宏观营养素的非线性关联和同热量替代与发生的2型糖尿病有关
Jirapitcha Boonpor1, John C Mathers2, Naveed Sattar3
1School of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, Scotland; Faculty of Public Health, Chalermphrakiat Sakon Nakhon Province Campus, Kasetsart University, Sakon Nakhon, Thailand.
Mayo Clinic proceedings
|September 18, 2025
概括
摄入大量的自由糖,粉和动物蛋白质会增加2型糖尿病的风险. 用非自由糖和植物蛋白代替这些可以降低风险,腰与身高的比率调解了一些影响.
科学领域:
- 营养科学 营养科学
- 代谢健康 代谢健康
- 流行病学 流行病学
背景情况:
- 饮食中的宏观营养素显著影响代谢健康和糖尿病风险.
- 了解不同宏观营养素成分的具体作用对于公共卫生干预至关重要.
- 肥胖在调解饮食和2型糖尿病之间的关系方面发挥着关键作用.
研究的目的:
- 检查饮食中巨量营养素摄入量与发生的2型糖尿病之间的关联.
- 研究肥胖在这些关联中的调解作用.
- 评估高风险宏观营养素的同热量替代的影响.
主要方法:
- 一项前性队列研究,对176,057名英国生物库参与者进行了中位数11年的随访.
- 使用Cox比例危险模型评估非线性关联,并处罚立方线.
- 调解分析采用g-公式方法,并对已识别的高风险宏观营养素进行同热量替代分析.
主要成果:
- 较高的自由糖,粉和动物蛋白质摄入量与2型糖尿病风险增加有关.
- 低摄入非自由糖,omega-3/6PUFA和植物蛋白的风险更高.
- 腰与身高的比率调解了与自由糖,粉和动物蛋白质相关的风险的很大一部分.
结论:
- 过度消费自由糖,粉和动物蛋白与2型糖尿病风险增加有关.
- 用非自由糖和植物蛋白替代表明了降低风险的潜在策略.
- 专注于特定宏观营养素替代的饮食修改可能会影响糖尿病预防工作.
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