Chocolate

巧克力
  • 文章类型: Journal Article
    从初级牙列到恒牙牙列的过渡是儿童口腔发育的一个重要阶段,然而,它对质地感知和食物接受度的影响却很少被探索。这项研究旨在调查牙列变化和牙齿脱落如何影响5至12岁儿童的质地偏好和饮食困难感。儿童(n=475)完成了一份强迫选择问卷,其中包括六个食物对的图纸,每个都有坚硬或柔软的质地,并报告他们是否开始失去乳牙和存在的齿隙数量。他们还品尝了四个样品:巧克力小吃(蛋糕和饼干)和切达干酪(磨碎和立方体),评估他们对每个样本的饮食难度和喜好。对问卷答复的分析表明,儿童普遍偏爱较软的食物质地,有36%的概率选择坚硬的食物。偏好与孩子的牙齿状态无关,包括主齿损失(p=.13)或齿间隙数(p=.45)。在味觉测试中,巧克力饼干和奶酪块被认为比巧克力蛋糕和磨碎的奶酪更难吃,分别(两者p<0.0001)。与牙齿间隙较少或没有牙齿间隙的儿童相比,具有两个以上牙齿间隙的儿童报告说,巧克力饼干和奶酪块的饮食困难更大。这项研究表明,儿童对食物硬度的质地偏好在牙列变化期间保持一致,而他们对进食困难的看法可能会根据他们在特定时间点的牙齿状态而有所不同。
    The transition from primary to permanent dentition is an important phase in children\'s oral development, yet its impact on texture perception and food acceptance are less explored. This study aimed to investigate how changing dentition and tooth loss influence texture preferences and perception of eating difficulty among children aged 5 to 12 years. Children (n = 475) completed a forced-choice questionnaire featuring drawings of six food pairs, each available in hard or soft texture, and reported whether they had started losing primary teeth and the number of tooth gaps present. They also tasted four samples: chocolate snacks (cake and biscuits) and cheddar cheese (grated and cubes), evaluating their perceived eating difficulty and liking for each sample. Analysis of questionnaire responses showed a general preference for softer food textures among children, with a 36% probability of choosing hard foods. Preferences were not related to child\'s dental state, including primary teeth loss (p = .13) or number of tooth gaps (p = .45). In the taste test, chocolate biscuits and cheese cubes were perceived as significantly more difficult to eat than chocolate cake and grated cheese, respectively (both p < .0001). Children with more than two tooth gaps reported greater eating difficulty for chocolate biscuits and cheese cubes compared to children with fewer or no tooth gaps. This study demonstrated that children\'s texture preferences for hardness of foods remained consistent during dentition change, while their perception of eating difficulty could vary based on their dental state at specific points in time.
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  • 文章类型: Journal Article
    最近,儿童日常消费的一些产品,如谷物和糖果,一直在上升,这为确定可能存在的任何金属物质提供了令人信服的理由。监测某些金属的浓度,像镍一样,在这些产品是必要的,由于医疗问题,在人类经常食用。所以,在这项工作中,制备了一种新型的高选择性碳糊作为Ni(II)离子选择性传感器,并使用陶瓷镁铝尖晶石纳米颗粒作为离子载体和磷酸三甲苯酯(TOCP)作为增塑剂进行了研究。采用改进的共沉淀法合成尖晶石纳米粒子。X射线衍射,扫描电子显微镜与EDAX,透射电子显微镜,和BET表面积用于确定相组成,微观结构,毛孔大小,颗粒大小,和合成的纳米颗粒的表面积。发现尖晶石纳米颗粒具有立方晶系的纳米微晶尺寸,粒径范围为17.2至51.52nm,介孔性质(平均孔径=8.72nm),和大的表面积(61.75m2/g)。基于电位法检测,在5.0×10-8至1.0×10-2molL-1的浓度下,石墨碳作为基质:TOCP作为粘合剂:脊柱作为离子载体的组成比为67.3:30.0:2.7(wt%)。-1,LOD为5.0×10-8molL-1。对于Nernstian斜率,在pH2.0-7.0下测量为29.22±0.12mVdecade-1。该传感器在9周内表现出良好的可重复性和8s的快速响应。在许多干扰物中,Ni(II)离子具有良好的选择性。三-,di-,和一价阳离子。加标实际样品中的Ni(II)含量,包括可卡因,糖果,古柯,巧克力,碳酸饮料,谷物,和包裹,被测量。根据F和t检验数据,所获得的结果表明,拟议的电位滴定法与官方报告的ICP方法之间没有显着差异。除了利用方差分析统计分析,验证程序已经实施,结果超过了ICP-MS方法。
    Lately, children\'s daily consumption of some products, such as cereals and candies, has been rising, which provides a compelling rationale for determining any metallic substances that may be present. Monitoring the concentration of certain metals, like nickel, in these products is necessary due to medical issues in humans when consumed regularly. So, in this work, a novel and highly selective carbon paste as a Ni(II) ion-selective sensor was prepared and investigated using ceramic magnesium aluminum spinel nanoparticles as the ionophore and tritolyl phosphate (TOCP) as a plasticizer. A modified co-precipitation method was used to synthesize the spinel nanoparticles. X-ray diffraction, scanning electron microscope with EDAX, transmission electron