非糖尿病老年人食用鸡肉与胰岛素抵抗

K. Yeum, Young‐Sang Kim, N. Joo
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引用次数: 1

摘要

目的:鸡体内富含组氨酸二肽,已报道其通过抗羰基化机制在动物模型中降低代谢异常风险。为了确定饮食中含有组氨酸的二肽对人类代谢危险因素的影响,在高碳水化合物和低蛋白质的人群中确定了鸡肉摄入量与胰岛素抵抗之间的关系。方法:从韩国国家健康与营养调查(KNHANES)中选取年龄≥50岁的7183名受试者(男性2929名,女性4254名),根据食用鸡肉(很少、每月和每周)分为三组,采用胰岛素抵抗稳态模型评估(HOMA-IR)和定量胰岛素敏感性检查指数(QUICKI)对代谢危险因素进行评估。第四和第五(IV-1-3 & V-1) KNHANES,有血液胰岛素数据,被选择用于本研究。结果:鸡肉消费量与男性胰岛素(p趋势= 0.018)和HOMA-IR (p趋势= 0.023)显著相关。特别是,与“很少”摄入组相比,碳水化合物摄入量最低(< 65.0%)组中“每周”吃鸡的男性HOMA-IR (p趋势= 0.033)和QUICKI (p趋势= 0.043)显著降低。此外,每周吃鸡组HOMA-IR异常的比值比为0.55(95%可信区间[CI], 0.31-0.99), QUICKI为0.47 (95% CI, 0.26-0.86)。结论:“每周”食用鸡肉对胰岛素抵抗有有益的影响,其部分原因可能是鸡肉中含有组氨酸二肽的主要生物活性成分。
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Chicken consumption and insulin resistance in non-diabetic older adults
Purpose: Histidine-containing dipeptides, which are rich in chicken, have been reported to reduce the risk of metabolic abnormalities via anticarbonylation mechanism in animal models. To determine the effect of dietary histidine-containing dipeptides on metabolic risk factors in humans, the relation between chicken consumption and insulin resistance were determined in a population consuming high carbohydrate and low protein. Methods: A total of 7,183 subjects (2,929 men and 4,254 women) aged ≥ 50 years from the Korea National Health and Nutrition Examination Survey (KNHANES) were divided into three groups according to chicken consumption (rarely, monthly, and weekly), and evaluated for the metabolic risk factors using homeostasis model assessment for insulin resistance (HOMA-IR) and quantitative insulin sensitivity check index (QUICKI) in this cross-sectional study. The fourth and fifth (IV-1–3 & V-1) KNHANES, which had blood insulin data, were chosen for the current study. Results: The chicken consumption was significantly associated with insulin (p for trend = 0.018) and HOMA-IR (p for trend = 0.023) in men. In particular, the ‘weekly’ chicken consuming men in the lowest tertile (< 65.0%) of carbohydrate intake group had significantly lower HOMA-IR (p for trend = 0.033) and higher QUICKI (p for trend = 0.043) than the ‘rarely’ intake group. In addition, the odds ratio for abnormal HOMA-IR was 0.55 (95% confidence interval [CI], 0.31–0.99) and QUICKI was 0.47 (95% CI, 0.26–0.86) for the ‘weekly’ chicken consuming group. Conclusion: The ‘weekly’ chicken consumption had a beneficial effect on insulin resistance and it may partially be due to the major bioactive components in chicken, histidinecontaining dipeptides.
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