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Dietary Protein Modifies the Effect of the MC4R Genotype on 2-Year Changes in Appetite and Food Craving: The POUNDS Lost Trial. 膳食蛋白质改变MC4R基因型对2年食欲和食物渴望变化的影响:减磅试验
Pub Date : 2017-02-01 DOI: 10.3945/jn.116.242958
Tao Huang, Yan Zheng, A. Hruby, D. Williamson, G. Bray, Yiru Shen, F. Sacks, L. Qi
Background: The melanocortin-4 receptor (MC4R) plays a pivotal role in the regulation of appetite and eating behavior. Variants in the MC4R gene have been related to appetite and obesity.Objective: We aimed to examine whether weight-loss diets modified the effect of the "obesity-predisposing" MC4R genotype on appetite-related measures in a randomized controlled trial.Methods: A total of 811 overweight and obese subjects [25 ≤ body mass index (BMI; kg/m2) ≤ 40] aged 30-70 y were included in the 2-y POUNDS Lost (Preventing Overweight Using Novel Dietary Strategies) trial. We genotyped MC4R rs7227255 in 735 overweight adults and assessed appetite-related characteristics, including craving, fullness, hunger, and prospective consumption, as well as a composite appetite score. We examined the effects of the genotype-by-weight-loss diet intervention interaction on appetite variables by using general linear models in both the whole population and in white participants only.Results: We found that dietary protein intake (low compared with high: 15% of energy compared with 25% of energy, respectively) significantly modified MC4R genetic effects on changes in appetite score and craving (P-interaction = 0.03 and 0.02, respectively) at 2 y, after adjustment for age, sex, ethnicity, baseline BMI, weight change, and baseline perspective phenotype. The obesity-predisposing A allele was associated with a greater increase in overall appetite score (β = 0.10, P = 0.05) and craving (β = 0.13, P = 0.008) compared with the non-A allele among participants who consumed a high-protein diet. MC4R genotype did not modify the effects of fat or carbohydrate intakes on appetite measures. Similar interaction patterns were observed in whites.Conclusion: Our data suggest that individuals with the MC4R rs7227255 A allele rather than the non-A allele might experience greater increases in appetite and food craving when consuming a high-protein weight-loss diet. This trial was registered at clinicaltrials.gov as NCT00072995.
背景:黑素皮质素-4受体(melanocortin-4 receptor, MC4R)在食欲和饮食行为的调节中起着关键作用。MC4R基因的变异与食欲和肥胖有关。目的:在一项随机对照试验中,我们旨在研究减肥饮食是否改变了“肥胖易感性”MC4R基因型对食欲相关指标的影响。方法:共811例超重和肥胖受试者[25≤体重指数(BMI;kg/m2)≤40],年龄30-70岁,被纳入2-y POUNDS Lost(使用新颖饮食策略预防超重)试验。我们对735名超重成年人的MC4R rs7227255进行了基因分型,并评估了食欲相关特征,包括渴望、饱腹感、饥饿和预期消费,以及综合食欲评分。我们通过在整个人群和仅在白人参与者中使用一般线性模型来检验基因型-减肥饮食干预相互作用对食欲变量的影响。结果:我们发现,在调整了年龄、性别、种族、基线BMI、体重变化和基线观点表型后,饮食蛋白质摄入量(低与高:分别占能量的15%与25%)在2岁时显著改变了MC4R基因对食欲评分和渴望变化的影响(p交互作用分别= 0.03和0.02)。在食用高蛋白饮食的参与者中,与非A等位基因相比,易患肥胖的A等位基因与总体食欲评分(β = 0.10, P = 0.05)和渴望(β = 0.13, P = 0.008)的增加有关。MC4R基因型并没有改变脂肪或碳水化合物摄入对食欲的影响。在白人中也观察到类似的相互作用模式。结论:我们的数据表明,与非A等位基因相比,携带MC4R rs7227255 A等位基因的个体在食用高蛋白减肥饮食时,食欲和对食物的渴望可能会更大。该试验在clinicaltrials.gov注册为NCT00072995。
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引用次数: 22
Changes in Underlying Determinants Explain Rapid Increases in Child Linear Growth in Alive & Thrive Study Areas between 2010 and 2014 in Bangladesh and Vietnam123 潜在决定因素的变化解释了2010年至2014年间孟加拉国和越南在Alive & Thrive研究区域儿童线性生长快速增长的原因123
Pub Date : 2017-01-25 DOI: 10.3945/jn.116.243949
P. Nguyen, D. Headey, E. Frongillo, L. Tran, R. Rawat, M. Ruel, P. Menon
Background: Child linear growth sometimes improves in both intervention and comparison groups in evaluations of nutrition interventions, possibly because of spillover intervention effects to nonintervention areas or improvements in underlying determinants of nutritional change in both areas. Objective: We aimed to understand what changes in underlying socioeconomic characteristics and behavioral factors are important in explaining improvements in child linear growth. Methods: Baseline (2010) and endline (2014) surveys from the Alive & Thrive impact evaluation were used to identify the underlying determinants of height-for-age z scores (HAZs) among children aged 24–48 mo in Bangladesh (n = 4311) and 24–59 mo in Vietnam (n = 4002). Oaxaca-Blinder regression decompositions were used to examine which underlying determinants contributed to HAZ changes over time. Results: HAZs improved significantly between 2010 and 2014 in Bangladesh (∼0.18 SDs) and Vietnam (0.25 SDs). Underlying determinants improved substantially over time and were larger in Vietnam than in Bangladesh. Multiple regression models revealed significant associations between changes in HAZs and socioeconomic status (SES), food security, maternal education, hygiene, and birth weight in both countries. Changes in HAZs were significantly associated with maternal nutrition knowledge and child dietary diversity in Bangladesh, and with prenatal visits in Vietnam. Improvements in maternal nutrition knowledge in Bangladesh accounted for 20% of the total HAZ change, followed by maternal education (13%), SES (12%), hygiene (10%), and food security (9%). HAZ improvements in Vietnam were accounted for by changes in SES (26%), prenatal visits (25%), hygiene (19%), child birth weight (10%), and maternal education (7%). The decomposition models in both countries performed well, explaining >75% of the HAZ changes. Conclusions: Decomposition is a useful and simple technique for analyzing nonintervention drivers of nutritional change in intervention and comparison areas. Improvements in underlying determinants explained rapid improvements in HAZs between 2010 and 2014 in Bangladesh and Vietnam.