microscope, and BET surface area were used to determine the phase composition, microstructure, pores size, particle size, and surface area of the synthesized nanoparticles. The spinel nanoparticle was found to have a nano crystallite size with a cubic crystal system, a particle size ranging from 17.2 to 51.52 nm, mesoporous nature (average pore size = 8.72 nm), and a large surface area (61.75 m2/g). The composition ratio of graphite carbon as a base: TOCP as binder: spinal as ionophore was 67.3:30.0:2.7 (wt%) based on potentiometric detections over concentrations from 5.0 × 10-8 to 1.0 × 10-2 mol L-1 with LOD of 5.0 × 10-8 mol L-1. A measurement of 29.22 ± 0.12 mV decade-1 over pH 2.0-7.0 was made for the Nernstian slope. This sensor demonstrated good repeatability over nine weeks and a rapid response of 8 s. A good selectivity was shown for Ni(II) ions across many interferents, tri-, di-, and monovalent cations. The Ni(II) content in spiked real samples, including cocaine, sweets, coca, chocolate, carbonated drinks, cereals, and packages, were measured. The results obtained indicated no significant difference between the proposed potentiometric method and the officially reported ICP method according to the F- and t-test data. In addition to utilizing ANOVA statistical analysis, validation procedures have been implemented, and the results exceed the ICP-MS methodology.
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  • 文章类型: Journal Article
    这项研究旨在调查反复食用巧克力时的欲望和流涎反应,并研究这些反应如何受到与食物放松关系的影响,或“食物合法化”。流口水通常被用作欲望的代理,尽管这种相关性的证据好坏参半。我们假设,反复摄入巧克力,欲望和流涎都会减少。此外,研究表明,饮食习惯可能会影响习惯率。我们提出,具有食物合法化特征的人会更快地习惯巧克力,提供了一种与节制进食相关的奖励敏感性的替代机制。50名体重健康的人参与了这项研究,消耗五块巧克力(每块4克,22卡路里)超过试验。审判结束后,参与者被允许吃尽可能多的巧克力。结果表明,唾液分泌与重复食用巧克力的自我报告欲望无关。虽然欲望随着重复摄入和预测的随意摄入而降低,唾液分泌增加,不能预测随意食用。此外,食物合法化可以缓解进食欲望的反应率,但不影响唾液流量。这些发现表明,在吃巧克力时,流涎并不是一种可靠的生理欲望指标。相反,唾液分泌似乎反映了对巧克力感官特征的敏感性,与自我报告的欲望相比,对随后随意食用巧克力的预测较少。最后,与巧克力保持无忧无虑的关系可能有助于调节其消费,强调放松态度对待食物的潜在好处。
    This study aimed to investigate the responses in desire and salivation during repeated chocolate consumption, and examining how these responses are influenced by a relaxed relationship with food, or \'food legalizing\'. Salivation is often used as a proxy for desire, though evidence for this correlation is mixed. We hypothesized that both desire and salivation would decrease with repeated chocolate intake. Additionally, research has suggested that eating styles may affect habituation rates. We proposed that individuals with the food legalizing trait would habituate more rapidly to chocolate, providing an alternative mechanism to reward sensitivity associated with restrained eating. Fifty healthy-weight individuals participated in the study, consuming five blocks of chocolate (each 4 g, 22 calories) over trials. After the trials, participants were allowed to eat as much chocolate as they desired. The results showed that salivation was not correlated with self-reported desire over repeated chocolate consumption. While desire decreased with repeated intake and predicted ad libitum consumption, salivation increased and did not predict ad libitum consumption. Furthermore, food legalizing moderated the rate of responding in terms of the desire to eat but did not affect salivary flow. These findings suggest that salivation is not a reliable physiological measure of desire when eating chocolate. Instead, salivation appears to reflect sensitization to the sensory characteristics of chocolate and is less predictive of subsequent ad libitum chocolate consumption than self-reported desire. Lastly, having a carefree relationship with chocolate may help regulate its consumption, highlighting the potential benefits of a relaxed attitude toward food.
