| 505 | 10 | 74 |
| 下载次数 | 被引频次 | 阅读次数 |
目的探讨菊粉类果聚糖对人群的降脂作用。方法通过检索Medline、EMbase等国际期刊数据库和相关出版物的参考文献,以血浆总胆固醇和甘油三酯水平为分析指标的人体随机对照试验进行系统评价。由两位评价者独立阅读相关文献并提取数据,只有文献质量达到要求的研究才被纳入评价。最后共纳入9项研究进行评价。结果与对照组相比,菊粉类果聚糖能显著降低高脂血症人群的血浆总胆固醇和甘油三酯水平,而对血脂正常者无明显作用。结论系统评价的结果表明每日随食物摄入菊粉类果聚糖17g/d对高血脂人群有良好的降血脂作用。
Abstract:To conduct a systematic review on the efficacy of inulin-type fructans on lowering blood lipids, randomized controlled intervention trials on the analysis of plasma total cholesterol and triacylglycerol resulted from the treatment of dietary inulin-type fructans were selected from international journal databases and reference lists of relevant publications. The data of trials were extracted and identified by two independent reviewers. Only the qualified ones were included and evaluated. The results of 9 studies included in the systematic review indicated that the total cholesterol and triacylglycerol of subjects with hyperlipidemia could be significantly decreased by dietary inulin-type fructans,whereas the effects were absent in normal subjects. Blood lipids of subjects with hyperlipidemia could be decreased significantly by foods enriched with 17g of inulin-type fructans per day.
1BALLANTYNE C M,OLSSON A G,COOK T J,et al.Uence of low high-density lipoprotein cholesterol and elevated triglyceride on coronary heart disease events and response to simvastatin therapy in4S[J].Circulation,2001,104:3046-3051.
2JADAD A R,MOORE A,CARROLL D,et al.Assessing the quality of reports of randomized clinical trials:is blinding necessary[J].Control Clin Trials,1996,17:1-12.
3LUO J,RIZKALLA S W,ALAMOWITCH C,et al.Chronic consumption of short-chain fructooligosaccharides by healthy subjects decreased basal hepatic glucose production but had no effect on insulin-stimulated glucose metabolism[J].Am J Clin Nutr,1996,63:939-945.
4PEDERSEN A,SANDSTROM B,VAN AMELSVOORT J M M.The effect of ingestion of inulin on blood lipids and gastrointestinal symptoms in healthy females[J].BR J NUTR,1997,78(2):215-222.
5DAVIDSON M H,MAKI K C,SYNECKI C,et al.Effects of dietary inulin on serum lipids in men and women with hypercholesterolemia[J].Nutr Res,1998,18:503-517.
6JACKSON K G,TAYLOR G R J,CLOHESSY A M,et al.The effect of the daily intake of inulin on fasting lipid,insulin and glucose concentrations in middle-aged men and women[J].Br J Nutr,1999,82:23-30.
7KRUSE H P,KLEESSEN B,BLAUT M.Effects of inulin on faecal bifidobacteria in human subjects[J].Br J Nutr,1999,82:375-382.
8LUO J,VAN YPERSELLE M,RIZKALLA S W,et al.Chronic consumption of short-chain fructooligosaccharides does not affect basal hepatic glucose production or insulin resistance in type2diabetics[J].J Nutr,2000,130:1572-157.
9GIACCO R,CLEMENTE G,LUONGO D,et al.Effects of short-chain fructooligosaccharides on glucose and lipid metabolism in mild hypercholesterolaemic individuals[J].Clin Nutr(Edinb),2004,23:331-340.
10DAUBIOUL C A,HORSMANS Y,LAMBERT P,et al.Effects of oligofructose on glucose and lipid metabolism in patients with nonalcoholic steatohepatitis:results of a pilot study[J].Eur J Clin Nutr,2005,59:723-726.
11FORCHERON F,BEYLOT M.Long-term administration of inulin-type fructans has no significant lipid-lowering effect in normolipidemic humans[J].Metabolism,2007,56(8):1093-1098.
12VICKERS A,GOYAL N,HARIAND R,et al.Do certain countries produce only positive results?A systematic review of controlled trials[J].Control Clin Trials,1998,19(2):159.
13DELZENNE N,KOK N,FIORDALISO M,et al.Dietary fructooligosaccharides modify lipid metabolism in rats[J].Am J Clin Nutr,1993,57:820S.
14DAUBIOUL C,TAPER H,DE WISPELAERE L,et al.Dietary oligofructose lessens hepatic steatosis,but does not prevent hypertriglyceridemia in obese Zucker rats[J].J Nutr,2000,130,1314-1319.
15FLICKINGER E,VAN LOO J,FAHEY G.Nutritional responses to the presence of inulin and oligofructose in the diets of domesticated animals:a review[J].Crit Rev Food Sci Nutr,2003,43:19-60.
16FIORDALISO M,KOK N,DESAGER F,et al.Oligofructose supplemented diet lowers serum and VLDL concentrations of triglycerides,phospholipids and cholesterol in rats[J].Lipids,1995,30:163-167.
17DEMIGNE G,MORAND C,LEVRAT M,et al.Effect of propionate on fatty acids and cholesterol synthesis and on acetatemetabolismin isolated rat hepatocytes[J].Br J Nutr,1995,74:209-219.
18NISHINA P,FREELAND R.Effects of propionate on lipidbiosynthesis in isolated rat hepatocytes[J].J Nutr,1990,120:669-673.
19LEVRAT M,FAVIER M,MOUNDRAS C,et al.Role of dietary propionic acid and bile excretion in the hypocholesterolemic effects of oligosaccharides in rats[J].J Nutr,1994,124:531-538.
20VANHOOF K,SCHRIJVERR D E.Effect of unprocessed and baked inulin on lipid metabolism in normo-and hypercholesterolemic rats[J].Nutrit Res,1995,15:1637-1646.
21FERNANDEZ M L.Distinct mechanisms of plasma LDL lowering by dietary fibber in the guinea pig:specific effects of pectin,guar gum,and psyllium[J].J Lipid Res,1995,36:2394-2404.
基本信息:
DOI:10.19813/j.cnki.weishengyanjiu.2010.02.013
中图分类号:R285
引用信息:
[1]吴婷,杨月欣,张立实,等.菊粉类果聚糖对血甘油三酯和总胆固醇的影响——系统评价初探[J].卫生研究,2010,39(02):172-176.DOI:10.19813/j.cnki.weishengyanjiu.2010.02.013.
基金信息:
国家“十一五”科技支撑计划项目(N..2006BAD27B01)
2010-03-30
2010-03-30