Scott L W, Dunn J K, Pownall H J, Brauchi D J, McMann M C, Herd J A, Harris K B, Savell J W, Cross H R, Gotto A M
Department of Medicine, Baylor College of Medicine, Houston, Tex.
Arch Intern Med. 1994 Jun 13;154(11):1261-7.
The recommendation to lower saturated fat intake is often interpreted as requiring the elimination of beef to control or lower serum cholesterol levels. The study hypothesis was that the Step I Diet (8% to 10% of energy intake from saturated fatty acids) containing beef would have the same effect on plasma lipid levels of hypercholesterolemic men as a like diet containing chicken.
Thirty-eight free-living hypercholesterolemic (otherwise healthy) men completed a 13-week dietary intervention study. Subjects consumed their usual diets for 3 weeks, followed by a 5-week stabilization diet (18% of energy intake from saturated fatty acids), before randomization to one of two test diets for 5 weeks. The test diets contained either 85 g of cooked beef (8% fat) or 85 g of cooked chicken (7% fat) per 4184 kJ and had 7% to 8% of energy from saturated fatty acids. All food was supplied during the stabilization and test diets.
The beef and chicken test diets both produced significant decreases in average plasma total cholesterol level (0.54 mmol/L [7.6%] for beef and 0.70 mmol/L [10.2%] for chicken) and low-density lipoprotein cholesterol level (0.46 mmol/L [9%] for beef and 0.55 mmol/L [11%] for chicken). Changes in average levels of plasma total cholesterol, high-density lipoprotein cholesterol, triglyceride, and low-density lipoprotein cholesterol were not statistically different (smallest P = .26) between the beef and chicken test diets. The average triglyceride level did not change for either test diet group.
In this short-term study, comparably lean beef and chicken had similar effects on plasma levels of total, low-density lipoprotein, and high-density lipoprotein cholesterol and triglyceride. We concluded that lean beef and chicken are interchangeable in the Step I Diet.
降低饱和脂肪摄入量的建议通常被理解为需要摒弃牛肉以控制或降低血清胆固醇水平。本研究的假设是,对于高胆固醇血症男性,含牛肉的第一步饮食(饱和脂肪酸提供能量的8%至10%)对血浆脂质水平的影响与含鸡肉的类似饮食相同。
38名自由生活的高胆固醇血症(其他方面健康)男性完成了一项为期13周的饮食干预研究。受试者先食用其平常饮食3周,接着是为期5周的稳定饮食(饱和脂肪酸提供能量的18%),之后随机分为两种试验饮食之一,持续5周。试验饮食每4184千焦含有85克熟牛肉(脂肪含量8%)或85克熟鸡肉(脂肪含量7%),且饱和脂肪酸提供能量的7%至8%。在稳定饮食和试验饮食期间,所有食物均由提供。
牛肉和鸡肉试验饮食均使平均血浆总胆固醇水平显著降低(牛肉组降低0.54毫摩尔/升[7.6%],鸡肉组降低0.70毫摩尔/升[10.2%])以及低密度脂蛋白胆固醇水平显著降低(牛肉组降低0.46毫摩尔/升[9%],鸡肉组降低0.55毫摩尔/升[11%])。牛肉和鸡肉试验饮食之间,血浆总胆固醇、高密度脂蛋白胆固醇、甘油三酯和低密度脂蛋白胆固醇平均水平的变化无统计学差异(最小P值 = 0.26)。两个试验饮食组的平均甘油三酯水平均未改变。
在这项短期研究中,脂肪含量相当的牛肉和鸡肉对血浆总胆固醇、低密度脂蛋白胆固醇、高密度脂蛋白胆固醇和甘油三酯水平具有相似影响。我们得出结论,在第一步饮食中,瘦牛肉和鸡肉可相互替代。