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  • 文章类型: Journal Article
    为了减少巧克力制造和储存过程中不必要的脂肪堆积,需要详细了解所含油脂的化学成分和分子流动性。虽然巧克力产品上脂肪的形成已经研究了几十年,关于预防和减少它,分子水平上的问题仍然有待回答。具有基于坚果的馅料的巧克力产品特别容易产生不期望的脂肪起霜。据认为,脂肪霜的化学成分主要由巧克力基质的三酰甘油酯组成,它迁移到巧克力的表面并在那里重结晶。油从填充物中迁移到巧克力中作为形成脂肪起霜的驱动力是讨论中的另一个因素。在这项工作中,通过MRI研究并证实了迁移,虽然通过NMR光谱和HPLC-MS测量了脂肪霜的化学成分,揭示了脂肪中最重要的三酰基甘油酯。HPLC-MS与800MHz的NMR光谱的组合允许详细的化学结构测定。开发了一种结合两种模式的快速例程,然后用于研究衰老,巧克力成分的影响,以及榛子馅料加工参数的影响,如坚果的烘烤和研磨程度或混合时间,关于脂肪绽放的形成。
    To reduce unwanted fat bloom in the manufacturing and storage of chocolates, detailed knowledge of the chemical composition and molecular mobility of the oils and fats contained is required. Although the formation of fat bloom on chocolate products has been studied for many decades with regard to its prevention and reduction, questions on the molecular level still remain to be answered. Chocolate products with nut-based fillings are especially prone to undesirable fat bloom. The chemical composition of fat bloom is thought to be dominated by the triacylglycerides of the chocolate matrix, which migrate to the chocolate\'s surface and recrystallize there. Migration of oils from the fillings into the chocolate as driving force for fat bloom formation is an additional factor in the discussion. In this work, the migration was studied and confirmed by MRI, while the chemical composition of the fat bloom was measured by NMR spectroscopy and HPLC-MS, revealing the most important triacylglycerides in the fat bloom. The combination of HPLC-MS with NMR spectroscopy at 800 MHz allows for detailed chemical structure determination. A rapid routine was developed combining the two modalities, which was then applied to investigate the aging, the impact of chocolate composition, and the influence of hazelnut fillings processing parameters, such as the degree of roasting and grinding of the nuts or the mixing time, on fat bloom formation.
