Clinical Care:食用核桃居然会对2型糖尿病受试者内皮功能产生有利影响!

2021-09-02 从医路漫漫 MedSci原创

核桃是生活中比较常见的一种坚果,它的外壳一般为土黄色,剥开外壳,里面就是可食用的果肉了,果肉的形状和我们的大脑比较类似,所以人们常常说吃核桃可以补脑。那么吃核桃除了这点好处

    核桃是生活中比较常见的一种坚果,它的外壳一般为土黄色,剥开外壳,里面就是可食用的果肉了,果肉的形状和我们的大脑比较类似,所以人们常常说吃核桃可以补脑。那么吃核桃除了这点好处之外,还有什么其它的功效呢?其中1.核桃含有较多的蛋白质及人体营养必需的不饱和脂肪酸,这些成分皆为大脑组织细胞代谢的重要物质,能滋养脑细胞,增强脑功能。2.核桃有防止动脉硬化,降低胆固醇的作用。此外,核桃还可用于治疗非胰岛素依赖型糖尿病。3.核桃对癌症患者还有镇痛提升白细胞及保护肝脏等作用。核桃含有的大量维生素E,经常食用有润肌肤、乌须发的作用,可以令皮肤滋润光滑,富于弹性。当感到疲劳时,嚼些核桃,有缓解疲劳和压力的作用。

    那么对于糖尿病病人,核桃有什么功效呢?我们一起来看看吧!

目的:确定每日食用核桃对2型糖尿病患者内皮功能、心血管生物标志物和人体测量的影响。

方法:本研究是一项随机、对照、单盲、交叉试验。24名2型糖尿病患者(平均年龄58岁;14名女性和10名男性)被随机分配到两种组,分别接受每天添加56克(366千卡)核桃的饮食和连续8周不添加核桃的自由饮食。在每个8周治疗阶段之前和之后,受试者接受内皮功能测试(通过血流介导扩张[FMD]测量)和心血管生物标志物评估。主要观察指标是8周后FDM的变化。次要指标包括血脂、糖化血红蛋白、空腹血糖、胰岛素敏感性和人体测量指标的变化。

结果:与不吃核桃的自由饮食相比,食用富含核桃的随意饮食后内皮功能显著改善(2.2±1.7 vs. 1.2±1.6%;P=0.04)。富含核桃饮食组空腹血糖升高,血清总胆固醇和低密度脂蛋白胆固醇降低(分别为10.0±20.5 mg/dl,P=0.04;-9.7±14.5mg/dl,P<0.01; and-7.7±10mg/dl,P<0.01),但与不含核桃的随意饮食相比,这些变化并不显著。在人体测量、血浆A1C和胰岛素敏感性方面没有显著变化。

表  从基线开始测量结果的变化

结论:富含核桃的自由饮食可改善2型糖尿病患者的内皮依赖性血管舒张,提示可能降低心脏的整体风险。

原文出处:

Ma Y,  Njike VY,  Millet J,  Dutta S,  Doughty K,  Treu JA,  Katz DL,Effects of walnut consumption on endothelial function in type 2 diabetic subjects: a randomized controlled crossover trial.Diabetes Care 2010 Feb;33(2)

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    2021-09-04 zll0628
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    2021-09-03 学医无涯

    多少方能达到利弊平衡~

    0

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    2021-09-02 1453df99m58暂无昵称

    核桃是生活中比较常见的一种坚果,它的外壳一般为土黄色,剥开外壳,里面就是可食用的果肉了,果肉的形状和我们的大脑比较类似,所以人们常常说吃核桃可以补脑。

    0

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    2021-09-02 misszhang

    谢谢MedSci提供最新的资讯

    0

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    2021-09-02 ms6000001608459305

    0

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