Jéquier E
Institute of Physiology, University of Lausanne, Switzerland.
Am J Clin Nutr. 1994 Mar;59(3 Suppl):682S-685S. doi: 10.1093/ajcn/59.3.682S.
Carbohydrates are the main energy source of the human diet. The metabolic disposal of dietary carbohydrates is direct oxidation in various tissues, glycogen synthesis (in liver and muscles), and hepatic de novo lipogenesis. This latter pathway is quantitatively not important in man because under most conditions the rate of de novo lipogenesis does not exceed the concomitant rate of lipid oxidation in the whole body. Thus, dietary carbohydrates do not appear to increase an individual's fat content by de novo lipogenesis. The intake of dietary carbohydrates mainly has the effect of inhibiting fat oxidation while glucose oxidation is increased. Dietary carbohydrates are involved in the control of energy balance because the regulation of food intake depends, in part, on the carbohydrate need of the individual. Because there is an obligatory requirement for glucose in several organs such as the brain, a spontaneous increase in food intake is seen when the diet has a low-carbohydrate, high-fat content. Therefore, the present nutritional advice of increasing the proportion of carbohydrate energy while decreasing that of fat in the everyday diet has strong scientific support in terms of the regulation of the energy balance.
碳水化合物是人类饮食的主要能量来源。膳食碳水化合物的代谢去向包括在各种组织中直接氧化、糖原合成(在肝脏和肌肉中)以及肝脏从头合成脂肪。后一种途径在人类中从数量上看并不重要,因为在大多数情况下,从头合成脂肪的速率不超过全身脂质氧化的伴随速率。因此,膳食碳水化合物似乎不会通过从头合成脂肪来增加个体的脂肪含量。膳食碳水化合物的摄入主要具有抑制脂肪氧化的作用,同时增加葡萄糖氧化。膳食碳水化合物参与能量平衡的控制,因为食物摄入量的调节部分取决于个体对碳水化合物的需求。由于大脑等几个器官对葡萄糖有必需需求,当饮食中碳水化合物含量低、脂肪含量高时,会出现食物摄入量的自发增加。因此,目前关于在日常饮食中增加碳水化合物能量比例同时降低脂肪能量比例的营养建议,在能量平衡调节方面有强有力的科学依据。