caloric restriction

热量限制
  • 文章类型: Journal Article
    热量限制(CR)和雷帕霉素(RM)治疗,mTORC1生长促进信号通路的抑制剂,众所周知,从蠕虫到人类,可以减缓衰老并促进健康。在转录组和蛋白质组水平,长期CR和RM治疗有部分重叠的效果,虽然它们对细胞信号通路内蛋白质磷酸化的影响尚未比较。在这里我们测量了比目鱼的磷酸化蛋白质组,胫骨前肌,成年(10个月)和30个月大(老年)小鼠的肱三头肌和腓肠肌接受对照,从15个月起限制卡路里或含RM的饮食。我们可重复地检测和广泛分析了总共6960个磷酸位点,1415,其中没有在标准存储库中表示。我们揭示了这些干预措施对已知mTORC1途径底物的影响,CR显示比RM更大的肌肉间变异。总的来说,CR和RM在很大程度上是一致的,但是对磷酸化蛋白质组的长期影响在数量上截然不同,不同程度地减轻与年龄相关的变化。我们的数据扩展了小鼠蛋白质磷酸化位点的目录,提供有关其组织特异性的重要信息,并揭示长期营养传感途径抑制对小鼠骨骼肌的影响。
    Calorie restriction (CR) and treatment with rapamycin (RM), an inhibitor of the mTORC1 growth-promoting signaling pathway, are known to slow aging and promote health from worms to humans. At the transcriptome and proteome levels, long-term CR and RM treatments have partially overlapping effects, while their impact on protein phosphorylation within cellular signaling pathways have not been compared. Here we measured the phosphoproteomes of soleus, tibialis anterior, triceps brachii and gastrocnemius muscles from adult (10 months) and 30-month-old (aged) mice receiving either a control, a calorie restricted or an RM containing diet from 15 months of age. We reproducibly detected and extensively analyzed a total of 6960 phosphosites, 1415 of which are not represented in standard repositories. We reveal the effect of these interventions on known mTORC1 pathway substrates, with CR displaying greater between-muscle variation than RM. Overall, CR and RM have largely consistent, but quantitatively distinct long-term effects on the phosphoproteome, mitigating age-related changes to different degrees. Our data expands the catalog of protein phosphorylation sites in the mouse, providing important information regarding their tissue-specificity, and revealing the impact of long-term nutrient-sensing pathway inhibition on mouse skeletal muscle.
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  • 文章类型: Journal Article
    育龄妇女超重和肥胖的患病率会导致重大的健康风险,包括不良的代谢和生殖结果。有效的饮食干预对于改善该人群的健康结果至关重要。这项研究调查了12周的饮食干预对超重育龄女性脂肪组织代谢指标的影响,确定热量限制或低淀粉饮食是否更有效,同时还考虑唾液淀粉酶活性。共有67名超重育龄妇女参加了一项随机对照试验(RCT)。根据使用分光光度法测量的基线唾液淀粉酶活性,将参与者分为高唾液淀粉酶(HSA)和低唾液淀粉酶(LSA)组。每组进一步细分为两个饮食干预组:热量限制(CR)和低淀粉(LS),导致四个亚组(HSA-CR,HSA-LS,LSA-CR,LSA-LS),连同正常体重个体的对照组(CTR)(无干预)。参与者被分配到热量限制饮食或低淀粉饮食12周。脂肪组织的关键代谢标志物,包括胰岛素敏感性,脂肪因子,细胞因子,和脂质分布,在基线(T0)测量,食用含淀粉麦片(T1)后30分钟,干预后12周(T2)。活性GLP-1,胰高血糖素,和C肽水平进行了评估,以阐明饮食影响的激素机制。还测量唾液淀粉酶活性以检查其在调节葡萄糖和GLP-1应答中的作用。两种饮食干预都导致脂肪组织代谢标志物的显着改善,虽然不同的。卡路里限制通过有效减少内脏脂肪量和增强胰岛素信号通路来改善胰岛素敏感性。相比之下,低淀粉饮食与部分受GLP-1水平变化影响的葡萄糖变异系数降低有关.我们的发现强调了个性化饮食策略对优化这一人群代谢健康的重要性。
    The prevalence of overweight and obesity in women of reproductive age leads to significant health risks, including adverse metabolic and reproductive outcomes. Effective dietary interventions are critical to improving health outcomes in this population. This study investigates the impact of a 12-week diet intervention on metabolic markers of adipose tissue in overweight women of reproductive age, determining whether calorie restriction or low-starch diets are more effective, while also accounting for salivary amylase activity. A total of 67 overweight women of reproductive age were enrolled in a randomized controlled trial (RCT). Participants were divided into high-salivary-amylase (HSA) and low-salivary-amylase (LSA) groups based on baseline salivary amylase activity measured using a spectrophotometric method. Each group was further subdivided into two dietary intervention groups: calorie restriction (CR) and low starch (LS), resulting in four subgroups (HSA-CR, HSA-LS, LSA-CR, LSA-LS), along with a control group (CTR) of normal-weight individuals (no intervention). Participants were assigned to a calorie-restricted diet or a low-starch diet for 12 weeks. Key metabolic markers of adipose tissue, including insulin sensitivity, adipokines, cytokines, and lipid profiles, were measured at baseline (T0), 30 min after consuming starch-containing muesli (T1), and 12 weeks after intervention (T2). Active GLP-1, glucagon, and C-peptide levels were assessed to clarify the hormonal mechanisms underlying the dietary effects. Salivary amylase activity was also measured to examine its role in modulating glucose and GLP-1 responses. Both diet interventions led to significant improvements in metabolic markers of adipose tissue, though different ones. Calorie restriction improved insulin sensitivity by effectively reducing visceral fat mass and enhancing insulin signaling pathways. In contrast, the low-starch diet was linked to a reduction in the coefficient of glucose variation influenced partly by changes in GLP-1 levels. Our findings highlight the importance of personalized diet strategies to optimize metabolic health in this demographic.
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  • 文章类型: Journal Article
    Roux-en-Y胃旁路术(RYGB)是治疗严重肥胖的最有效方法。低热量饮食(VLCD)是治疗肥胖的另一种有效的饮食干预措施。这项研究评估了VLCD与RYGB对减轻体重的影响,12周内身体成分的变化和合并症的解决。肥胖诊所的肥胖患者,Ramathibodi医院,Mahidol大学,招募了体重指数(BMI)≥37.5kg/m2或≥32.5kg/m2的肥胖相关并发症的泰国。治疗方案,RYGB或VLCD,根据患者的偏好和医生的判断进行分配。该分析包括RYGB组的16名参与者和VLCD组的15名参与者。组间基线特征相似;尽管如此,VLCD组的参与者明显年轻于RYGB组.RYGB组中2型糖尿病(T2D)患者的数量略高(43.8%vs.33.3%,p=0.552)。此外,RYGB组患者的T2D持续时间较长,并接受抗糖尿病药物治疗,而VLCD患者仅接受生活方式的改变。12周时,RYGB和VLCD组的总体重减轻和百分比体重减轻,分别,如下:-17.6±6.0kg与-15.6±5.1kg(p=0.335)和-16.2%±4.3%vs.-14.1%±3.6%(p=0.147)。在12周时,两组之间的生化数据变化和合并症的分辨率相似。与RYGB相比,12周的VLCD导致类似的体重减轻和代谢改善。需要长期随访的大规模研究来阐明VLCD是否是减肥手术的可行替代疗法。
    Roux-en-Y gastric bypass (RYGB) is the most effective treatment for severe obesity. A very low-calorie diet (VLCD) is another effective dietary intervention to treat obesity. This study evaluated the effect of a VLCD versus RYGB on weight reduction, changes in body composition and the resolution of comorbidities during a 12-week period. Individuals with obesity at the obesity clinic, Ramathibodi Hospital, Mahidol University, Thailand with a body mass index (BMI) ≥ 37.5 kg/m2 or ≥32.5 kg/m2 with obesity-related complications were recruited. Treatment options, either RYGB or VLCD, were assigned depending on patients\' preferences and physicians\' judgment. The analysis included 16 participants in the RYGB group and 15 participants in the VLCD group. Baseline characteristics were similar between groups; nevertheless, the participants in the VLCD group were significantly younger than those in the RYGB group. The number of patients with type 2 diabetes (T2D) was slightly higher in the RYGB group (43.8% vs. 33.3%, p = 0.552). Additionally, patients in the