背景:在营养干预评估中,干预组和对照组的儿童线性生长有时都有所改善,这可能是因为干预对非干预地区的溢出效应,或者这两个地区营养变化的潜在决定因素都有所改善。目的:我们旨在了解潜在的社会经济特征和行为因素的变化在解释儿童线性生长的改善方面是重要的。方法:使用Alive & Thrive影响评估的基线(2010年)和终点(2014年)调查,确定孟加拉国24-48个月(n = 4311)和越南24-59个月(n = 4002)儿童身高年龄z分数(HAZs)的潜在决定因素。使用瓦哈卡-布林德回归分解来检查导致HAZ随时间变化的潜在决定因素。结果:2010年至2014年间,孟加拉国(~ 0.18 SDs)和越南(0.25 SDs)的HAZs显著改善。随着时间的推移,潜在的决定因素大大改善,在越南比在孟加拉国更大。多元回归模型显示,在这两个国家,hads的变化与社会经济地位(SES)、粮食安全、孕产妇教育、卫生和出生体重之间存在显著关联。在孟加拉国,haz的变化与孕产妇营养知识和儿童饮食多样性显著相关,在越南则与产前检查密切相关。孟加拉国孕产妇营养知识的改善占总HAZ变化的20%,其次是孕产妇教育(13%)、社会经济地位(12%)、卫生(10%)和粮食安全(9%)。越南HAZ的改善主要体现在社会经济地位(26%)、产前检查(25%)、卫生(19%)、婴儿出生体重(10%)和母亲教育(7%)方面的变化。两国的分解模型都表现良好,解释了75%以上的HAZ变化。结论:分解是分析干预区和比较区营养变化的非干预驱动因素的有效和简单的技术。基础决定因素的改善解释了孟加拉国和越南在2010年至2014年间HAZs的快速改善。
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引用次数: 29
Formula-Feeding of HIV-Exposed Uninfected African Children Is Associated with Faster Growth in Length during the First 6 Months of Life in the Kesho Bora Study. 在Kesho Bora研究中,暴露于艾滋病毒的未感染非洲儿童的配方喂养与生命最初6个月的长度更快增长有关。
Pub Date : 2017-01-25 DOI: 10.3945/jn.116.242339
K. Bork, C. Cames, M. Newell, J. Read, K. Ayassou, F. Musyoka, Grace Mbatia, A. Cournil
Background: Early feeding patterns may affect the growth of HIV-exposed children and thus their subsequent health and cognition.Objective: We assessed the association of infant feeding (IF) mode with length-for-age z score (LAZ) and stunting from age 2 d to 18 mo in HIV-exposed African children within a controlled randomized trial, which evaluated triple antiretrovirals initiated during pregnancy and continued for 6 mo postpartum to prevent HIV transmission.Methods: HIV-infected pregnant women with CD4+ counts of 200-500 cells/mm3 from Burkina Faso, Kenya, and South Africa were advised to exclusively breastfeed for up to 6 mo or to formula-feed from birth. Factors associated with LAZ were investigated in all uninfected children by using mixed-effects linear models; those associated with stunting (LAZ <-2) at 6 or 12 mo were assessed in multiple logistic regression after exclusion of children stunted at age 2 d. Independent variables were IF mode: formula feeding (FF), exclusive breastfeeding (EBF) <3 mo, or EBF ≥3 mo (reference); sex; trial arm; maternal characteristics; and site.Results: Among 728 children, FF was associated with a greater increase in LAZ from 2 d to 6 mo (+0.07 z score/mo, P < 0.001). Between 6 and 18 mo, FF and EBF <3 mo were both associated with greater mean LAZ than was EBF ≥3 mo (+0.52 z scores and +0.43 z scores, respectively, P < 0.001). Among children not stunted at 2 d, FF was independently associated with a reduced risk of stunting at 6 mo (OR: 0.24; 95% CI: 0.07, 0.81; P = 0.021), whereas EBF <3 mo was not (OR: 0.49; 95% CI: 0.22, 1.10; P = 0.09).Conclusions: In this observational study of HIV-exposed uninfected infants, growth in length in the first 6 mo of life was faster in formula-fed infants than in exclusively breastfed infants. The plausibility of residual confounding and reverse causality is discussed. This trial was registered at www.controlled-trials.com as ISRCTN71468401.