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  • 文章类型: Journal Article
    这项研究的目的是评估每天食用50克可可含量为85%的巧克力与痤疮病变严重程度之间的关系。
    方法:该研究涉及92名痤疮患者,分为两组,A(n=51)和B(n=41)。在第一周,两组都必须遵循抗炎饮食(AID),接下来的4周,A组继续AID,B组接受了巧克力辅助治疗。在这段时间之后,B组开始为期4周的无巧克力援助,A组开始了为期4周的巧克力援助。使用研究者的静态全球评估量表评估痤疮病变的严重程度,其中零点表示无病变,五点表示严重痤疮。
    结果:由于消耗了50克巧克力,两组均观察到有统计学意义的痤疮病变加剧.在遵循巧克力饮食4周后,A组痤疮病变的严重程度从2.5±0.7增加到3.4±0.8分(p<0.0001),B组从2.4±0.7到3.5±0.6分(p<0.0001)。巧克力摄入量导致65名参与者痤疮病变加重1分,13名参与者中的2分,一名参与者中的3分。
    结论:获得的结果表明,每天食用50克可可含量为85%的巧克力,即使有抗炎的饮食,可能会加剧本研究组的痤疮病变。然而,目前尚不清楚哪些巧克力成分可能导致痤疮恶化。
    The aim of this study was to assess the relationship between the daily consumption of 50 g of chocolate with 85% cocoa content and the severity of acne lesions.
    METHODS: The study involved 92 participants with acne who were divided into two groups, A (n = 51) and B (n = 41). In the first week, both groups had to follow an anti-inflammatory diet (AID), then for the next 4 weeks, group A continued on with the AID, and group B followed an AID with chocolate. After this time, group B started a 4-week AID without chocolate, and group A started a 4-week AID with chocolate. The severity of acne lesions was assessed using the Investigator\'s Static Global Assessment scale, where zero points indicated no lesions and five points indicated severe acne.
    RESULTS: As a result of the consumption of 50 g of chocolate, a statistically significant intensification of acne lesions was observed in both groups. After 4 weeks of following the chocolate diet, the severity of acne lesions increased from 2.5 ± 0.7 to 3.4 ± 0.8 points (p < 0.0001) in group A, and from 2.4 ± 0.7 to 3.5 ± 0.6 points (p < 0.0001) in group B. Overall, chocolate intake contributed to the exacerbation of acne lesions by one point in 65 participants, by two points in 13 participants and by three points in one participant.
    CONCLUSIONS: The obtained results suggest that daily consumption of 50 g of chocolate with 85% cocoa content, even with an anti-inflammatory diet, may intensify acne lesions in this study group. However, it remains unclear which chocolate components may lead to the exacerbation of acne.
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  • 文章类型: Journal Article
    分析了9个月以上主要来源地区的生可可豆(n=870)中的沙门氏菌。在71中检测到(约8.2%)样品,除一个样品(4.1×104CFU/g)外,污染水平为0.3-46MPN/g。使用患病率和浓度数据作为输入,通过定量微生物风险评估(QMRA)方法计算了可可加工中的热处理对比利时随机巧克力消费者感染沙门氏菌病风险评估的影响.从生可可豆到可可液到假设的最终产品(70-90%黑巧克力片)的模块化过程风险模型,是为了了解生产过程中沙门氏菌浓度的变化。在豆子或笔尖蒸汽过程中进行不同的热处理,模拟了笔尖烘烤或液体灭菌(沙门氏菌减少0-6对数)。根据FAO/WHO沙门氏菌剂量反应模型和比利时的巧克力消费数据,估计了每次服务的沙门氏菌病风险和人口水平的每年病例。当沙门氏菌减少5对数时,估计每份平均风险为3.35×10-8(95%CI:3.27×10-10-1.59×10-7),估计每年的沙门氏菌病病例(1170万人口)为88例(95%CI:<1-418)。估计每份平均风险为3.35×10-9(95%CI:3.27×10-11-1.59×10-8),估计每年的沙门氏菌病病例为9例(95%CI:<1-42),减少6个对数。当前的QMRA模型仅考虑了可可工艺中单步热处理中沙门氏菌的减少。在其他工艺步骤(例如研磨)期间获得的失活可能发生,但未被考虑。由于目的是使用QMRA作为评估可可加工中对数减少的工具,不包括来自加工环境和成分的后污染.在可可工艺的单步热处理中,沙门氏菌最少减少5log,被认为是足够的。