RYGB group had a longer duration of T2D and were treated with anti-diabetic agents, while VLCD patients received only lifestyle modifications. At 12 weeks, total and percentage weight loss in the RYGB and VLCD groups, respectively, were as follows: -17.6 ± 6.0 kg vs. -15.6 ± 5.1 kg (p = 0.335) and -16.2% ± 4.3% vs. -14.1% ± 3.6% (p = 0.147). Changes in biochemical data and the resolution of comorbidities were similar between the groups at 12 weeks. A 12-week VLCD resulted in similar weight loss and metabolic improvement compared with RYGB. Large-scale studies with long follow-up periods are needed to elucidate whether VLCD is a viable alternative treatment to bariatric surgery.
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  • 文章类型: Journal Article
    衰老和肥胖交织在一个恶性循环中,导致一般和大脑特定功能下降。Kapogiannis及其同事证明,仅实施8周的两种不同的低热量治疗方案可以增强肥胖老年人的认知和衰老的生化指标。
    Aging and obesity are intertwined in a vicious circle that leads to declining general and brain-specific functions. Kapogiannis and colleagues demonstrate that implementing just 8 weeks of two distinct low-calorie regimes can enhance cognition and biochemical markers of aging in older people with obesity.
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  • 文章类型: Journal Article
    新生隐球菌(Cn)是一种机会性酵母,可引起免疫功能低下的个体的脑膜脑炎。卡路里限制(CR)延长了Cn的复制寿命(RLS),并模拟了Cn在感染期间所处的低糖环境。CR介导的应激的作用在菌株之间可能不同,并且仅在MATa细胞中进行了研究。Cn有性复制,产生两种交配类型,MATα和MATa。MATα菌株在临床和环境分离株中更占优势。我们试图比较同基因MATα和MATa之间CR应激和寿命调节的影响。尽管MATα和MATa细胞对CR的反应延长了它们的RLS,他们从事不同的途径。在CR下,在MATα细胞中沉默调节蛋白上调,但不是在MATA细胞。在KN99α中,RLS扩展是SIR2依赖性的,但不是在KN99a。在CR下,MATa菌株的TOR营养传感途径下调,而MATα菌株没有差异。在KN99α细胞中观察到较低的氧化应激和较高的ATP产量,可能是由于较高的SOD表达。SIR2对两种交配类型的线粒体形态和功能都很重要。在CR期间增加的ATP产量为上调的ABC转运蛋白提供动力,增加MATα细胞的外排。这导致氟康唑耐受性增强,而MATa细胞对氟康唑仍然敏感。我们的调查强调了交配类型对CR的反应差异。
    Cryptococcus neoformans (Cn) is an opportunistic yeast that causes meningoencephalitis in immunocompromised individuals. Calorie restriction (CR) prolongs Cn replicative lifespan (RLS) and mimics low-glucose environments in which Cn resides during infection. The effects of CR-mediated stress can differ among strains and have only been studied in MATα cells. Cn replicates sexually, generating two mating types, MATα and MATa. MATα strains are more dominant in clinical and environmental isolates. We sought to compare the effects of CR stress and longevity regulation between congenic MATα and MATa. Although MATα and MATa cells extended their RLS in response to CR, they engaged different pathways. The sirtuins were upregulated in MATα cells under CR, but not in MATa cells. RLS extension was SIR2-dependent in KN99α, but not in KN99a. The TOR nutrient-sensing pathway was downregulated in MATa strains under CR, while MATα strains demonstrated no difference. Lower oxidative stress and higher ATP production were observed in KN99α cells, possibly due to higher SOD expression. SIR2 was important for mitochondrial morphology and function in both mating types. Increased ATP production during CR powered the upregulated ABC transporters, increasing efflux in MATα cells. This led to enhanced fluconazole tolerance, while MATa cells remained sensitive to fluconazole. Our investigation highlights differences in the response of the mating types to CR.