背景:早期喂养模式可能影响艾滋病毒暴露儿童的生长,从而影响他们随后的健康和认知。目的:在一项对照随机试验中,我们评估了艾滋病毒暴露的非洲儿童从2天到18个月的婴儿喂养(IF)模式与年龄长度z评分(LAZ)和发育迟缓之间的关系,该试验评估了在怀孕期间开始并持续到产后6个月的三重抗逆转录病毒治疗,以预防艾滋病毒传播。方法:建议来自布基纳法索、肯尼亚和南非的CD4+计数为200-500细胞/mm3的艾滋病毒感染孕妇进行长达6个月的纯母乳喂养或从出生开始进行配方喂养。采用混合效应线性模型对所有未感染儿童的LAZ相关因素进行调查;在排除2天大发育迟缓的儿童后,对6或12月龄发育迟缓(LAZ <-2)相关的儿童进行多元logistic回归评估。自变量为IF模式:配方喂养(FF)、纯母乳喂养(EBF) <3月龄或EBF≥3月龄(参考);性;审判的手臂;母性的特征;和网站。结果:在728例患儿中,FF与LAZ在第2天至第6个月的显著升高相关(+0.07 z评分/月,P < 0.001)。在6 - 18个月期间,FF和EBF <3个月的患者平均LAZ均高于EBF≥3个月的患者(分别为+0.52 z评分和+0.43 z评分,P < 0.001)。在2天大时未发育迟缓的儿童中,FF与6个月时发育迟缓风险降低独立相关(OR: 0.24;95% ci: 0.07, 0.81;P = 0.021),而EBF <3个月无(OR: 0.49;95% ci: 0.22, 1.10;P = 0.09)。结论:在这项对hiv暴露的未感染婴儿的观察性研究中,配方奶粉喂养的婴儿在生命的前6个月的长度增长速度快于纯母乳喂养的婴儿。讨论了残留混杂和反向因果关系的合理性。该试验在www.controlled-trials.com注册为ISRCTN71468401。
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引用次数: 4
Long-Term Vitamin D Supplementation Affects Metabolic Status in Vitamin D-Deficient Type 2 Diabetic Patients with Coronary Artery Disease. 长期补充维生素D对缺乏维生素D的2型糖尿病合并冠心病患者代谢状态的影响
Pub Date : 2017-01-25 DOI: 10.3945/jn.116.242008
A. Farrokhian, F. Raygan, F. Bahmani, H. Talari, Reza Esfandiari, Ahmad Esmaillzadeh, Z. Asemi
Background: Vitamin D might be beneficial in diabetic patients with coronary artery disease (CAD) through its favorable effects on metabolic profiles and biomarkers of inflammation and oxidative stress.Objective: This study was performed to examine the effects of 6 mo of vitamin D supplementation on metabolic status in diabetic patients with CAD.Methods: This randomized, double-blind, placebo-controlled clinical trial was conducted in 60 vitamin D-deficient diabetic patients with CAD aged 40-85 y. Subjects were randomly assigned into 2 groups to take either 50,000-IU vitamin D supplements (n = 30) or placebo (n = 30) every 2 wk for 6 mo. Fasting blood samples were obtained at the beginning of the study and after the 6-mo intervention to quantify glycemic indicators, lipid concentrations, and biomarkers of inflammation and oxidative stress.Results: Compared with placebo, vitamin D supplementation resulted in significant reductions in fasting plasma glucose (-14.9 ± 7.1 compared with +19.3 ± 7.1 mg/dL; P = 0.001), serum insulin (-2.7 ± 1.1 compared with +1.8 ± 1.1 μIU/mL; P = 0.006), homeostasis model assessment of insulin resistance (-0.7 ± 0.3 compared with +0.5 ± 0.3; P = 0.01), and β cell function (-9.1 ± 4.2 compared with +5.7 ± 4.2; P = 0.01) and a significant increase in serum vitamin D (+6.8 ± 0.9 compared with +0.1 ± 0.9 ng/mL; P < 0.001) and the Quantitative Insulin Sensitivity Check Index (+0.008 ± 0.004 compared with -0.007 ± 0.004; P = 0.01). In addition, changes in serum high-sensitivity C-reactive protein (hs-CRP; -1.0 ± 0.5 compared with +0.6 ± 0.5 μg/mL; P = 0.02), plasma nitric oxide (NO; +7.0 ± 2.0 compared with -4.6 ± 2.0 μmol/L; P < 0.001), total reduced glutathione (GSH; +104 ± 16.4 compared with +24.8 ± 16.4 μmol/L; P = 0.001), and malondialdehyde concentrations (-0.2 ± 0.1 compared with +0.2 ± 0.1 μmol/L; P < 0.001) in the supplemented group were significantly different from the changes in these indicators in the placebo group.Conclusions: Overall, 6 mo of vitamin D supplementation among vitamin D-deficient diabetic patients with CAD had beneficial effects on glycemic control and serum hs-CRP, NO, GSH, and malondialdehyde concentrations. This trial was registered on the Iranian website (www.irct.ir) for registration of clinical trials as IRCT201510315623N56.
