diet composition

饮食组成
  • 文章类型: Journal Article
    格陵兰岛的水域拥有高物种丰富度和凝胶状浮游动物(GZP)的生物量;但是,它们在许多鱼类的饮食中的作用,包括商业开发的物种,尚未验证。传统上,GZP被认为是营养的死胡同,即作为较高营养水平的猎物的贡献有限。我们对两个基因片段(COI,18SV1-V2)对格陵兰水域中7种中上层和底栖鱼类的胃内容物,以确定它们的猎物组成以及GZP捕食的发生。我们在所有被调查鱼类的胃中检测到GZPDNA读数,发生的频率从12.5%(对于黑色素)到50%(对于阿根廷)。尚未报道其中一些物种的GZP捕食。发现GZP主要有助于A.silus和Anarhichasdeticulatus的饮食,特别是,虹吸体Nanomiacara和镰刀虫Atolla作为猎物非常重要,分别。使用多种遗传标记使我们能够在鱼胃中检测到总共59个GZP分类群,仅通过其中一种标记就可以检测到几种GZP物种。
    The waters of Greenland harbour a high species richness and biomass of gelatinous zooplankton (GZP); however, their role in the diet of the many fish species, including commercially exploited species, has not yet been verified. Traditionally, GZP was considered to be a trophic dead end, i.e. with a limited contribution as prey for higher trophic levels. We applied DNA metabarcoding of two gene fragments (COI, 18S V1-V2) to the stomach contents of seven pelagic and demersal fish species in Greenland waters, to identify their prey composition as well as the occurrence of GZP predation. We detected GZP DNA reads in the stomachs of all investigated fish species, with frequency of occurrences ranging from 12.5% (for Melanogrammus aeglefinus) to 50% (for Argentina silus). GZP predation had not yet been reported for several of these species. GZP were found to majorly contribute to the diet of A. silus and Anarhichas denticulatus, particularly, the siphonophore Nanomia cara and the scyphozoan Atolla were of a high importance as prey, respectively. The use of multiple genetic markers enabled us to detect a total of 59 GZP taxa in the fish stomachs with several GZP species being detected only by one of the markers.
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  • 文章类型: Journal Article
    这项研究彻底检查了三种鲸类监测方法,并评估了它们的优势和局限性。为全面的构图信息奠定基础,分布,和行为。虽然实时和非侵入性,视觉调查有利于表面活跃的鲸类动物,并且依赖于天气。当地生态知识补充了对群体行为的见解。环境DNA(eDNA)分析可以有效地检测到诸如窄脊江豚(Neophocaeaeorientalis)和普通宽吻海豚(Tursiopstruncatus)之类的物种,提供非侵入性,和空间监控。此外,eDNA提供猎物物种信息,揭示了窄脊江豚由于猎物的分布而冬季迁移到更深的水域。这项研究确定了流行的猎物物种,像日本凤尾鱼(Engraulisjaponicus)和Osbeck\'screnadiercho鱼(Coiliamystus),提供洞见海豚的饲养生态和适应变化的猎物在冬季的可用性。本研究系统地比较了鲸类动物调查中采用的各种方法,从而全面了解鲸类的分布,行为,和喂养生态。
    This study thoroughly examines three cetacean monitoring methods and assessing their advantages and limitations, establishing a foundational basis for comprehensive information on composition, distribution, and behavior. While real-time and non-invasive, visual surveys favor surface-active cetaceans and are weather-dependent. Local ecological knowledge supplements insights into group behavior. Environmental DNA (eDNA) analysis efficiently detects species like the narrow-ridged finless porpoise (Neophocaena asiaeorientalis) and common bottlenose dolphin (Tursiops truncatus), offering non-invasive, and spatially adept monitoring. Furthermore, eDNA provides prey species information, revealing the narrow-ridged finless porpoise\'s winter migration to deeper waters due to prey distribution. The study identifies prevalent prey species, like the Japanese Anchovy (Engraulis japonicus) and Osbeck\'s grenadier anchovy (Coilia mystus), offering insights into the porpoise\'s feeding ecology and adaptation to changing prey availability in winter. This study systematically compares diverse methodologies employed in cetacean surveys, thereby yielding a comprehensive understanding of cetacean distribution, behavior, and feeding ecology.
