目的:本研究的目的是探索绿色地中海(Green-MED)饮食的影响,膳食多酚和绿色植物蛋白质含量高,红色/加工肉类含量低,心血管疾病和炎症相关循环蛋白及其与心脏代谢风险参数的关系。
方法:在为期18个月的减肥试验中,饮食干预随机对照试验多酚未加工研究(DIRECT-PLUS),294名腹部肥胖参与者被随机分配到基本健康饮食指南中,地中海(MED),或绿色MED饮食。两个等热量MED饮食组食用核桃(28克/天),绿色MED饮食组还食用绿茶(3-4杯/天)和绿色奶昔(Mankai植物奶昔,500毫升/天),并避免红肉/加工肉。使用OlinkCVDII在三个时间点测量蛋白质组。
结果:在基线时,显性蛋白簇与较高的表型心脏代谢风险参数显着相关,与磁共振成像评估的内脏肥胖相关性最强(假发现率为5%)。总的来说,经过6个月的干预,MED和绿色MED饮食均可改善心血管疾病和促炎风险蛋白(p<0.05,vs.健康饮食指南),随着绿色MED饮食导致更明显的有益变化,主要由显性促炎蛋白(IL-1受体拮抗剂蛋白,IL-16,IL-18,血小板反应蛋白-2,瘦素,prostasin,半乳糖凝集素-9和成纤维细胞生长因子21;根据年龄调整,性别,和体重减轻;p<0.05)。18个月后,蛋白质组学簇变化与内脏肥胖减少的相关性最强。
结论:蛋白质组学集群可以增强我们对富含多酚和低红肉/加工肉的绿色MED饮食对内脏脂肪和心脏代谢风险的有利影响的理解。
OBJECTIVE: The objective of this
study was to explore the effects of a green Mediterranean (green-MED) diet, which is high in dietary
polyphenols and green plant-based protein and low in red/processed meat, on cardiovascular disease and inflammation-related circulating proteins and their associations with cardiometabolic risk parameters.
METHODS: In the 18-month weight loss
trial Dietary Intervention Randomized Controlled
Trial Polyphenols Unprocessed
Study (DIRECT-PLUS), 294 participants with abdominal obesity were randomized to basic healthy dietary guidelines, Mediterranean (MED), or green-MED diets. Both isocaloric MED diet groups consumed walnuts (28 g/day), and the green-MED diet group also consumed green tea (3-4 cups/day) and green shakes (Mankai plant shake, 500 mL/day) and avoided red/processed meat. Proteome panels were measured at three time points using Olink CVDII.
RESULTS: At baseline, a dominant protein cluster was significantly related to higher phenotypic cardiometabolic risk parameters, with the strongest associations attributed to magnetic resonance imaging-assessed visceral adiposity (false discovery rate of 5%). Overall, after 6 months of intervention, both the MED and green-MED diets induced improvements in cardiovascular disease and proinflammatory risk proteins (p < 0.05, vs. healthy dietary guidelines), with the green-MED diet leading to more pronounced beneficial changes, largely driven by dominant proinflammatory proteins (IL-1 receptor antagonist protein, IL-16, IL-18, thrombospondin-2, leptin, prostasin, galectin-9, and fibroblast growth factor 21; adjusted for age, sex, and weight loss; p < 0.05). After 18 months, proteomics cluster changes presented the strongest correlations with visceral adiposity reduction.
CONCLUSIONS: Proteomics clusters may enhance our understanding of the favorable effect of a green-MED diet that is enriched with
polyphenols and low in red/processed meat on visceral adiposity and cardiometabolic risk.