背景:维生素D可能通过其对代谢谱和炎症和氧化应激生物标志物的有利影响而对糖尿病合并冠心病(CAD)患者有益。目的:本研究旨在研究补充维生素D 6个月对糖尿病合并冠心病患者代谢状况的影响。方法:这项随机、双盲、安慰剂对照的临床试验在60例40-85岁的冠心病维生素D缺乏症糖尿病患者中进行。受试者被随机分为两组,每2周服用50,000-IU维生素D补充剂(n = 30)或安慰剂(n = 30),持续6个月。在研究开始时和6个月干预后获得空腹血液样本,以量化血糖指标、脂质浓度以及炎症和氧化应激的生物标志物。结果:与安慰剂相比,补充维生素D可显著降低空腹血糖(-14.9±7.1 mg/dL与+19.3±7.1 mg/dL相比;P = 0.001),血清胰岛素(-2.7±1.1 μIU/mL比+1.8±1.1 μIU/mL;P = 0.006),体内平衡模型评估胰岛素抵抗(-0.7±0.3比+0.5±0.3;P = 0.01), β细胞功能(-9.1±4.2比+5.7±4.2;P = 0.01),血清维生素D(+6.8±0.9 ng/mL比+0.1±0.9 ng/mL显著升高;P < 0.001)和胰岛素敏感性定量检查指数(+0.008±0.004比-0.007±0.004;P = 0.01)。此外,血清高敏c反应蛋白(hs-CRP;-1.0±0.5 μg/mL与+0.6±0.5 μg/mL比较;P = 0.02),血浆一氧化氮(NO;+7.0±2.0 μmol/L比-4.6±2.0 μmol/L;P < 0.001),总还原性谷胱甘肽(GSH;+104±16.4 μmol/L与+24.8±16.4 μmol/L比较;P = 0.001),丙二醛浓度(-0.2±0.1 μmol/L与+0.2±0.1 μmol/L比较;P < 0.001),与安慰剂组这些指标的变化有显著差异。结论:总的来说,维生素D缺乏的糖尿病合并CAD患者补充6个月的维生素D对血糖控制和血清hs-CRP、NO、GSH和丙二醛浓度有有益的影响。本试验已在伊朗临床试验注册网站(www.irct.ir)注册,注册编号为IRCT201510315623N56。
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引用次数: 53
Riboflavin Deficiency in Rats Decreases de novo Formate Production but Does Not Affect Plasma Formate Concentration. 核黄素缺乏降低大鼠新生甲酸生成,但不影响血浆甲酸浓度。
Pub Date : 2017-01-25 DOI: 10.3945/jn.116.243535
Luke Macmillan, S. Lamarre, Robin P daSilva, R. Jacobs, M. Brosnan, J. Brosnan
Background: The one-carbon metabolism pathway is highly dependent on a number of B vitamins in order to provide one-carbon units for purine and thymidylate biosynthesis as well as homocysteine remethylation. Previous studies have examined folate and vitamin B-12 deficiency and their effects on formate metabolism; as of yet, to our knowledge, no studies on the effects of riboflavin deficiency on formate metabolism have been published.Objective: Our objective was to determine the effects of riboflavin deficiency on formate metabolism.Methods: Weanling male rats were randomly assigned either to control, riboflavin-replete (RR) or to experimental, riboflavin-deficient (RD) versions of the AIN-93G diet for 13 d, at which time a constant infusion of [13C]-formate was carried out to ascertain the effects of deficiency on formate production. Gas chromatography-mass spectrometry was used to measure plasma formate concentration and [13C]-formate enrichment. HPLC, LC-mass spectrometry (MS)/MS, and enzymatic assays were used for the measurement of one-carbon precursors and other metabolites.Results: RD rats had significantly lower rates of formate production (15%) as well as significantly reduced hepatic methylenetetrahydrofolate reductase activity (69%) and protein concentration (54%) compared with RR rats. There was no difference in plasma formate concentrations between the groups. Plasma serine, a potential one-carbon precursor, was significantly higher in RD rats (467 ± 73 μM) than in RR rats (368 ± 52 μM).Conclusions: Although deficiencies in folate and vitamin B-12 lead to major changes in plasma formate concentrations, riboflavin deficiency results in no significant difference; this disagrees with the prediction of a published mathematical model. Our observation of a lower rate of formate production is consistent with a role for flavoproteins in this process.
背景:单碳代谢途径高度依赖于多种B族维生素,以提供嘌呤和胸苷酸生物合成以及同型半胱氨酸再甲基化的单碳单位。先前的研究已经检查了叶酸和维生素B-12缺乏及其对甲酸代谢的影响;到目前为止,据我们所知,还没有关于核黄素缺乏对甲酸代谢影响的研究发表。目的:研究核黄素缺乏对甲酸代谢的影响。方法:将断奶雄性大鼠随机分配给对照核黄素补充(RR)或实验性核黄素缺乏(RD)版本的AIN-93G日粮13 d,在此期间持续输注[13C]-甲酸,以确定缺乏对甲酸产生的影响。采用气相色谱-质谱法测定血浆中甲酸浓度和[13C]-甲酸富集程度。采用高效液相色谱(HPLC)、质谱联用(MS)/MS和酶促法测定一碳前体和其他代谢物。结果:与RR大鼠相比,RD大鼠的甲酸生成率(15%)显著降低,肝脏亚甲基四氢叶酸还原酶活性(69%)和蛋白质浓度(54%)显著降低。两组间血浆甲酸浓度无差异。血浆丝氨酸(一种潜在的一碳前体)在RD大鼠(467±73 μM)显著高于RR大鼠(368±52 μM)。结论:虽然叶酸和维生素B-12缺乏导致血浆甲酸浓度发生重大变化,但核黄素缺乏导致血浆甲酸浓度无显著差异;这与已发表的数学模型的预测不符。我们观察到的较低的甲酸生产速率与黄素蛋白在这一过程中的作用是一致的。
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引用次数: 7
Urine 24-Hour Sodium Excretion Decreased between 1953 and 2014 in Japan, but Estimated Intake Still Exceeds the WHO Recommendation. 1953年至2014年间,日本24小时尿钠排泄量有所下降,但估计摄入量仍超过世卫组织建议。
Pub Date : 2017-01-18 DOI: 10.3945/jn.116.240960
K. Uechi, M. Sugimoto, Satomi Kobayashi, S. Sasaki
Background: Accurate monitoring of sodium intake is necessary for evaluating strategies used to reduce sodium intake. However, no repeat survey has been conducted in representative populations in Japan to examine trends in sodium intake with the use of 24-h urinary sodium excretion, a standard evaluation method for sodium intake monitoring.Objective: The objective of this study was to examine potential trends in sodium intake by examining previous reports of 24-h urinary sodium excretion in healthy Japanese adult populations.Methods: We systematically searched for reports of 24-h urinary sodium excretion in healthy Japanese adult populations (mean age range: 18-69 y). We searched PubMed and Web of Science for English-language articles and hand-searched 7 Japanese scientific journals for Japanese-language articles. Trends in urinary sodium excretion were examined with the use of weighted linear regression and random-effects meta-regression analyses, with adjustment or stratification to address study characteristics (population mean age, percentage of men, and sample size) and study assessment for completeness of urine collection.Results: We identified 68 reports of urinary sodium excretion from 53 articles published from 1953 through 2014 that showed high rates of urinary sodium excretion in healthy Japanese adult populations (weighted mean: 4900 mg/d). The rate of urinary sodium excretion significantly decreased between 1953 and 2014, by 4350 mg/d (P < 0.001); however, the rate of reduction in urinary sodium excretion was variable and decreased with time (P-linear trend <0.001 and P-quadratic trend <0.001). In the random-effects meta-regression analysis of studies that assessed completeness of urine collection with creatinine excretion, no significant relation between urinary sodium excretion and year was observed from 1978 to 2014 (β = -16, P = 0.40).Conclusion: Despite a decrease in urinary sodium excretion in healthy Japanese adult populations between 1953 and 2014, sodium intake still exceeds the WHO recommendation for adults. This review was registered at PROSPERO as CRD42016035452.