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  • 文章类型: Journal Article
    Elasmobranchs作为海洋生态系统中的捕食者起着至关重要的作用。了解它们的营养策略和相互作用对于理解食物网动态和制定基于生态系统的管理策略是必要的。虽然,喂养策略可以根据几个因素而改变,包括全年猎物供应的波动。在这项研究中,我们调查了中上层黄鱼的营养生态,紫罗兰翼龙,唯一居住在地中海西部中上层环境中的黄貂鱼。我们发现饮食组成存在显著的时间差异,春季主要食用中上层浮游动物,而秋天的底栖硬骨鱼。在对比不同的研究之后,紫罗兰似乎有一个通才和机会的饮食,包括广泛的中上层和底栖物种,和适应环境波动的营养可塑性。我们的发现表明紫罗兰可以提出不同的喂养策略,主要是中上层,与其他蝙蝠相比,中隔捕食者的营养位置相对较低。
    Elasmobranchs play crucial roles as predators in marine ecosystems. Understanding their trophic strategies and interactions is necessary for comprehending food web dynamics and developing ecosystem-based management strategies. Although, feeding strategies can change depending on several factors, including fluctuations in prey availability throughout the year. In this study, we investigated the trophic ecology of the pelagic stingray, Pteroplatytrygon violacea, the only stingray inhabiting the pelagic environment in the western Mediterranean Sea. We found significant temporal differences in diet composition, mostly consuming pelagic zooplankton in spring, whereas benthopelagic teleosts in autumn. After contrasting different studies, P. violacea appears to have a generalist and opportunistic diet consisting of a broad spectrum of pelagic and benthopelagic species, and trophic plasticity in response to environmental fluctuations. Our findings suggest that P. violacea can present different feeding strategies, mainly pelagic, with a relatively low trophic position for a mesopredator compared to other batoids.
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  • 文章类型: Journal Article
    经前综合症(PMS)是一种介于妇科和精神病学之间的疾病,包括认知,情感,躯体症状从轻度到重度.PMS的最严重形式是经前焦虑障碍(PMDD),它被认为是抑郁症的一种形式。已经提出了饮食组成与PMS的发生及其严重程度之间的关联。因此,这篇手稿讨论了饮食组成之间的关系,饮食模式和饮食行为,和PMS。PubMed,Embase,科克伦,搜索了截至2024年1月18日的相关研究。进行了单独或组合使用以下关键字的文本搜索:“经前综合症”,“营养”,“饮食组成”,“饮食模式”,和“饮食行为”。迄今为止发表的研究表明,简单碳水化合物的低摄入量,脂肪,盐,酒精,和高的新鲜,富含B族维生素的未加工食品,维生素D,锌,钙,和omega-3脂肪酸可能有助于预防PMS的发作并减轻其症状的严重程度。然而,需要进一步的研究来制定使用维生素的明确建议,在PMS女性中补充微量营养素和其他饮食成分以改善功能,整体福祉,和身体健康。大,随机化,针对不同人群的双盲临床试验对于为PMS女性患者制定明确的补充剂建议是必要的.
