Intake of refined carbohydrates and whole grain foods in relation to risk of type 2 diabetes mellitus and coronary heart disease

Intake of refined carbohydrates and whole grain foods in relation to risk of type 2 diabetes mellitus and coronary heart disease
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DOI:
10.1080/07315724.2002.10719227
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发表时间:
2002-08-01
影响因子:
3.5
通讯作者:
Liu, SM
Liu, SM
中科院分区:
医学4区
文献类型:
--
作者:
Liu, SM

文献摘要

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最近的调查数据表明,超过50%的美国成年人超重或肥胖。与一般人群体重增加的流行同时,2型糖尿病(DM)的发病率也在迅速上升。虽然它们的确切作用尚不清楚,但饮食因素被认为会影响体重和胰岛素抵抗的发展。最近的流行病学数据表明,富含高纤维全谷物的饮食与冠心病(CHD)和2型糖尿病的风险降低有关。这些数据与最近的代谢实验结果一致,表明有利的脂质分布和血糖控制与较高的全谷物摄入量有关,但与精制谷物无关。因此,为了预防慢性病,区分全麦而不是精制谷物产品似乎是明智的。
Recent survey data indicate that more than 50% of all adult Americans are overweight or obese. In parallel with this epidemic of weight gain in the general population, the incidence rate of type 2 diabetes mellitus (DM) is rapidly rising. Although their precise contributions are unclear, dietary factors are thought to affect body weight and the development of insulin resistance. Recent epidemiological data indicate that diets rich in high-fiber whole grains are associated with lower risk of coronary heart disease (CHD) and type 2 DM. These data are consistent with results from recent metabolic experiments, suggesting favorable lipid profiles and glycemic control associated with higher intake of whole grains, but not with refined grains. It seems prudent, therefore, to distinguish whole-grain rather than refined-grain cereal products for the prevention of chronic diseases.