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  • 文章类型: Journal Article
    准确的体重预测对于体重管理计划患者至关重要。免费提供的美国国立卫生研究院体重计划器(NIH-BWP)随时间返回预期体重,但当患者食用低热量饮食时,会高估体重。这项研究旨在提高NIH-BWP预测低热量饮食人群体重的准确性。如果参加体重管理计划的人在该计划的减肥阶段的3个月内接受了具有确定的卡路里含量的膳食替代品,则包括在内。渥太华体重减轻预测模型(OWL-PM)使用基于患者因素的纵向分析方法对观察到的体重与NIH-BWP预测体重之间的相对差异进行了建模。OWL-PM进行了外部验证。包括1761人(平均年龄46岁,73.3%的女性),平均(SD)体重和体重指数为271.9(55.6)和43.9(7.4),分别。在该计划的减肥阶段结束时,患者减重中位数(IQR)为基线体重的17.1%(14.8-19.5).观察到的体重相对于NIH-BWP预测体重的中值为-4.9%,但范围为-32.1%至+28.5%。调整后,NIH-BWP的体重高估在男性患者中最为明显,无糖尿病且观察时间增加的人群。OWL-PM在3个月时返回的预期体重明显比单独使用NIH-BWP的体重更准确(观察到的平均差异与预期[95%CI]6.7磅[6.4-7.0]与12.6磅[12.1-13.0])。在外部验证队列中(n=106),OWL-PM明显比NIH-BWP更准确(均方误差24.3vs.40.0,p=0.0018)。OWL-PM结合了患者水平的协变量,可显着提高摄入低热量饮食的患者NIH-BWP的体重预测准确性。
    Accurate weight predictions are essential for weight management program patients. The freely available National Institutes of Health Body Weight Planner (NIH-BWP) returns expected weights over time but overestimates weight when patients consume a low-calorie diet. This study sought to increase the accuracy of NIH-BWP predicted weights for people on low-calorie diets. People enrolled in a weight management program were included if they received meal replacements with defined caloric content for the 3 months of the weight loss phase of the program. The Ottawa Weight Loss Prediction Model (OWL-PM) modelled the relative difference between observed and NIH-BWP predicted weights using longitudinal analysis methods based on patient factors. OWL-PM was externally validated. 1761 people were included (mean age 46 years, 73.3% women) with a mean (SD) baseline weight in pounds and body mass index of 271.9 (55.6) and 43.9 (7.4), respectively. At the end of the program\'s weight loss phase, people lost a median (IQR) of 17.1% (14.8-19.5) of their baseline weight. Observed weight relative to NIH-BWP predicted weights had a median value of - 4.9% but ranged from - 32.1% to + 28.5%. After adjustment, weight overestimation by NIH-BWP was most pronounced in male patients, people without diabetes and with increased observation time. OWL-PM returned expected weights at 3 months that were significantly more accurate than those from NIH-BWP alone (mean difference observed vs. expected [95% CI] 6.7lbs [6.4-7.0] vs. 12.6lbs [12.1-13.0]). In the external validation cohort (n = 106), OWL-PM was significantly more accurate than NIH-BWP (mean squared error 24.3 vs. 40.0, p = 0.0018). OWL-PM incorporated patient-level covariates to significantly increase weight prediction accuracy of NIH-BWP in patients consuming a low-calorie diet.
