Associations between Dietary Animal and Plant Protein Intake and Cardiometabolic Risk Factors-A Cross-Sectional Study in China Health and Nutrition Survey.

Associations between Dietary Animal and Plant Protein Intake and Cardiometabolic Risk Factors-A Cross-Sectional Study in China Health and Nutrition Survey.
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膳食动植物蛋白摄入量与心脏代谢危险因素的关联——中国健康与营养调查横断面研究

DOI:
10.3390/nu13020336
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发表时间:
2021-01-23
期刊:
影响因子:
5.9
通讯作者:
Meng H
Meng H
中科院分区:
医学2区
文献类型:
--
作者:
Meng S;Cui Z;Li M;Li T;Wu F;Kang T;Meng H

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调查习惯性植物性饮食人群中膳食动植物蛋白摄入量与心脏代谢危险因素 (CMRF) 之间关系的现有数据存在异质性且范围有限。本研究旨在评估中国成年人膳食动植物蛋白摄入量与 CMRF(包括脂质和脂蛋白谱、葡萄糖稳态生物标志物、低度慢性炎症生物标志物和尿酸)之间的关联。从2009年中国健康与营养调查中提取了7886名表面健康成年人的数据。通过连续3次24小时膳食回顾来评估膳食蛋白质(总蛋白、动物蛋白和植物蛋白)摄入量,并使用标准实验室方法测量CMRF。用动物蛋白摄入的 5% 能量代替碳水化合物与总胆固醇、低密度脂蛋白胆固醇 (LDL-C)、非高密度脂蛋白胆固醇 (非 HDL-C) 和尿酸呈正相关(均 p < 0.05)。用植物蛋白摄入的 5% 能量替代碳水化合物与非 HDL-C 和 LDL-C:HDL-C 比率呈负相关,与 HDL-C 和糖化血红蛋白呈正相关(均 p < 0.05)。其中一些关联在按体重指数、性别、年龄或地区进行的亚组分析中有所不同。动物或植物蛋白摄入量与高敏 C 反应蛋白之间没有显着相关性。这些发现对公共卫生的影响需要进一步调查。
Available data investigating the associations between dietary animal and plant protein intakes and cardiometabolic risk factors (CMRFs) among populations with habitual plant-based diets are heterogenous and limited in scope. The current study was to assess the associations between dietary animal and plant protein intakes and CMRFs, including lipid and lipoprotein profiles, glucose homeostasis biomarkers, low-grade chronic inflammatory biomarker and uric acid in Chinese adults. Data of 7886 apparently healthy adults were extracted from the China Health and Nutrition Survey 2009. Dietary protein (total, animal and plant) intakes were assessed with three consecutive 24 h dietary recalls, and CMRFs were measured with standard laboratory methods. Substituting 5% of energy intake from animal protein for carbohydrates was positively associated with total cholesterol, low-density lipoprotein cholesterol (LDL-C), non-high-density lipoprotein cholesterol (non-HDL-C) and uric acid (all p < 0.05). Substituting 5% of energy intake from plant protein for carbohydrates was inversely associated with non-HDL-C and LDL-C:HDL-C ratio, and positively associated with HDL-C and glycated hemoglobin (all p < 0.05). Some of these associations varied in subgroup analyses by BMI, sex, age or region. There were no significant associations between animal or plant protein intakes and high-sensitivity C-reactive protein. The public health implication of these findings requires further investigation.
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发表时间: 2005-02-01
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