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Clin Nutr:含糖饮料增加代谢综合征风险,100%果汁降低代谢综合征风险!

2021-09-19 Nebula MedSci原创

含糖饮料可增加代谢综合征风险,100%果汁可降低代谢综合征风险

代谢综合征 (MetS) 是一组心脏代谢危险因素,包括腹部肥胖、血脂异常、血压升高和糖耐量异常。MetS 作为日益严峻的全球健康问题,是血管疾病和2型糖尿病的首要原因之一。

MetS 的发病率增加主要是由于当代人生活方式的变化,简言之,不健康的生活方式与 MetS 的发病率增加密切相关。含糖饮料(SSB)可通过多种途径,如引发饥饿、抑制饱腹感和增加总能量摄入,促进肥胖和体重增加,进而导致 MetS 的发生。

本研究旨在评估含糖饮料和100%果汁与 MetS 的前瞻性相关性,同时探究体重的改变是否会影响这种相关性。

在 8.9 年随访过程中,采用食物频率问卷评估参与 TLGS 研究的个体自 1915 年起 SSB 和 100%果汁的摄入量。根据体重变化将受试者分成三类:体重减轻(≥-2%)、体重稳定(-1.9%~1.9%)和体重增加(≥2%)。使用 Cox 回归模型确定摄入 SSB 和 100%果汁与 MetS 和 体重增加≥2%的风险之间的关相关性。

SSB和100%果汁摄入与体重增加和MetS风险的相关性

在粗略模型中,SSB 的摄入与 MetS 的风险之间没有显著关联;但是,在对混杂因素进行调整后,SSB 摄入与 MetS 风险之间存在显著的正相关性(HR: 1.33; 95% CI: 1.07–1.66)。同样的,在粗略模型中也未观察到 100%果汁摄入与 MetS 风险之间存在明显关联;但调整了混杂因素后,100%果汁摄入与 MetS 风险呈负相关(HR: 0.78; 95% CI: 0.63–0.95)。

100%果汁摄入和体重变化对MetS风险的综合影响的风险比

SSB 和100%果汁的摄入量与体重增加(≥2%) 呈正相关。尽管如此,在调整了生活方式和饮食因素后,SSB 的摄入量与体重增加之间没有显著关联。另一方面,100%果汁的饮用量与体重增加的风险增加呈正相关 (HR: 1.41; 95% CI: 1.20–1.65)。

在研究期间体重减轻的个体中,100%果汁饮用量的第1个、第2个和第3个三分位数的受试者的 MetS 风险分别降低了 29% (HR: 0.71; 95% CI: 0.51-0.99)、47% (HR: 0.53; 95% CI: 0.37-0.75) 和 35% (HR: 0.65; 95% CI: 0.46-0.92)。

总而言之,虽然饮用 100%果汁可降低 MetS 风险,但摄入过多还是会增加体重的,因此 100%果汁也不能喝太多,适量即可。另一方面,100%果汁降低 MetS 风险是依赖于个体体重的变化。因此,100%果汁喝多了,导致体重增加时,也会增加 MetS 风险。

原始出处:

Hosseinpour-Niazi Somayeh,Aghayan Maryam,Mirmiran Parvin et al. Does weight change modify the association between the consumption of sugar-sweetened beverages and 100% fruit juice and the risk of metabolic syndrome?[J] .Clin Nutr, 2021, 40: 5261-5268. https://doi.org/10.1016/j.clnu.2021.08.017

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    2021-11-06 ms7000001254421368

    建议适当饮用多关注BMI指数,还是适当合理饮用果汁还是多喝含矿物质的矿泉水更健康。

    0

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    2021-09-21 zhouqu_8
  3. [GetPortalCommentsPageByObjectIdResponse(id=1067499, encodeId=9dfc106e4995a, content=建议适当饮用多关注BMI指数,还是适当合理饮用果汁还是多喝含矿物质的矿泉水更健康。, beContent=null, objectType=article, channel=null, level=null, likeNumber=247, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b8ef5599876, createdName=ms7000001254421368, createdTime=Sat Nov 06 10:09:24 CST 2021, time=2021-11-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1432149, encodeId=5421143214984, content=<a href='/topic/show?id=f9b9e9124a8' target=_blank style='color:#2F92EE;'>#综合征#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=79124, encryptionId=f9b9e9124a8, topicName=综合征)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Tue Sep 21 08:23:58 CST 2021, time=2021-09-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1053096, encodeId=9f931053096ec, content=<a href='/topic/show?id=6e8910119e65' target=_blank style='color:#2F92EE;'>#饮料#</a>促进<a href='/topic/show?id=44c4254e47a' target=_blank style='color:#2F92EE;'>#代谢综合征#</a>几乎必然!果汁必须喝纯果汁🍏🍎🍐🍊🍋🫐🍓🍇🍉🍌🍈🍒🍑🥭🍍🥥🥝🍅🍆🥑, beContent=null, objectType=article, channel=null, level=null, likeNumber=229, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=101197, encryptionId=6e8910119e65, topicName=饮料), TopicDto(id=25474, encryptionId=44c4254e47a, topicName=代谢综合征)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220519/c2ab253484ee4527a2d4e9589a4821ac/45de9bf494a54becb2ea4369c9d11e85.jpg, createdBy=7a3710, createdName=医者仁者, createdTime=Sun Sep 19 20:12:52 CST 2021, time=2021-09-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1053079, encodeId=2a8210530e959, content=最好还是直接吃水果。, beContent=null, objectType=article, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210703/9c448fe1b3b54fd7bc9477662f4861bb/4bdadad22bfd46f2921aabb4c40265d3.jpg, createdBy=a8d81938466, createdName=weigq, createdTime=Sun Sep 19 18:59:17 CST 2021, time=2021-09-19, status=1, ipAttribution=)]
    2021-09-19 医者仁者

    #饮料#促进#代谢综合征#几乎必然!果汁必须喝纯果汁🍏🍎🍐🍊🍋🫐🍓🍇🍉🍌🍈🍒🍑🥭🍍🥥🥝🍅🍆🥑

    0

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    2021-09-19 weigq

    最好还是直接吃水果。

    0

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