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  • 文章类型: Journal Article
    目标:以前,我们证明了热量限制(CR)刺激合成,共轭,分泌,以及肠中牛磺酸和胆汁酸的去偶联,以及它们的再吸收。考虑到牛磺酸的强效抗肥胖特性,本研究旨在评估CR诱导的牛磺酸稳态改变是否会导致脂肪组织丢失.
    方法:雄性C57Bl/6小鼠接受20%CR或随意喂养,随着笼子床上用品和肠道微生物群条件的变化。其他组接受牛磺酸补充或饲喂低牛磺酸饮食(LTD)。
    结果:在CR动物中,源自肠的牛磺酸优先被运输到附睾白色脂肪组织(eWAT),而不是其他测试器官。除了增加牛磺酸转运蛋白TauT的水平,参与牛磺酸合成的半胱氨酸双加氧酶(Cdo)的基因表达在CReWAT中上调。脂肪细胞中牛磺酸的浓度与CR小鼠的脂肪垫重量呈负相关。不同类型的笼式垫料不会影响eWAT牛磺酸水平;但是,缺乏床上用品和食用高可溶性纤维的饮食。用抗生素耗尽肠道微生物群或抑制胆盐水解酶(BSH)活性可降低CR小鼠的WAT牛磺酸浓度。补充牛磺酸会增加WAT和棕色脂肪组织(BAT)中的牛磺酸水平,促进CR动物的脂肪损失。LTD消费减弱了CR动物的WAT损失,对BAT的影响微不足道。
    结论:这项研究为牛磺酸在CR引发的脂肪减少中的作用提供了多种见解,并描述了肝脏之间的一种新的沟通路径,gut,gut微生物群,和WAT,牛磺酸充当信使。
    OBJECTIVE: Previously, we demonstrated that caloric restriction (CR) stimulates the synthesis, conjugation, secretion, and deconjugation of taurine and bile acids in the intestine, as well as their reuptake. Given taurine\'s potent anti-obesogenic properties, this study aimed to assess whether the CR-induced shift in taurine homeostasis contributes to adipose tissue loss.
    METHODS: Male C57Bl/6 mice were subjected to 20% CR or ad libitum feeding, with variations in cage bedding and gut microbiota conditions. Additional groups received taurine supplementation or were fed a low-taurine diet (LTD).
    RESULTS: In CR animals, taurine derived from the intestine was preferentially trafficked to epididymal white adipose tissue (eWAT) over other tested organs. Besides increased levels of taurine transporter TauT, gene expression of Cysteine dioxygenase (Cdo) involved in taurine synthesis was upregulated in CR eWAT. Taurine concentration in adipocytes was inversely correlated with fat pad weight of CR mice. Different types of cage bedding did not impact eWAT taurine levels; however, the lack of bedding and consumption of a diet high in soluble fiber did. Depleting gut microbiota with antibiotics or inhibiting bile salt hydrolase (BSH) activity reduced WAT taurine concentration in CR mice. Taurine supplementation increased taurine levels in WAT and brown adipose tissue (BAT), promoting fat loss in CR animals. LTD consumption blunted WAT loss in CR animals, with negligible impact on BAT.
    CONCLUSIONS: This study provides multiple insights into taurine\'s role in CR-triggered fat loss and describes a novel communication path between the liver, gut, microbiota, and WAT, with taurine acting as a messenger.
