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补充丙酮酸对低脂低胆固醇饮食的高脂血症患者血脂浓度和身体成分的影响。

Pyruvate supplementation of a low-cholesterol, low-fat diet: effects on plasma lipid concentrations and body composition in hyperlipidemic patients.

作者信息

Stanko R T, Reynolds H R, Hoyson R, Janosky J E, Wolf R

机构信息

Department of Medicine, Montefiore University Hospital, Pittsburgh, PA 15213-2582.

出版信息

Am J Clin Nutr. 1994 Feb;59(2):423-7. doi: 10.1093/ajcn/59.2.423.

DOI:10.1093/ajcn/59.2.423
PMID:8310996
Abstract

The effects of the three-carbon compound pyruvate on plasma lipid concentrations and body composition were evaluated in hyperlipidemic patients consuming a low-cholesterol (165-180 mg), low-fat (22-24% of energy; 18-20% of energy as saturated fatty acid) diet (0.091-0.099 MJ.kg body wt-1 x d-1). After consuming the above diet for 4 wk, during which time plasma lipid concentrations decreased, 34 subjects were randomly assigned to receive either 22-44 g pyruvate (n = 17) or 18-35 g polyglucose (placebo, Polycose, n = 17), iso-energetically substituted for a portion of carbohydrate energy for 6 wk. Despite greater weight and fat losses with pyruvate (P < 0.05), plasma concentrations of cholesterol, LDL cholesterol, HDL cholesterol, and triglyceride were not different between the two groups of subjects. We conclude that subsequent to diet-induced reduction in plasma lipid concentrations, pyruvate supplementation of a low-cholesterol, low-fat diet providing 6.7-7.6 MJ/d for 6 wk has no effect on plasma lipid concentrations but enhances body weight and fat losses.

摘要

在食用低胆固醇(165 - 180毫克)、低脂肪(占能量的22 - 24%;饱和脂肪酸占能量的18 - 20%)饮食(0.091 - 0.099兆焦·千克体重⁻¹·天⁻¹)的高脂血症患者中,评估了三碳化合物丙酮酸对血浆脂质浓度和身体成分的影响。在食用上述饮食4周后(在此期间血浆脂质浓度下降),34名受试者被随机分配接受22 - 44克丙酮酸(n = 17)或18 - 35克聚葡萄糖(安慰剂,Polycose,n = 17),以等能量方式替代一部分碳水化合物能量,持续6周。尽管丙酮酸组的体重和脂肪减少更多(P < 0.05),但两组受试者的血浆胆固醇、低密度脂蛋白胆固醇、高密度脂蛋白胆固醇和甘油三酯浓度并无差异。我们得出结论,在饮食引起血浆脂质浓度降低之后,在为期6周的时间里,每天提供6.7 - 7.6兆焦能量的低胆固醇、低脂肪饮食中补充丙酮酸,对血浆脂质浓度没有影响,但会增加体重减轻和脂肪减少。

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