背景:准确监测钠摄入量对于评估减少钠摄入量的策略是必要的。然而,没有在日本的代表性人群中进行重复调查,以使用24小时尿钠排泄(一种监测钠摄入量的标准评估方法)来检查钠摄入量的趋势。目的:本研究的目的是通过检查健康的日本成年人24小时尿钠排泄的先前报告来检查钠摄入的潜在趋势。方法:系统检索日本健康成年人(平均年龄18-69岁)24小时尿钠排泄的报告,检索PubMed和Web of Science的英文文章,手工检索7种日语科学期刊的日语文章。使用加权线性回归和随机效应荟萃回归分析检查尿钠排泄趋势,并对研究特征(人口平均年龄、男性百分比和样本量)进行调整或分层,并对尿液收集的完整性进行研究评估。结果:我们从1953年至2014年发表的53篇文章中确定了68篇尿钠排泄报告,这些报告显示健康的日本成年人尿钠排泄率很高(加权平均值:4900 mg/d)。尿钠排泄率在1953 ~ 2014年间显著下降4350 mg/d (P < 0.001);然而,尿钠排泄量的减少率是可变的,随着时间的推移而下降(p -线性趋势<0.001,p -二次趋势<0.001)。在随机效应荟萃分析中,通过肌酐排泄评估尿液收集的完整性,从1978年到2014年,尿钠排泄与年份没有显著关系(β = -16, P = 0.40)。结论:1953 - 2014年间,日本健康成人尿钠排泄量虽有所下降,但钠摄入量仍超过WHO成人推荐量。本综述在普洛斯彼罗注册为CRD42016035452。
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引用次数: 14
A Combination of Single-Nucleotide Polymorphisms Is Associated with Interindividual Variability in Cholecalciferol Bioavailability in Healthy Men. 健康男性胆钙化醇生物利用度的单核苷酸多态性组合与个体间变异相关
Pub Date : 2016-12-01 DOI: 10.3945/jn.116.237115
Charles Desmarchelier, P. Borel, A. Goncalves, R. Kopec, Marion Nowicki, S. Morange, N. Lesavre, H. Portugal, E. Reboul
BACKGROUNDMost people require dietary vitamin D to achieve the recommended concentration of 25-hydroxyvitamin D [25(OH)D] in the blood. However, the response to vitamin D supplementation is highly variable among individuals.OBJECTIVEWe assessed whether the variability in cholecalciferol bioavailability was associated with single-nucleotide polymorphisms (SNPs) in candidate genes.METHODSIn a single-group design, 39 healthy adult men with a mean ± SD age of 33 ± 2 y and mean ± SD body mass index (in kg/m2) of 22.9 ± 0.3 were genotyped with the use of whole-genome microarrays. After an overnight fast, plasma 25(OH)D status was measured, and the subjects then consumed a meal that provided 5 mg cholecalciferol as a supplement. Plasma chylomicron cholecalciferol concentration was measured over 8 h, and cholecalciferol response was assessed by calculating the postprandial area under the curve. Partial least squares regression was used to test the association of SNPs in or near candidate genes (61 genes representing 3791 SNPs) with the postprandial cholecalciferol response.RESULTSThe postprandial chylomicron cholecalciferol concentration peaked at 5.4 h. The cholecalciferol response was extremely variable among individuals (CV: 47%). It correlated with the chylomicron triglyceride (TG) response (r = 0.60; P < 0.001) but not with the fasting plasma 25(OH)D concentration (r = 0.04; P = 0.83). A significant (P = 1.32 × 10-4) partial least squares regression model that included 17 SNPs in 13 genes (including 5 that have been associated with chylomicron TG response) was associated with the variance in the cholecalciferol response.CONCLUSIONIn healthy men, there is a high interindividual variability in cholecalciferol bioavailability that is associated with a combination of SNPs located in or near genes involved in both vitamin D and lipid metabolism. This trial was registered at clinicaltrials.gov as NCT02100774.