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    文章类型: Journal Article
    常规化学疗法可以通过增加肿瘤抗原性来刺激免疫系统(例如,新抗原暴露于免疫细胞)和改变肿瘤中的佐剂性(例如,危险相关的分子模式和细胞因子)。这些分子促进了招募,激活,和树突状细胞的成熟,反过来,启动和激活针对肿瘤细胞的细胞毒性T细胞。然而,几个因素可以降低化疗药物的免疫刺激功效。这些包括在局部和全身水平上降低的肿瘤细胞抗原性和佐剂性以及受损的免疫功能。临床前研究的结果表明,饮食限制和运动促进全身变化,可能有助于通过几种机制恢复免疫系统功能,包括抗肿瘤免疫细胞的浸润和功能增强以及免疫抑制细胞的减少,导致肿瘤体积减小。此外,小鼠的饮食限制和运动训练已被证明可以增强化疗的功效。在人体研究中,也有新的证据表明,饮食限制和运动可以影响免疫系统,使其具有更高的抗肿瘤能力。在这次审查中,我们讨论了饮食限制(热量限制和禁食)和运动训练在临床前癌症模型中的免疫刺激效应,以及与化疗的潜在协同作用。然后,我们回顾了评估这些干预措施对免疫相关终点和肿瘤反应影响的临床研究。最后,我们认为,饮食限制与运动相结合可能是提高化疗疗效的有前景的策略.
    Conventional chemotherapies can stimulate the immune system by increasing tumour antigenicity (e.g., neoantigen exposure to immune cells) and altering adjuvanticity in the tumour (e.g., danger associated molecular patterns and cytokines). These molecules promote the recruitment, activation, and maturation of dendritic cells, which in turn, prime and activate cytotoxic T cells against tumour cells. However, several factors can decrease the immunostimulatory efficacy of chemotherapeutic agents. These include reduced tumour cell antigenicity and adjuvanticity and compromised immune function at a local and systemic level. Findings from preclinical studies show that dietary restriction and exercise promote systemic changes that may help to restore immune system function through several mechanisms, including an enhanced infiltration and function of antitumoral immune cells and a decrease in immunosuppressive cells, leading to a reduction in tumour volume. In addition, dietary restriction and exercise training in mice have been shown to enhance the efficacy of chemotherapy. In human studies there is also emerging evidence that dietary restriction and exercise can impact the immune system towards a more antitumoral profile. In this review, we discuss the immunostimulatory effects of dietary restriction (caloric restriction and fasting) and exercise training in preclinical cancer models, and potential synergies with chemotherapy. We then review clinical studies assessing the effects of these interventions on immune-related endpoints and tumour responses. Finally, we propose that combining dietary restriction with exercise could be a promising strategy to increase chemotherapy efficacy.
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  • 文章类型: Journal Article
    在从酵母到人类的生物体中观察到溶酶体酸化和功能随着老化而下降。V-ATPases在细胞器酸化中起核心作用,并且V-ATPase活性在许多不同的环境中受到可逆分解的调节。使用酿酒酵母作为复制老化模型,我们证明了V-ATP酶在衰老细胞中分解成它们的V1和V0亚复合物,V1亚基C(Vma5)从溶酶体样液泡释放到细胞质中。在>5次细胞分裂后观察到分解,并导致整体液泡碱化。热量限制,扭转许多与年龄相关的结果的既定机制,防止V-ATPase在老年细胞中分解,并保持液泡pH稳态。可逆拆卸部分受两个相对和保守因素的活动控制,RAVE复合物和Oxr1。RAVE复合物促进V-ATPase组装,rav1Δ突变体缩短复制寿命;Oxr1促进拆解,oxr1Δ突变延长寿命。重要的是,Rav2的级别,RAVE复合体的关键亚基,衰老细胞的下降。这些数据表明,随着年龄的增长,减少的V-ATPase组装有助于溶酶体酸化的损失。影响复制寿命。
    Declines in lysosomal acidification and function with aging are observed in organisms ranging from yeast to humans. V-ATPases play a central role in organelle acidification and V-ATPase activity is regulated by reversible disassembly in many different settings. Using the yeast Saccharomyces cerevisiae as a replicative aging model, we demonstrate that V-ATPases disassemble into their V1 and V0 subcomplexes in aging cells, with release of V1 subunit C (Vma5) from the lysosome-like vacuole into the cytosol. Disassembly is observed after ≥5 cell divisions and results in overall vacuole alkalinization. Caloric restriction, an established mechanism for reversing many age-related outcomes, prevents V-ATPase disassembly in older cells and preserves vacuolar pH homeostasis. Reversible disassembly is controlled in part by the activity of two opposing and conserved factors, the RAVE complex and Oxr1. The RAVE complex promotes V-ATPase assembly and a rav1Δ mutant shortens replicative lifespan; Oxr1 promotes disassembly and an oxr1Δ mutation extends lifespan. Importantly, the level of Rav2, a key subunit of the RAVE complex, declines in aged cells. These data indicate that reduced V-ATPase assembly contributes to the loss of lysosome acidification with age, which affects replicative lifespan.