    Premenstrual Syndrome (PMS) is a disorder between gynecology and psychiatry which includes cognitive, affective, and somatic symptoms from mild to severe. The most severe form of PMS is premenstrual dysphoric disorder (PMDD) and it is considered a form of depressive disorder. An association between diet composition and the occurrence of PMS and its severity have been suggested. As such, this manuscript discusses the relationships between diet composition, dietary patterns and eating behaviors, and PMS. PubMed, Embase, Cochrane, and Web of Science databases were searched for related studies up to 18 January 2024. A text search with the following keywords singly or in combination was conducted: \"Premenstrual syndrome\", \"Nutrition\", \"Diet composition\", \"Dietary patterns\", and \"Eating behaviors\". Studies published so far showed that low intake of simple carbohydrates, fats, salt, and alcohol, and high of fresh, unprocessed foods rich in B vitamins, vitamin D, zinc, calcium, and omega-3 fatty acids may help prevent the onset of PMS and reduce the severity of its symptoms. However, further studies are needed to formulate definitive recommendations for the use of vitamins, micronutrients and other dietary ingredients supplementation in women with PMS to improve functioning, overall well-being, and physical health. Large, randomized, double-blind clinical trials across diverse populations are necessary to formulate clear recommendations for supplementation in women with PMS.
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  • 文章类型: Journal Article
    现代肉鸡品种允许高饲料效率和快速生长,以增加对病原体和疾病的易感性为代价。肉鸡生长率,饲料效率,健康受到肠道微生物群组成的影响,这反过来又受到饮食的影响。在这项研究中,因此,我们评估了膳食成分如何影响肉鸡空肠肠道菌群.将96只肉鸡分为四个饮食组:对照组,包衣丁酸盐补充剂,中链脂肪酸补充剂,或高纤维低蛋白质含量。将饮食组细分为年龄组(4日龄、12日龄和33日龄),导致每个日粮8只肉鸡组。空肠含量用于宏基因组shot弹枪测序,以确定物种水平的微生物群分类组成。组成的饮食导致总共104种差异丰富的细菌物种。最值得注意的是丁酸盐诱导的肉鸡空肠微生物群的变化在孵化后4天,导致主要屎肠球菌的相对丰度降低(-1.8l2fc,Padj=9.9E-05)和机会性病原体希雷肠球菌(-2.9l2fc,Padj=2.7E-08),与对照饮食相比。这种效应发生在肉鸡早期发育过程中,这对肉鸡的健康至关重要,因此说明了饮食如何影响肉鸡健康的微生物群组成的重要性。因此,未来的研究应该阐明如何在肉鸡发育的早期阶段使用饮食来促进有益的微生物群。
    Modern broiler breeds allow for high feed efficiency and rapid growth, which come at a cost of increased susceptibility to pathogens and disease. Broiler growth rate, feed efficiency, and health are affected by the composition of the gut microbiota, which in turn is influenced by diet. In this study, we therefore assessed how diet composition can affect the broiler jejunal gut microbiota. A total of 96 broiler chickens were divided into four diet groups: control, coated butyrate supplementation, medium-chain fatty acid supplementation, or a high-fibre low-protein content. Diet groups were sub-divided into age groups (4, 12 and 33 days of age) resulting in groups of 8 broilers per diet per age. The jejunum content was used for metagenomic shotgun sequencing to determine the microbiota taxonomic composition at species level. The composed diets resulted in a total of 104 differentially abundant bacterial species. Most notably were the butyrate-induced changes in the jejunal microbiota of broilers 4 days post-hatch, resulting in the reduced relative abundance of mainly Enterococcus faecium (-1.8 l2fc, Padj = 9.9E-05) and the opportunistic pathogen Enterococcus hirae (-2.9 l2fc, Padj = 2.7E-08), when compared to the control diet. This effect takes place during early broiler development, which is critical for broiler health, thus exemplifying the importance of how diet can influence the microbiota composition in relation to broiler health. Future studies should therefore elucidate how diet can be used to promote a beneficial microbiota in the early stages of broiler development.
