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女性中植物油的家庭使用、全身炎症标志物与内皮功能障碍

Home use of vegetable oils, markers of systemic inflammation, and endothelial dysfunction among women.

作者信息

Esmaillzadeh Ahmad, Azadbakht Leila

机构信息

Department of Nutrition, School of Public Health, and the Food Security and Nutrition Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Am J Clin Nutr. 2008 Oct;88(4):913-21. doi: 10.1093/ajcn/88.4.913.

Abstract

BACKGROUND

Most knowledge about adverse health effects of trans fats was mainly derived from studies done in Western populations of European or American origins; few data are available in the understudied region of the Middle East.

OBJECTIVE

We assessed the association between consumption of partially hydrogenated vegetable oils (PHVOs) and non-HVOs and circulating concentrations of inflammatory markers among Tehrani women aged 40-60 y.

DESIGN

Usual dietary intakes were assessed with a food-frequency questionnaire among 486 apparently healthy women. PHVOs (commonly used for cooking in Iran) were considered as PHVOs category. Sunflower oil, corn oil, canola oil, soybean oil, and olive oil were defined as non-HVOs. Anthropometric measurements were done, and fasting blood samples were taken to measure inflammatory markers.

RESULTS

The energy-adjusted daily intakes (mean +/- SD) of PHVOs and non-HVOs were 23 +/- 11 and 22 +/- 10 g/d, respectively. After control for potential confounders, women in the highest quintile of PHVO intake had higher plasma concentrations of C-reactive protein (CRP; percentage difference from lowest quintile: 45%; P for trend: <0.01), tumor necrosis factor-alpha (TNF-alpha; 66%; P for trend: <0.01), interleukin-6 (72%; P for trend: <0.05), and soluble intercellular adhesion molecule-1 (sICAM-1; 22%; P for trend: <0.01) than did women in the lowest quintile. In contrast, higher consumption of non-HVOs was associated with lower circulating concentrations of CRP (percentage difference between top and bottom quintiles: -23%; P for trend: 0.05), TNF-alpha (-29%; P for trend: <0.01), serum amyloid A (-24%; P for trend: <0.01), and sICAM-1 (-19%; P for trend:<0.05). Adjustment for body mass index, fasting plasma glucose, and lipid profiles slightly attenuated the associations in some cases.

CONCLUSIONS

Higher intakes of PHVOs are associated with elevated concentrations of inflammatory biomarkers, whereas higher intakes of non-HVOs are associated with lower plasma concentrations of these biomarkers.

摘要

背景

关于反式脂肪对健康的不良影响的大多数知识主要来自对欧洲或美国血统的西方人群的研究;在研究较少的中东地区,相关数据很少。

目的

我们评估了40至60岁德黑兰女性中部分氢化植物油(PHVO)和非氢化植物油(non-HVO)的摄入量与循环炎症标志物浓度之间的关联。

设计

通过食物频率问卷对486名明显健康的女性的日常饮食摄入量进行评估。将PHVO(伊朗常用作烹饪用油)视为PHVO类别。将葵花籽油、玉米油、菜籽油、大豆油和橄榄油定义为非氢化植物油。进行人体测量,并采集空腹血样以测量炎症标志物。

结果

PHVO和非氢化植物油的能量调整后每日摄入量(均值±标准差)分别为23±11和22±10克/天。在控制潜在混杂因素后,PHVO摄入量最高五分位数的女性的血浆C反应蛋白(CRP)浓度较高(与最低五分位数的百分比差异:45%;趋势P值:<0.01)、肿瘤坏死因子-α(TNF-α;66%;趋势P值:<0.01)、白细胞介素-6(72%;趋势P值:<0.05)和可溶性细胞间黏附分子-1(sICAM-1;22%;趋势P值:<0.01),均高于最低五分位数的女性。相比之下,非氢化植物油摄入量较高与CRP(最高和最低五分位数之间的百分比差异:-23%;趋势P值:0.05)、TNF-α(-29%;趋势P值:<0.01)、血清淀粉样蛋白A(-24%;趋势P值:<0.01)和sICAM-1(-19%;趋势P值:<0.05)的循环浓度较低有关。在某些情况下,对体重指数、空腹血糖和血脂谱进行调整后,这些关联略有减弱。

结论

较高的PHVO摄入量与炎症生物标志物浓度升高有关,而较高的非氢化植物油摄入量与这些生物标志物的较低血浆浓度有关。

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