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  • 文章类型: Journal Article
    背景:多囊卵巢综合征(PCOS)是最常见的卵巢功能障碍。最近的研究表明,甘草对代谢谱的有效性,但发现不一致。所以,我们调查了甘草对肥胖指数的影响,血糖指数,PCOS女性的血脂状况。
    方法:这是随机的,双盲,我们对66名超重/肥胖的PCOS女性进行了安慰剂对照试验.参与者被随机分配接受1.5克/天的甘草提取物加低热量饮食(n=33)或安慰剂加低热量饮食(n=33),为期8周。使用标准协议评估参与者的人体测量指数和身体成分。空腹血糖(FBS),胰岛素水平,低密度脂蛋白胆固醇(LDL-C),总胆固醇(TC),甘油三酯(TG),使用酶试剂盒测量高密度脂蛋白胆固醇(HDL-C)。使用有效公式计算稳态模型评估-胰岛素抵抗(HOMA-IR)和β细胞功能的HOMA(HOMA-B)。
    结果:组间比较表明,两组之间在肥胖指数方面存在显着差异(体重,BMI,和身体脂肪),血脂谱(TG,TC,LDL-C,和HDL-C),FBS和胰岛素水平,HOMA-IR,研究结束时HOMA-B(P<0.05)。在调整混杂因素后,补充甘草加低热量饮食也比单独低热量饮食更有效地改善所有参数(基线值,年龄,体重变化,和身体活动变化)(P<0.05)。
    结论:研究结果表明,食用甘草可以改善肥胖指数,葡萄糖稳态,和与安慰剂相比的脂质分布。由于本研究可能存在的局限性,需要进一步的研究来证实这些发现.
    BACKGROUND: Polycystic ovary syndrome (PCOS) is the most common ovarian dysfunction. Recent studies showed the effectiveness of licorice on metabolic profiles with inconsistent findings. So, we investigated the effect of licorice on obesity indices, glycemic indices, and lipid profiles in women with PCOS.
    METHODS: This randomized, double-blind, placebo-controlled trial was performed on 66 overweight/obese women with PCOS. The participants were randomly assigned to receive either 1.5 gr/day licorice extract plus a low-calorie diet (n = 33) or placebo plus a low-calorie diet (n = 33) for 8 weeks. Participants\' anthropometric indices and body composition were assessed using standard protocols. Fasting blood sugar (FBS), insulin levels, low-density lipoprotein-cholesterol (LDL-C), total cholesterol (TC), triglyceride (TG), and high-density lipoprotein-cholesterol (HDL-C) were measured using enzymatic kits. The homeostasis model assessment-insulin resistance (HOMA-IR) and HOMA of β-cell function (HOMA-B) were calculated using valid formulas.
    RESULTS: Between-group comparisons demonstrated significant differences between the groups in terms of obesity indices (body weight, BMI, and body fat), lipid profiles (TG, TC, LDL-C, and HDL-C), FBS and insulin levels, HOMA-IR, and HOMA-B at the end of the study (P < 0.05). Supplementation with licorice plus a low-calorie diet was also more effective in improving all parameters than a low-calorie diet alone after adjusting for confounders (baseline values, age, weight changes, and physical activity changes) (P < 0.05).
    CONCLUSIONS: The findings showed that licorice consumption leads to improvements in obesity indices, glucose homeostasis, and lipid profiles compared to placebo. Due to possible limitations of the study, further research is needed to confirm these findings.
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