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  • 文章类型: Journal Article
    自20世纪末以来,在中国的沿海水域中,根茎Nemopilemanomurai和Cyaostomeanozakii的开花变得更加突出。然而,这些水母物种的营养生态仍未完全了解。在这项研究中,使用稳定同位素分析(SIA)评估了诺马来和诺扎氏梭菌种群的营养特征,重点是长江口近海重要的开花区。我们的结果表明两种镰刀菌之间存在明显的营养差异。与N.nomurai相比,其相对较大的δ15N值反映了沿海浮游食物网中nozakii种群的营养位置较高。MixSIAR模型表明,小型co足类动物(<1000μm)和塞斯顿是N.nomurai的重要食物来源,并显示出稳定的饮食,无论N.nomurai大小如何。相反,C.nozakii表现出更多样化的饮食组成,和凝胶状的生物也是诺扎克氏杆菌饮食的重要组成部分。此外,观察到诺扎氏梭菌饮食中明显的个体发育转变,包括在具有直径的C.nozakii饮食中浮游动物猎物(不包括塞斯顿)的比例增加。这项研究提供了同位素证据,证明N.nomurai和C.nozakii之间的营养生态存在实质性差异。这是由SI值和饮食组成的变化引起的。在N.nomurai和C.nozakii组中的营养个体发育变化中观察到不一致的基于大小的变异模式,强调需要进一步调查。这些结果将为根瘤菌的营养生态学特征和功能作用提供见解,并指出有必要更仔细地考虑沿海生态系统中的根茎和毛藻的表现,以免低估特定分类单元对能量流的生态影响的知识。
    Blooms of the Rhizostomeae Nemopilema nomurai and the Semaeostomeae Cyanea nozakii have become more prominent in the coastal waters of China since the end of the 20th century. However, the trophic ecology of these jellyfish species remain incompletely understood. In this study, the trophic characterizations of N. nomurai and C. nozakii populations were assessed using stable isotope analysis (SIA), with a focus on the important bloom area offshore of the Yangtze Estuary. Our results indicated obvious trophic differences between two scyphomedusae. The higher trophic position of the C. nozakii population in the coastal planktonic food web was reflected by its relatively large δ15N value compared to that of N. nomurai. The MixSIAR model indicated that small copepods (<1000 μm) and seston were important food sources for N. nomurai, and showed a stable dietary, irrespective of N. nomurai size. Conversely, C. nozakii exhibited a more diverse diet composition, and gelatinous organisms also were an important part of the diet of C. nozakii. Moreover, a pronounced ontogenetic shift in the diet of C. nozakii was observed, consisting of an increase in the proportion of zooplanktonic prey (excluding seston) in the C. nozakii diet with diameter. This study provides isotopic evidence of the substantial difference in trophic ecology between N. nomurai and C. nozakii, which resulted from the variations in SI values and diet compositions. Inconsistent size-based variation patterns were observed in trophic ontogenetic shifts within the N. nomurai and C. nozakii groups, highlighting a need for further investigation. These results will give insights into the characteristics of trophic ecology and functional roles of Rhizostomeae and Semaeostomeae, and indicate the need for a more careful consideration of the representations of Rhizostomeae and Semaeostomeae in coastal ecosystems, so as not to underestimate the knowledge of taxon-specific ecological effects on energy flow.
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  • 文章类型: Journal Article
    这项观察性试点研究检查了饮食之间的关联,在自由生活条件下,26名血糖异常(D-GLYC)和14名血糖正常(N-GLYC)的成年人在2周的膳食模式和葡萄糖。我们假设长时间的进食窗口和迟到的进食场合(EO),随着较高的膳食碳水化合物摄入量,将导致更高的葡萄糖水平和葡萄糖变异性(GV)。一般的线性模型是根据用餐时间和带有时间戳的照片实时运行的,和饮食组成通过饮食回忆,以及它们的变异性(SD),作为预测因子和葡萄糖变量(平均葡萄糖,葡萄糖偏移的平均幅度[MAGE],葡萄糖偏移的最大振幅[LAGE]和GV)作为因变量。在调整了卡路里和营养后,后期进食中点预测D-GLYC的GV较低(β=-2.3,SE=1.0,p=0.03),而后来的EO预测N-GLYC的GV更高(β=1.5,SE=0.6,p=0.04)。较高的碳水化合物摄入量预测N-GLYC中的MAGE(β=0.9,SE=0.4,p=0.02)和GV(β=0.4,SE=0.2,p=0.04)较高,但不是D-GLYC.总之,我们的数据表明,膳食模式与膳食组成相互作用,在有和没有血糖异常的成年人中,应将其作为潜在的可改变的葡萄糖决定因素进行评估.未来的研究应该评估控制饮食的因果关系。