背景:大多数人需要膳食维生素D来达到血液中25-羟基维生素D [25(OH)D]的推荐浓度。然而,对维生素D补充的反应因人而异。目的评估胆钙化醇生物利用度的变异是否与候选基因的单核苷酸多态性(snp)有关。方法采用单组设计,采用全基因组芯片对39名平均±SD年龄为33±2岁、平均±SD体重指数(kg/m2)为22.9±0.3的健康成年男性进行基因分型。禁食一夜后,测量血浆25(OH)D状态,然后食用一顿提供5毫克胆钙化醇作为补充的饭。在8 h内测量血浆乳糜微粒胆骨化醇浓度,并通过计算餐后曲线下面积来评估胆骨化醇的反应。偏最小二乘回归用于测试候选基因内或附近的snp(61个基因代表3791个snp)与餐后胆骨化醇反应的相关性。结果餐后乳糜微粒胆骨化醇浓度在5.4 h达到峰值,个体对胆骨化醇的反应差异极大(CV: 47%)。它与乳糜微粒甘油三酯(TG)反应相关(r = 0.60;P < 0.001),但与空腹血浆25(OH)D浓度无关(r = 0.04;P = 0.83)。一个显著的(P = 1.32 × 10-4)偏最小二乘回归模型包括13个基因中的17个snp(包括5个与乳糜微粒TG反应相关的基因)与胆骨化醇反应的方差相关。结论:在健康男性中,胆骨化醇生物利用度存在较高的个体间变异性,这与位于或邻近参与维生素D和脂质代谢的基因的snp组合有关。该试验已在clinicaltrials.gov注册为NCT02100774。
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引用次数: 17
Almond Consumption during Energy Restriction Lowers Truncal Fat and Blood Pressure in Compliant Overweight or Obese Adults. 在能量限制期间食用杏仁可降低体重超重或肥胖成人的躯干脂肪和血压。
Pub Date : 2016-12-01 DOI: 10.3945/JN.116.238444
Jaapna Dhillon, Sze-Yen Tan, R. Mattes
BACKGROUNDThe inclusion of almonds in an energy-restricted diet has been reported both to enhance or to have no effect on weight loss. Their effects specifically on visceral body fat stores during energy restriction have not been widely examined. In addition, almond consumption has been associated with reduced blood pressure (BP), but whether this is linked to or independent of changes in body composition has to our knowledge not been examined.OBJECTIVEWe evaluated the effects of consuming almonds as part of an energy-restricted diet on body composition, specifically visceral adipose tissue (VAT) and BP, compared to a nut-free energy-restricted diet.METHODSA randomized controlled 12-wk clinical trial of 86 healthy adults [body mass index (in kg/m2): 25-40] was conducted. Participants were randomly assigned to 1 of 2 energy-restricted (500-kcal deficit/d) diets: an almond-enriched diet (AED) (15% energy from almonds) or a nut-free diet (NFD). A linear mixed-model analysis on primary outcomes such as body weight, body fat, VAT, and BP was performed on all participants [intention-to-treat (ITT) analysis] and compliant participants (complier analysis).RESULTSBody weight, truncal and total fat percentage, VAT, and systolic BP decreased after 12 wk of energy restriction in both the ITT and complier analyses (P < 0.05). The complier analysis (but not the ITT analysis) indicated a greater mean ± SEM reduction in truncal fat (AED: -1.21% ± 0.26%; NFD: -0.48% ± 0.24%; P = 0.025), total fat (AED: -1.79% ± 0.36%; NFD: -0.74% ± 0.33%; P = 0.035), and diastolic BP (AED: -2.71 ± 1.2 mm Hg; NFD: 0.815 ± 1.1 mm Hg; P = 0.029), and a greater tendency for VAT loss (AED: -8.19 ± 1.8 cm2; NFD: -3.99 ± 1.7 cm2; P = 0.09) over time in the AED group than the NFD group.CONCLUSIONSModerate almond consumption by compliant overweight and obese individuals during energy restriction results in greater proportional reductions of truncal and total body fat as well as diastolic BP and hence may help to reduce metabolic disease risk in obesity. This trial was registered at clinicaltrials.gov as NCT02360787.
背景:据报道,在能量限制饮食中加入杏仁对减肥有促进作用,也有没有效果。它们在能量限制期间对内脏脂肪储存的影响尚未得到广泛研究。此外,食用杏仁与降低血压(BP)有关,但据我们所知,这是否与身体成分的变化有关,还是与身体成分的变化无关,还没有研究过。目的:与不含坚果的能量限制饮食相比,我们评估了食用杏仁作为能量限制饮食的一部分对身体成分的影响,特别是内脏脂肪组织(VAT)和BP。方法对86例健康成人[体重指数(kg/m2): 25 ~ 40]进行12周随机对照临床试验。参与者被随机分配到两种能量限制(500千卡/天)饮食中的一种:富含杏仁的饮食(AED)(杏仁提供15%的能量)或无坚果饮食(NFD)。对所有参与者[意向治疗(ITT)分析]和依从性参与者(编译者分析)进行了主要结局(如体重、体脂、VAT和BP)的线性混合模型分析。结果在ITT和complier分析中,12周能量限制后体重、躯干和总脂肪率、VAT和收缩压均下降(P < 0.05)。编译分析(而非ITT分析)表明,躯干脂肪的平均±SEM减少幅度更大(AED: -1.21%±0.26%;Nfd: -0.48%±0.24%;P = 0.025),总脂肪(AED: -1.79%±0.36%;Nfd: -0.74%±0.33%;P = 0.035),舒张压(AED: -2.71±1.2 mm Hg;NFD: 0.815±1.1 mm Hg;P = 0.029),增值税损失的趋势更大(AED: -8.19±1.8 cm2;NFD: -3.99±1.7 cm2;P = 0.09)随着时间的推移,AED组比NFD组更明显。结论依从性超重和肥胖个体在能量限制期间适度食用杏仁可导致躯干和全身脂肪以及舒张压的更大比例降低,因此可能有助于降低肥胖的代谢性疾病风险。该试验在clinicaltrials.gov注册为NCT02360787。
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引用次数: 49
Diets Containing Shiitake Mushroom Reduce Serum Lipids and Serum Lipophilic Antioxidant Capacity in Rats. 含香菇的膳食可降低大鼠血清脂质和血清亲脂抗氧化能力
Pub Date : 2016-12-01 Epub Date: 2016-10-19 DOI: 10.3945/jn.116.239806
Shanggong Yu, Xianli Wu, Matthew Ferguson, Rosalia Cm Simmen, Mario A Cleves, Frank A Simmen, Nianbai Fang

Background: We previously reported that dietary intake of shiitake mushroom (SM; Lentinus edodes) decreased serum concentrations of polar lipids in male rats.

