Ghadirian P, Shatenstein B, Verdy M, Hamet P
Unité de recherche en Epidémiologie, Hôtel-Dieu de Montréal, Québec, Canada.
Eur J Epidemiol. 1995 Jun;11(3):275-81. doi: 10.1007/BF01719431.
Elevated levels of plasma uric acid have been linked to increased risk of cardiovascular diseases and their complications. As dairy proteins have been found to decrease plasma uric acid without increasing glomerular filtration rate, a sample of postmenopausal women living in Montreal was studied to investigate the nature of this relationship. Participants (158 Roman Catholic nuns) were randomly assigned to one of two test diets for a period of four weeks: the dairy foods group (n = 81) consumed approximately 30 grams of dairy protein daily and the dairy-free diet group (n = 77) ate no dairy foods at all. Subjects completed two one-day food records, a core questionnaire and a dairy foods diet history; blood specimens were obtained, and blood pressure, height and weight were measured. Average nutrient intakes differed as a consequence of the test diets, with significantly greater intakes of protein, fat, saturated fat, monounsaturated fat, potassium and calcium (p < 0.01) in the dairy group after the study period, and lower dietary levels of protein, cholesterol, calcium and retinol (p < 0.01) in the dairy-free group. Plasma uric acid was unchanged after the dietary intervention in the dairy group, but increased by 7.8 mumol/l (p = 0.03) in subjects on the dairy-free diet; however, diastolic blood pressure decreased in response to calcium (beta = -22.9, SE = 10.0, p = 0.02) among those whose diet included dairy foods.(ABSTRACT TRUNCATED AT 250 WORDS)
血浆尿酸水平升高与心血管疾病及其并发症风险增加有关。由于已发现乳类蛋白可降低血浆尿酸水平而不增加肾小球滤过率,因此对居住在蒙特利尔的绝经后女性样本进行了研究,以调查这种关系的本质。参与者(158名罗马天主教修女)被随机分配到两种试验饮食中的一种,为期四周:乳制品组(n = 81)每天摄入约30克乳类蛋白,无乳制品饮食组(n = 77)完全不食用乳制品。受试者完成了两份一日饮食记录、一份核心问卷和一份乳制品饮食史;采集了血液样本,并测量了血压、身高和体重。试验饮食导致平均营养素摄入量有所不同,研究期结束后,乳制品组的蛋白质、脂肪、饱和脂肪、单不饱和脂肪、钾和钙摄入量显著更高(p < 0.01),无乳制品组的蛋白质、胆固醇、钙和视黄醇饮食水平较低(p < 0.01)。乳制品组饮食干预后血浆尿酸水平未变,但无乳制品饮食的受试者血浆尿酸水平升高了7.8微摩尔/升(p = 0.03);然而,在饮食中包含乳制品的人群中,舒张压因钙的作用而降低(β = -22.9,标准误 = 10.0,p = 0.02)。(摘要截取自250字)