    This observational pilot study examined the association between diet, meal pattern and glucose over a 2-week period under free-living conditions in 26 adults with dysglycemia (D-GLYC) and 14 with normoglycemia (N-GLYC). We hypothesized that a prolonged eating window and late eating occasions (EOs), along with a higher dietary carbohydrate intake, would result in higher glucose levels and glucose variability (GV). General linear models were run with meal timing with time-stamped photographs in real time, and diet composition by dietary recalls, and their variability (SD), as predictors and glucose variables (mean glucose, mean amplitude of glucose excursions [MAGE], largest amplitude of glucose excursions [LAGE] and GV) as dependent variables. After adjusting for calories and nutrients, a later eating midpoint predicted a lower GV (β = -2.3, SE = 1.0, p = 0.03) in D-GLYC, while a later last EO predicted a higher GV (β = 1.5, SE = 0.6, p = 0.04) in N-GLYC. A higher carbohydrate intake predicted a higher MAGE (β = 0.9, SE = 0.4, p = 0.02) and GV (β = 0.4, SE = 0.2, p = 0.04) in N-GLYC, but not D-GLYC. In summary, our data suggest that meal patterns interact with dietary composition and should be evaluated as potential modifiable determinants of glucose in adults with and without dysglycemia. Future research should evaluate causality with controlled diets.
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  • 文章类型: Journal Article
    白腹穿山甲Phataginustricuspis(Rafinesque1821)是一种半树栖物种,发生在热带撒哈拉以南非洲。根据缉获量记录,它是世界上贩运最多的非洲穿山甲物种。作为一项保护行动,全世界正在探索重新引入没收的活穿山甲和异地饲养。然而,由于白腹穿山甲的饮食鲜为人知,研究很少,因此被扣押的动物的饲养具有挑战性。我们分析了来自两个森林稀树草原保护区的死白腹穿山甲的胃内容物。来自13个白腹穿山甲标本的胃内容物样品含有约165,000节肢动物,主要是膜翅目(60.34%)和Blattodea(39.66%)。总的来说,我们确定了39种白蚁和105种蚂蚁作为穿山甲的猎物。所检查的单个穿山甲最多喂养31种蚂蚁和13种白蚁。在穿山甲最后食用的食物中,白蚁和蚂蚁物种的丰富度差异很大。我们记录了24种以Crematogaster为主的蚂蚁属(相对重要性[RI]=17.28)。在记录的18个白蚁属中,假刺猬属(RI=17.21)是最重要的猎物。白腹穿山甲优先吃掉了10种蚂蚁,其中,火葬场是最常见的猎物。最常食用四种白蚁,其中Pseudacanthotermesmemaris最丰富。穿山甲个体之间蚂蚁和白蚁的平均丰度不同。季节不会影响穿山甲个体食用白蚁的平均丰度。然而,在旱季,胃内容物中的蚂蚁丰度明显更高。对穿山甲摄食行为和猎物选择的更好了解可能有助于为保护畜牧业工作提供信息。例如,对野生穿山甲食用食物的营养分析可以指导圈养穿山甲营养饮食的发展。
    The white-bellied pangolin Phataginus tricuspis (Rafinesque 1821) is a semiarboreal species occurring in tropical sub-Saharan Africa. It is the world\'s most trafficked African pangolin species based on volumes recorded in seizures. Reintroduction of confiscated live pangolins and ex-situ rearing are being explored worldwide as a conservation action. However, the husbandry of seized animals is challenging as the diet of the white-bellied pangolin is poorly known and little studied. We analyzed the stomach contents of dead white-bellied pangolins from two forest-savanna protected areas. Stomach content samples from 13 white-bellied pangolin specimens contained ~165,000 Arthropoda, mostly Hymenoptera (60.34%) and Blattodea (39.66%). Overall, we identified 39 termite and 105 ant species consumed as prey by pangolins. Individual pangolins examined had fed on a maximum of 31 ant species and 13 termite species. The termite and ant species richness varied significantly across the pangolins\' last consumed meal. We recorded 24 ant genera dominated by Crematogaster (relative importance [RI] = 17.28). Out of 18 termite genera recorded, the genus Pseudacanthotermes (RI = 17.21) was the most important prey. Ten ant species were preferentially eaten by white-bellied pangolin, with Crematogaster acis being the most common prey species. Four species of termite were most frequently eaten with Pseudacanthotermes militaris being the most abundant. The mean abundance of ants and termites varied among pangolin individuals. The season did not influence the mean abundance of termites eaten by pangolin individuals. However, ant abundance in stomach contents was significantly higher in the dry season. An improved understanding of pangolin feeding behavior and prey selection may help inform conservation husbandry efforts. For example, nutritional analysis of the food eaten by wild pangolins can guide the development of nutritional diets for captive pangolins.