    Salmonella in raw cocoa beans (n = 870) from main sourcing areas over nine months was analyzed. It was detected in 71 (ca. 8.2%) samples, with a contamination level of 0.3-46 MPN/g except for one sample (4.1 × 104 CFU/g). Using prevalence and concentration data as input, the impact of thermal treatment in cocoa processing on the risk estimate of acquiring salmonellosis by a random Belgian chocolate consumer was calculated by a quantitative microbiological risk assessment (QMRA) approach. A modular process risk model from raw cocoa beans to cocoa liquor up to a hypothetical final product (70-90% dark chocolate tablet) was set up to understand changes in Salmonella concentrations following the production process. Different thermal treatments during bean or nib steam, nib roasting, or liquor sterilization (achieving a 0-6 log reduction of Salmonella) were simulated. Based on the generic FAO/WHO Salmonella dose-response model and the chocolate consumption data in Belgium, salmonellosis risk per serving and cases per year at population level were estimated. When a 5 log reduction of Salmonella was achieved, the estimated mean risk per serving was 3.35 × 10-8 (95% CI: 3.27 × 10-10-1.59 × 10-7), and estimated salmonellosis cases per year (11.7 million population) was 88 (95% CI: <1-418). The estimated mean risk per serving was 3.35 × 10-9 (95% CI: 3.27 × 10-11-1.59 × 10-8), and the estimated salmonellosis cases per year was 9 (95% CI: <1-42), for a 6 log reduction. The current QMRA model solely considered Salmonella reduction in a single-step thermal treatment in the cocoa process. Inactivation obtained during other process steps (e.g. grinding) might occur but was not considered. As the purpose was to use QMRA as a tool to evaluate the log reduction in the cocoa processing, no postcontamination from the processing environment and ingredients was included. A minimum of 5 log reduction of Salmonella in the single-step thermal treatment of cocoa process was considered to be adequate.
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  • 文章类型: Journal Article
    巧克力是一种流行的食物,可能会影响自主神经系统(ANS)的活动。这项研究的目的是确定单剂量黑巧克力或牛奶巧克力在Stroop测试(ST)引起的休息和精神压力期间对ANS心脏控制的影响。
    健康的参与者,分为深色或牛奶巧克力组,摄入相应类型的巧克力(1克/千克体重)。在食用巧克力之前和之后2小时,他们在放松和ST期间进行了ANS测量。通过使用与复杂自主神经调节相关的参数(TP,SDNN)或原发性迷走神经调制(HFnu,RMSSD)。
    两组在ST期间HR总是增加。摄入巧克力后的放松HR值仅在DARK巧克力组中较高。ST期间,TP的值,DARK组摄入巧克力前后SDNN和HFnu均下降,但只有在牛奶组摄入巧克力之前。两组在摄入巧克力前后ST期间RMSSD值均降低。松弛TP,摄入巧克力后的RMSSD和HFnu值在DARK组中较低,而在MILK组中则没有。
    结果表明,即使是单剂量的牛奶巧克力也会减弱由精神压力引起的ANS心脏控制的变化,而单剂量的黑巧克力通过改变休息时的ANS心脏控制对心脏具有激活作用。两种巧克力中不同水平的糖和可可生物活性化合物可以解释观察到的效果。
    UNASSIGNED: Chocolate is a popular food that may affect the activity of the autonomic nervous system (ANS). The aim of this study was to determine the effect of a single dose of dark or milk chocolate on ANS cardiac control during rest and mental stress induced by the Stroop test (ST).
    UNASSIGNED: Healthy participants, divided into DARK or MILK chocolate groups, ingested corresponding type of chocolate (1 g/kg body weight). They underwent measurement of ANS during relaxation and ST before and 2 h after chocolate consumption. ANS control was assessed by determination of heart rate (HR) and heart rate variability using parameters related to complex autonomic modulation (TP, SDNN) or primary vagal modulation (HFnu, RMSSD).
    UNASSIGNED: HR was always increased during ST in both groups. Relaxation HR values after chocolate ingestion were higher only in the DARK chocolate group. During ST, values of TP, SDNN and HFnu decreased before and after chocolate ingestion in the DARK group, but only before chocolate ingestion in the MILK group. RMSSD values decreased during ST before and after chocolate ingestion in both groups. Relaxation TP, RMSSD and HFnu values after chocolate ingestion were lower in the DARK but not in the MILK group.
