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菜籽油(低芥酸菜子油)和橄榄油在高脂蛋白血症患者降脂饮食中的类似作用。

Similar effects of rapeseed oil (canola oil) and olive oil in a lipid-lowering diet for patients with hyperlipoproteinemia.

作者信息

Nydahl M, Gustafsson I B, Ohrvall M, Vessby B

机构信息

Department of Geriatrics, University of Uppsala, Sweden.

出版信息

J Am Coll Nutr. 1995 Dec;14(6):643-51. doi: 10.1080/07315724.1995.10718554.

Abstract

OBJECTIVE

To compare the metabolic effects of a lipid-lowering diet containing either low erucic rapeseed (canola) oil or olive oil.

METHODS

Twenty-two hyperlipidemic patients participated in a cross-over study comprising two consecutive 3.5-week treatment periods. The participants were free-living throughout the study period, visiting the metabolic clinic initially and at the end of each treatment period for weighing and blood sampling. All food was prepared daily and weighed out for each individual appropriate to his/her energy requirement.

RESULTS

Total serum cholesterol, low-density lipoprotein and the ratio between low-density and high-density lipoprotein cholesterol decreased to the same extent on the two diets tested, as did the apolipoproteins B, A-I and Lp(a). After adjustment for body weight changes, most of the reported effects remained virtually unaltered. However, there was a slightly greater decrease in low-density lipoprotein cholesterol with the diet containing rapeseed oil (-17%, p < 0.001) than with the olive oil diet (-13%, p < 0.01) with p < 0.04 for the difference between diets. Also, the intravenous glucose tolerance improved to a similar extent on both diets.

CONCLUSIONS

The results indicate that lipid-lowering diets containing either rapeseed oil or olive oil have similar effects on serum lipoprotein concentration and glucose tolerance in hyperlipidemic subjects.

摘要

目的

比较含低芥酸菜籽油(油菜籽油)或橄榄油的降脂饮食的代谢效应。

方法

22名高脂血症患者参与了一项交叉研究,该研究包括两个连续的3.5周治疗期。在整个研究期间,参与者正常生活,最初及每个治疗期结束时到代谢门诊称重和采血。每天准备所有食物,并根据每个个体的能量需求称出相应分量。

结果

在两种受试饮食中,血清总胆固醇、低密度脂蛋白以及低密度与高密度脂蛋白胆固醇的比值均下降到相同程度,载脂蛋白B、A-I和Lp(a)也是如此。在对体重变化进行校正后,所报告的大多数效应基本未变。然而,含菜籽油的饮食使低密度脂蛋白胆固醇的降低幅度(-17%,p<0.001)略大于含橄榄油的饮食(-13%,p<0.01),两种饮食之间的差异p<0.04。此外,两种饮食使静脉葡萄糖耐量的改善程度相似。

结论

结果表明,含菜籽油或橄榄油的降脂饮食对高脂血症患者的血清脂蛋白浓度和葡萄糖耐量具有相似的作用。

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