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  • 文章类型: Journal Article
    目的:最近的证据表明植物性饮食可以降低乳腺癌(BC)的风险。然而,植物性饮食的大量营养素组成及其对BC风险的潜在影响尚未得到很好的研究。该分析使用多维方法调查了一系列基于植物的饮食指数中大量营养素组成与BC风险的关联。
    方法:这项研究追踪了1993年至2014年全国教育(E3N)队列中64,655名参与者。在基线(1993年)和随访(2005年)时,使用经过验证的208项饮食史问卷对饮食进行评估,计算对整体植物性饮食(PDI)的依从性,健康的植物性饮食(hPDI),和不健康的植物性饮食(uPDI)。通过跨这些指标的不同水平的广义加性时间依赖性Cox模型评估了大量营养素组成与BC风险的关联。在25日生成响应面以可视化成分关联,50岁,和每个指数的第75百分位数(低,中度,和高)。
    结果:在21年的随访中,共发现3,932例BC病例。大量营养素组成与hPDI的BC风险之间存在显着关联,uPDI,和PDI(均P<0.001)。Akaike信息标准支持hPDI模型来表征大量营养素与BC之间的关联。具有较低hPDI评分的个体的BC风险最高,这些个体也食用含有较低蛋白质(10%)的饮食,较低的碳水化合物(35%),和更高的脂肪(55%)。在hPDI评分较高、蛋白质摄入量最低(10%)的人群中观察到BC的风险最低。在较高的PDI和uPDI时,含有较高蛋白质(30%)和脂肪(45%)的饮食具有最高的BC风险.
    结论:这些结果证明了大量营养素组成之间的复杂关系,植物性饮食质量,BC风险。需要进一步的研究来检查可能推动这些关联的特定食物。
    该方案在clinicaltrials.gov注册为NCT03285230。
    OBJECTIVE: Recent evidence suggests that plant-based diets may reduce the risk of breast cancer (BC). However, the macronutrient composition of plant-based diets and its potential impact on BC risk has not been well explored. This analysis investigated the association of macronutrient composition with BC risk across a spectrum of plant-based diet indexes using a multidimensional approach.
    METHODS: This study followed 64,655 participants from the Etude Epidémiologique auprès de femmes de la Mutuelle Générale de l\'Education Nationale (E3N) cohort from 1993 to 2014. Diets were evaluated using validated 208-item diet history questionnaires at baseline (1993) and follow-up (2005), to calculate adherence to the overall plant-based diet (PDI), healthful plant-based diet (hPDI), and unhealthful plant-based diet (uPDI). The association of macronutrient composition with BC risk was assessed via generalized additive time-dependent Cox models across different levels of these indexes. Response surfaces were generated to visualize compositional associations at the 25th, 50th, and 75th percentile of each index (low, moderate, and high).