Objective: This study evaluated the dietary effects of SM on serum cholesterol-related and serum antioxidant indexes in rats of both sexes.

Methods: Sprague-Dawley rats [38 dams and their offspring (20 males and 20 females/diet)] were fed diets containing 0 (control), 1%, 4%, or 10% (wt:wt) SM powder from gestation day 4 through to postnatal day (PND) 126. Biochemical indexes were monitored during the midgrowth phase (PNDs 50-66).

Results: The food consumption by offspring fed the control diet and diets supplemented with SM was not different when measured on PND 65. However, the 4% and 10% SM diets resulted in male rats with 7% lower body weights than those of the other 2 groups on PND 66. SM consumption dose-dependently decreased the concentrations of lipidemia-related factors in sera, irrespective of sex. At PND 50, serum concentrations of total cholesterol, HDL cholesterol, and non-HDL cholesterol in SM-fed male and female rats were generally lower (3-27%) than those in the corresponding control groups. Consumption of the 10% SM diet resulted in significantly decreased (55%) serum triglyceride concentrations relative to the control groups for both sexes. The 10% SM diet elicited a 62% reduction of serum leptin concentrations in females but not in males, and this same diet increased serum insulin (137%) and decreased serum glucose (15%) in males compared with controls. Serum lipophilic antioxidant capacity in males and females fed SM diets was generally lower (31-86%) than that in the control groups.

Conclusion: SM decreased the concentrations of lipidemia-related factors in rat sera irrespective of sex. The SM-elicited reduction of lipophilic antioxidant capacity irrespective of sex may reflect a lower pro-oxidative state and, hence, improved metabolic profile.

背景:我们以前曾报道过,从膳食中摄入香菇(SM;Lentinus edodes)可降低雄性大鼠血清中极性脂质的浓度:本研究评估了香菇对雌雄大鼠血清胆固醇相关指标和血清抗氧化指标的影响:从妊娠第 4 天到产后第 126 天,给 Sprague-Dawley 大鼠[38 只母鼠及其后代(20 只雄性和 20 只雌性/饮食)]喂食含 0(对照组)、1%、4% 或 10%(重量比)SM 粉的饮食。在生长中期(PND 50-66)对生化指标进行了监测:结果:在出生后第 65 天测量时,喂食对照日粮和添加了 SM 的日粮的后代的食物消耗量没有差异。然而,在 PND 66 日,4% 和 10%的 SM 日粮导致雄性大鼠的体重比其他两组低 7%。不分性别,摄入 SM 的剂量依赖性地降低了血清中脂血症相关因子的浓度。在 PND 50,SM 饲喂的雄性和雌性大鼠血清中的总胆固醇、高密度脂蛋白胆固醇和非高密度脂蛋白胆固醇浓度普遍比相应的对照组低(3-27%)。与对照组相比,摄入 10%SM膳食的雌雄大鼠血清甘油三酯浓度均显著降低(55%)。与对照组相比,10%SM膳食使女性血清瘦素浓度降低了62%,但男性没有降低,同样的膳食使男性血清胰岛素增加了137%,血清葡萄糖降低了15%。与对照组相比,喂食SM饮食的男性和女性的血清亲脂抗氧化能力普遍较低(31-86%):结论:SM 降低了大鼠血清中脂血症相关因子的浓度,与性别无关。SM引起的亲脂性抗氧化能力的降低与性别无关,这可能反映了较低的促氧化状态,从而改善了代谢状况。
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引用次数: 0
Adult Survivors of Childhood Cancer Have Poor Adherence to Dietary Guidelines. 儿童癌症成年幸存者对饮食指南的依从性较差。
Pub Date : 2016-12-01 Epub Date: 2016-10-19 DOI: 10.3945/jn.116.238261
Fang Fang Zhang, Rohit P Ojha, Kevin R Krull, Todd M Gibson, Lu Lu, Jennifer Lanctot, Wassim Chemaitilly, Leslie L Robison, Melissa M Hudson

Background: Poor nutritional intake can exacerbate the chronic disease burden in childhood cancer survivors, whereas a healthful diet serves a protective function. Few studies have provided detailed evaluations of the diet of childhood cancer survivors.

Objectives: This study aimed to evaluate diet quality and dietary intakes of key food groups and nutrients in a large cohort of childhood cancer survivors and whether cancer and treatment characteristics have an impact on survivors' long-term intake.

