Lovegrove J A, Brooks C N, Murphy M C, Gould B J, Williams C M
Hugh Sinclair Unit of Human Nutrition, Department of Food Science and Technology, University of Reading, Whiteknights.
Br J Nutr. 1997 Aug;78(2):223-36. doi: 10.1079/bjn19970142.
The objectives of the present study were to determine the feasibility of using manufactured foods, enriched with eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) as a means of increasing the intake of these n-3 polyunsaturated fatty acids (PUFA), and to determine the effect of the consumption of these foods on postprandial lipaemia and other metabolic responses to a high-fat mixed test meal. Nine healthy, normotriacylglycerolaemic, free-living male volunteers (aged 35-60 years) completed the randomized, controlled, single-blind, crossover study. The study consisted of two periods (each of 22 d) of dietary intervention, separated by a 5-month washout period. During these two periods the subjects were provided with the manufactured foods enriched with EPA and DHA (n-3 enriched) or identical but unenriched foods (control). A mixed test meal containing 82 g fat was given to the fasted subjects on day 22 of each dietary intervention period. Two fasting, and thereafter hourly, blood samples were collected from the subjects for an 8 h period postprandially. Plasma triacylglycerol, total and HDL-cholesterol, non-esterified fatty acids (NEFA), glucose and immunoreactive insulin levels, post-heparin lipoprotein lipase (EC 3.1.1.34) activity and the plasma free fatty acid and phospholipid fatty acid compositions were measured. A mean daily intake of 1.4 g EPA+DHA (0.9 g EPA, 0.5 g DHA) was ingested during the n-3-enriched dietary period, which was significantly higher than the intake during the habitual and control periods (P < 0.001) assessed by a 3 d weighed food intake. A significantly higher level of EPA+DHA enrichment of the plasma fatty acids and phospholipids (P < 0.001) after the n-3-enriched compared with the control intervention periods was also found. The energy intake on both of the dietary intervention periods was found to be significantly higher than on the habitual diet (P < 0.001), with an increase in body weight of the subjects, which reached significance during the n-3 PUFA-enriched dietary intervention period (P < 0.04). The palatability of the enriched foods was not significantly different from that of the control foods. Significantly higher fasting plasma HDL-cholesterol and glucose concentrations were found after the n-3 PUFA-enriched compared with the control intervention period (P < 0.02 and P < 0.05 respectively). No significant differences were found for the postprandial lipid and hormone measurements, except for significantly lower levels of NEFA at 60 min after the n-3-enriched intervention period (P < 0.04). Enriched manufactured foods were a feasible vehicle for increasing n-3 PUFA intake. However the nature of the foods provided as the n-3 vehicle may have contributed to the increased body weight and higher energy intakes which were adverse consequences of the intervention. These factors, together with the short duration of the study may have been responsible for the failure to observe significant plasma triacylglycerol reductions in response to daily intakes of 1.4 g EPA+DHA.
本研究的目的是确定食用富含二十碳五烯酸(EPA)和二十二碳六烯酸(DHA)的加工食品作为增加这些n-3多不饱和脂肪酸(PUFA)摄入量的一种手段的可行性,并确定食用这些食品对餐后血脂以及对高脂混合测试餐的其他代谢反应的影响。九名健康、正常三酰甘油水平、自由生活的男性志愿者(年龄35 - 60岁)完成了这项随机、对照、单盲、交叉研究。该研究包括两个为期22天的饮食干预阶段,中间间隔5个月的洗脱期。在这两个阶段,为受试者提供富含EPA和DHA的加工食品(n-3富集食品)或相同但未富集的食品(对照食品)。在每个饮食干预阶段的第22天,给禁食的受试者提供一顿含有82克脂肪的混合测试餐。在餐后8小时内,从受试者身上采集两份空腹血样,之后每小时采集一次血样。测量血浆三酰甘油、总胆固醇和高密度脂蛋白胆固醇、非酯化脂肪酸(NEFA)、葡萄糖和免疫反应性胰岛素水平、肝素后脂蛋白脂肪酶(EC 3.1.1.34)活性以及血浆游离脂肪酸和磷脂脂肪酸组成。在n-3富集饮食阶段,平均每日摄入1.4克EPA + DHA(0.9克EPA,0.5克DHA),通过3天的称重食物摄入量评估,这显著高于习惯饮食和对照阶段的摄入量(P < 0.001)。与对照干预阶段相比,n-3富集干预阶段后血浆脂肪酸和磷脂中EPA + DHA的富集水平也显著更高(P < 0.001)。发现两个饮食干预阶段的能量摄入量均显著高于习惯饮食(P < 0.001),受试者体重增加,在n-3 PUFA富集饮食干预阶段达到显著水平(P < 0.04)。富集食品的适口性与对照食品没有显著差异。与对照干预阶段相比,n-3 PUFA富集干预阶段后空腹血浆高密度脂蛋白胆固醇和葡萄糖浓度显著更高(分别为P < 0.02和P < 0.05)。除了n-3富集干预阶段后60分钟时NEFA水平显著较低(P < 0.04)外,餐后脂质和激素测量结果没有显著差异。富含n-3的加工食品是增加n-3 PUFA摄入量的可行载体。然而,作为n-3载体提供的食品的性质可能导致了体重增加和能量摄入增加,这些是干预的不良后果。这些因素,再加上研究持续时间较短,可能是未能观察到每日摄入1.4克EPA + DHA导致血浆三酰甘油显著降低的原因。