    UNASSIGNED: The results suggest that even a single dose of milk chocolate attenuates changes in ANS cardiac control induced by mental stress, whereas a single dose of dark chocolate has an activating effect on the heart via modification of ANS cardiac control at rest. Different levels of sugars and cocoa biologically active compounds in the two types of chocolate could explain the observed effects.
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  • 文章类型: Journal Article
    在这项研究中,我们开发并验证了液相色谱串联质谱(LC-MS/MS)方法,用于同时测定来自日本市场的各种大麻二酚(CBD)产品中的八种植物大麻素。该方法与正模式的电喷雾电离和使用QuEChERS的样品制备相结合。三种类型的商业产品,如蜂蜜,巧克力,和软糖用于通过LC-MS/MS和QuEChERS的统一方案进行准确定量。检测限和定量限分别为5-20µgg-1和10-40µgg-1。使用不含目标食物的基质确保了可重复性,对于所有目标,精度在±10%以内,相对标准偏差小于5%的精度。最后,该分析方法适用于来自日本市场的8系列商业样品。该统一协议将作为日本官方方法的参考。
    In this study, we developed and validated a liquid chromatography tandem mass spectrometry (LC-MS/MS) method for the simultaneous determination of eight phytocannabinoids in various cannabidiol (CBD) products from Japanese market. This method was combined with electrospray ionization in positive mode and sample preparation with QuEChERS. Three types of commercial products such as honey, chocolate, and gummies were used to perform accurate quantification with unified protocol of LC-MS/MS and QuEChERS. The limit of detection and quantification were 5-20 µg g-1 and 10-40 µg g-1, respectively. Reproducibility was ensured using matrices free of target foods, resulting in an accuracy within ±10 % and a precision with a relative standard deviation of less than 5 % for all targets. Finally, this analytical method was applied to 8 series of commercial samples from the Japanese market. This unified protocol will serve as a reference as an official method in Japan.
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  • 文章类型: Journal Article
    这项研究的目的是评估受巧克力配方影响的使用石材研磨机在巧克力研磨过程中巧克力流动行为的变化。评估了三种不同类型的巧克力。测试两种不添加牛奶的巧克力(70%巧克力)和两种添加牛奶且具有不同量的可可粒的巧克力(30%巧克力和14%巧克力)。对于70%的巧克力,使用了两种不同来源的笔尖;因此,总共评估了四个样本。巧克力在磨石机中加工,和样品作为研磨时间的函数。对于每个时间点,使用旋转流变仪测量样品的流动行为并拟合到Casson模型。使用激光散射仪器测量粒度。结果表明,随着研磨时间(较小的颗粒),屈服应力线性增加,而卡森塑料粘度呈指数下降。巧克力的粒度分布在短研磨时间(~9小时)表现出显著的双峰分布,小(~15µm)和大(~100µm)颗粒;研磨时间较长,较大颗粒的数量减少。70%巧克力的屈服应力值较高,但是测试的两种牛奶巧克力之间的差异并不大。对于70%的巧克力,卡森塑料粘度最大,其次是30%的巧克力。14%的巧克力具有最低的卡森塑料粘度。与牛奶巧克力相比,深色巧克力的Casson塑料粘度随粒径的变化更为明显。这些结果对需要更好地了解巧克力的配方和研磨如何影响其流动行为的小型巧克力生产商很有帮助。这将最终影响巧克力在生产过程中的处理。
    The objective of this research was to evaluate changes in flow behavior of chocolate during chocolate grinding using a stone grinder as affected by chocolate formulation. Three different types of chocolates were evaluated. Two chocolates without milk added (70% chocolate) and two chocolates with milk added and with different amounts of cocoa nibs (30% chocolate and 14% chocolate) were tested. For the 70% chocolates, nibs of two different origins were used; therefore, a total of four samples were evaluated. Chocolates were processed in a stone grinder, and samples were taken as a function of grinding time. For each timepoint, the flow behavior of the samples was measured using a rotational rheometer and fitted to the Casson model. Particle size was measured using a laser scattering instrument. Results showed that yield stress increased linearly while the Casson plastic viscosity decreased exponentially with grinding time (smaller particles). Particle size distribution of the chocolates showed a prominent bimodal distribution for short grinding times (∼9 h) with small (∼15 µm) and large (∼100 µm) particles; with longer grinding time, the population of larger particles decreased. Yield stress values were higher for the 70% chocolate, but they were not very different between the two milk chocolates tested. The Casson plastic viscosity was greatest for the 70% chocolate, followed by the 30% chocolate. The 14% chocolate had the lowest Casson plastic viscosity. Changes of Casson plastic viscosity with particle size were more evident for the dark chocolates compared to the milk ones. These results are helpful to small chocolate producers who need better understanding of how the formulation and grinding of chocolate affect its flow behavior, which will ultimately affect chocolate handling during production.