    RESULTS: A total of 3,932 incident BC cases were identified during the 21-year follow-up. There was a significant association between macronutrient composition and BC risk for hPDI, uPDI, and PDI (all P < 0.001). Akaike information criterion favored the hPDI model for characterizing the association between macronutrients and BC. BC risk was highest for individuals with a lower hPDI score who also consumed a diet containing lower protein (10%), lower carbohydrate (35%), and higher fat (55%). The lowest risk of BC was observed in those with higher hPDI scores with the lowest intake of protein (10%). At higher PDI and uPDI, diets containing higher protein (30%) and fat (45%) had the highest BC risk.
    CONCLUSIONS: These results demonstrate a complex relationship between macronutrient composition, plant-based diet quality, and BC risk. Further research is needed to examine specific foods that may be driving these associations.
    UNASSIGNED: The protocol is registered at clinicaltrials.gov as NCT03285230.
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  • 文章类型: Journal Article
    目的:了解饮食中大量营养素组成与时间范围(TIR)之间的关系,使用连续葡萄糖监测(CGM)装置得出的高于范围的时间(TAR)和低于范围的时间(TBR)14天。
    方法:对50名年龄在25-55岁的2型糖尿病参与者的基线数据进行探索性分析,HbA1c高达8%,仅在二甲双胍上)进行了一项介入临床试验。
    结果:摄入充足碳水化合物(CHO)占总卡路里55%至60%的参与者的平均血糖为142.0±24.0mg/dL,p=0.03,葡萄糖管理指标(GMI)为6.6±0.7%,在p=0.01时显著高于CHO摄入量>总卡路里60%的参与者,平均血糖-155.0±13.4mg/dL,GMI-7.06±0.4%。同样,与TIR-61.0±5.1%和TAR-32.9±10.3%的低蛋白(≤10%)相比,摄入足够蛋白质(12-15%)的TIR-68.2±5.1%和TAR-23.0±10.8%(p=0.00)明显更好。相关性(r=-0.482&p=0.00)和简单线性回归分析(R²=0.33,F=7.72,p=0.000)表明,当CHO摄入量增加时,TIR降低,而TAR增加(r=0.380&p=0.006)。我们没有发现脂肪摄入量和TIR之间有任何显著的关系,TAR或TBR。
    结论:我们的结果表明降低CHO,而增加饮食中的蛋白质可能有助于改善TIR。需要进一步深入研究来证实这些发现。
    OBJECTIVE: To understand the association between macronutrient composition of a diet with Time in Range (TIR), Time above Range (TAR) and Time below Range (TBR) derived using a Continuous Glucose Monitoring (CGM) device for 14 days.
    METHODS: An exploratory analysis on the baseline data of 50 Type 2 Diabetes Mellitus participants with age 25-55 years, HbA1c upto 8% and on Metformin only) enrolled for an interventional clinical trial was performed.
    RESULTS: Participants consuming adequate carbohydrates (CHO) of 55 to 60% of total calories had better Average Blood Glucose of 142.0 ± 24.0 mg/dL with a significance of p = 0.03 and Glucose Management Indicator (GMI) of 6.6 ± 0.7% significant at p = 0.01, than those with high CHO intake >60% of the total calories, with Average Blood Glucose - 155.0 ± 13.4 mg/dL and GMI - 7.06 ± 0.4%. Similarly, TIR - 68.2 ± 5.1% and TAR - 23.0 ± 10.8% was significantly better (p = 0.00) among those consuming adequate protein (12-15%) as compared to low protein (≤ 10%) with TIR- 61.0 ± 5.1% & TAR- 32.9 ± 10.3%. A correlation (r = -0.482 & p = 0.00) and simple linear regression analysis (R² = 0.33, F = 7.72, p = 0.000) revealed that when CHO intake increases the TIR decreases whereas TAR increases (r = 0.380 & p = 0.006). We did not find any significant relation between fat intake and TIR, TAR or TBR.
    CONCLUSIONS: Our results suggest that lowering CHO, while increasing protein in the diet may help improve TIR. Further in-depth studies are needed to confirm these findings.
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