Methods: Diet was assessed in 2570 adult survivors of childhood cancer enrolled in the St. Jude Lifetime cohort (mean age = 32.3 y) by using the Block food-frequency questionnaire. The Healthy Eating Index-2010 (HEI-2010) was calculated to quantify diet quality. Cancer diagnosis and treatment exposure were abstracted from medical records. Differences in HEI-2010 by patient characteristics and treatment exposure were examined by using ANCOVA.

Results: The mean ± SD HEI-2010 in childhood cancer survivors was 57.9 ± 12.4 of a maximum score of 100. Referenced to Dietary Reference Intakes, survivors consumed inadequate amounts of vitamin D, vitamin E, potassium, fiber, magnesium, and calcium (27%, 54%, 58%, 59%, 84%, and 90% of the recommended intakes) but excessive amounts of sodium and saturated fat (155% and 115% of the recommended intakes) from foods. Survivors diagnosed when <5 y of age had a lower diet quality than did those diagnosed when ≥5 y of age (mean HEI-2010 score: 56.9 compared with 58.2; P = 0.046). Survivors who received higher radiation doses to the abdomen had a lower diet quality than those who received lower doses (mean HEI-2010 scores = 58.9, 57.2, 56.7, and 56.1 for doses of 0, 1-19.9, 20-29.9, and ≥30 Gy, respectively; P = 0.02).

Conclusions: Long-term childhood cancer survivors have poor adherence to the 2010 Dietary Guidelines for Americans. Findings reinforce the need to incorporate nutrition into cancer care to improve diet quality and to reduce morbidities.

背景:营养摄入不足会加重儿童癌症幸存者的慢性疾病负担,而健康的饮食则具有保护作用。很少有研究对儿童癌症幸存者的饮食进行详细评估:本研究旨在评估一大批儿童癌症幸存者的饮食质量和主要食物类别及营养素的摄入量,以及癌症和治疗特征是否会对幸存者的长期摄入量产生影响:Jude Lifetime队列中的2570名儿童癌症成年幸存者(平均年龄=32.3岁)进行了饮食评估。通过计算健康饮食指数-2010(HEI-2010)来量化饮食质量。癌症诊断和治疗暴露均来自医疗记录。通过方差分析检验了患者特征和治疗暴露对 HEI-2010 的影响:结果:儿童癌症幸存者 HEI-2010 的平均值(± SD)为 57.9 ± 12.4(最高分为 100 分)。参照膳食营养素参考摄入量,幸存者摄入的维生素 D、维生素 E、钾、纤维、镁和钙不足(分别为建议摄入量的 27%、54%、58%、59%、84% 和 90%),但从食物中摄入的钠和饱和脂肪过量(分别为建议摄入量的 155% 和 115%)。结论时确诊的幸存者:儿童癌症长期幸存者对《2010 年美国人膳食指南》的依从性较差。研究结果强化了将营养纳入癌症护理以改善饮食质量和降低发病率的必要性。
{"title":"Adult Survivors of Childhood Cancer Have Poor Adherence to Dietary Guidelines.","authors":"Fang Fang Zhang, Rohit P Ojha, Kevin R Krull, Todd M Gibson, Lu Lu, Jennifer Lanctot, Wassim Chemaitilly, Leslie L Robison, Melissa M Hudson","doi":"10.3945/jn.116.238261","DOIUrl":"10.3945/jn.116.238261","url":null,"abstract":"<p><strong>Background: </strong>Poor nutritional intake can exacerbate the chronic disease burden in childhood cancer survivors, whereas a healthful diet serves a protective function. Few studies have provided detailed evaluations of the diet of childhood cancer survivors.</p><p><strong>Objectives: </strong>This study aimed to evaluate diet quality and dietary intakes of key food groups and nutrients in a large cohort of childhood cancer survivors and whether cancer and treatment characteristics have an impact on survivors' long-term intake.</p><p><strong>Methods: </strong>Diet was assessed in 2570 adult survivors of childhood cancer enrolled in the St. Jude Lifetime cohort (mean age = 32.3 y) by using the Block food-frequency questionnaire. The Healthy Eating Index-2010 (HEI-2010) was calculated to quantify diet quality. Cancer diagnosis and treatment exposure were abstracted from medical records. Differences in HEI-2010 by patient characteristics and treatment exposure were examined by using ANCOVA.</p><p><strong>Results: </strong>The mean ± SD HEI-2010 in childhood cancer survivors was 57.9 ± 12.4 of a maximum score of 100. Referenced to Dietary Reference Intakes, survivors consumed inadequate amounts of vitamin D, vitamin E, potassium, fiber, magnesium, and calcium (27%, 54%, 58%, 59%, 84%, and 90% of the recommended intakes) but excessive amounts of sodium and saturated fat (155% and 115% of the recommended intakes) from foods. Survivors diagnosed when <5 y of age had a lower diet quality than did those diagnosed when ≥5 y of age (mean HEI-2010 score: 56.9 compared with 58.2; P = 0.046). Survivors who received higher radiation doses to the abdomen had a lower diet quality than those who received lower doses (mean HEI-2010 scores = 58.9, 57.2, 56.7, and 56.1 for doses of 0, 1-19.9, 20-29.9, and ≥30 Gy, respectively; P = 0.02).</p><p><strong>Conclusions: </strong>Long-term childhood cancer survivors have poor adherence to the 2010 Dietary Guidelines for Americans. Findings reinforce the need to incorporate nutrition into cancer care to improve diet quality and to reduce morbidities.</p>","PeriodicalId":22788,"journal":{"name":"The Journal of Nutrition Health and Aging","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5118766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88051155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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The Journal of Nutrition Health and Aging
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