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  • 文章类型: Journal Article
    背景:我们进行了系统评价和荟萃分析,以检查饮食摄入可可对人体测量的影响,脂质和血糖分布,和成人的血压水平,有和没有合并症。
    方法:使用的数据库是MEDLINE(PubMed),EMBASE,WebofScience,科克伦,LILACS,还有SciELO.符合条件的研究是随机临床试验(RCT),涉及成人食用可可(可可提取物或≥70%可可黑巧克力)≥4周,评估了以下至少一种标记:体重,体重指数(BMI),腰围/腹围,总胆固醇,LDL-c,甘油三酯,HDL-c,血糖,糖化血红蛋白(HbA1c),收缩压和舒张压(SBP/DBP)。
    结果:纳入了31项研究,共有1986名参与者。可可消费对体重没有影响,BMI,腰围,甘油三酯,HDL-c和HbA1c。然而,总胆固醇降低(-8.35mg/dL,95%CI-14.01;-2.69mg/dL),LDL-c(-9.47mg/dL,95%CI-13.75;-5.20mg/dL),空腹血糖(-4.91mg/dL,95%CI-8.29;-1.52mg/dL),SBP(-2.52mmHg,95%CI-4.17;-0.88mmHg),和DBP(-1.58mmHg,95%CI-2.54;-0.62mmHg)。
    结论:食用可可对主要的心脏代谢风险标志物具有保护作用,在降低心血管风险方面具有临床影响。
    BACKGROUND: We conducted a systematic review and meta-analysis to examine the effect of dietary intake of cocoa on anthropometric measurements, lipid and glycemic profiles, and blood pressure levels in adults, with and without comorbidities.
    METHODS: The databases used were MEDLINE (PubMed), EMBASE, Web of Science, Cochrane, LILACS, and SciELO. The eligible studies were randomized clinical trials (RCTs) involving adults undergoing cocoa consumption (cocoa extract or ≥70% cocoa dark chocolate) for ≥4 weeks that evaluated at least one of the following markers: body weight, body mass index (BMI), waist/abdominal circumference, total cholesterol, LDL-c, triglycerides, HDL-c, blood glucose, glycated hemoglobin (HbA1c), and systolic and diastolic blood pressure (SBP/DBP).
    RESULTS: Thirty-one studies were included, totaling 1986 participants. Cocoa consumption showed no effects on body weight, BMI, waist circumference, triglycerides, HDL-c and HbA1c. Yet, there was a reduction in total cholesterol (-8.35 mg/dL, 95% CI -14.01; -2.69 mg/dL), LDL-c (-9.47 mg/dL, 95% CI -13.75; -5.20 mg/dL), fasting blood glucose (-4.91 mg/dL, 95% CI -8.29; -1.52 mg/dL), SBP (-2.52 mmHg, 95% CI -4.17; -0.88 mmHg), and DBP (-1.58 mmHg, 95% CI -2.54; -0.62 mmHg).
    CONCLUSIONS: The consumption of cocoa showed protective effects on major cardiometabolic risk markers that have a clinical impact in terms of cardiovascular risk reduction.
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