自乳制品的饱和脂肪酸与T2DM和MetS风险之间的关联仍是一个正在研究的课题。在做出饮食选择时,建议考虑总体均衡饮食和生活方式因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fc3/12121133/df6ebd94381c/13098_2025_1751_Fig1_HTML.jpg

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