每天摄入>7g,全因和癌症死亡率降低19%和17%

2022-03-03 Swagpp MedSci原创

橄榄油、大豆油、黄油,哪家强?

今年年初,U.S. News & World Report对40种饮食模式的排名中,地中海饮食成功卫冕,连续5年勇夺桂冠。想抄冠军的作业可没那么容易,地中海饮食的“过人之处”并非一点,但其中很重要也容易学的一点是——橄榄油。

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美新周刊饮食排名

 

橄榄油的使用,被普遍地认为是地中海饮食蝉联冠军的“秘方”之一。一方水土养一方人,在盛产油橄榄的地中海地区,橄榄油自然成为当地国家的主要烹饪和调味用油。越来越多追求健康生活的人,开始将家中的食用油更换成橄榄油。但这样的做法真的会带来很大的健康效益吗?

近日,来自哈佛大学公共卫生学院营养系的胡丙长教授团队发现,较高的橄榄油摄入与较低的总死亡率及特定原因的死亡率有关,用橄榄油替代人造黄油、黄油、蛋黄酱或乳制品所含脂肪,能显著降低死亡风险。该研究论文发表在Journal of the American College of Cardiology(JACC)上。

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doi: 10.1016/j.jacc.2021.10.041

 

这项研究收集了1990-2018年间,来自护士健康研究(Nurses' Health Study, NHS)的60,582名女性和来自健康专业人员随访研究(Health Professionals Follow-up Study, HPFS)的31,801名男性参与者的健康数据,来评估橄榄油的消费量和总死亡率、特定原因死亡率之间的关系。

在研究开始时,所有参与者均没有癌症、心脏病及其他慢性病。此后,研究人员每2年向参与者邮寄1份问卷,了解他们的生活方式和健康状态;用半定量食物频率调查表(FFQ),每4年调查一次他们过去一年的饮食情况。

在28年的随访过程中,有36,856名参与者死亡(NHS中22,768人,HPFS中14,076人)。观察20年的变化趋势发现,橄榄油的平均消费量从1990年的1.6g/天增加到2010年的约4g/天,而人造黄油的平均消费量下降了67%左右。

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1990-2010年NHS不同油脂食用量变化趋势

 

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1990-2010年HPFS不同油脂食用量变化趋势
 
在排除了年龄、种族、生活方式等混杂因素的影响后,研究学者发现橄榄油的摄入量与总死亡率和特定原因死亡率之间存在显著负相关。
 
与从不或每月<1次(最低级别)相比,每天食用橄榄油的摄入量>7g(>0.5汤匙)的参与者全因死亡率降低19%,心血管疾病所致死亡率降低19%,癌症死亡率降低17%,神经退行性疾病死亡率降低29%,呼吸系统疾病死亡率降低18%。作为连续变量,橄榄油的摄入量每增加5g,总死亡率和特定原因死亡率也会显著下降(2%-14%之间)
 
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不同橄榄油摄入量情况下,总死亡率及特殊原因死亡率的HR
 
由于橄榄油的价格比普通油贵了一倍不止,能长期吃橄榄油的人会不会因为更有钱,而死亡风险更低呢?
 
为回答这个问题,研究学者在敏感性分析中,调整了家庭收入、房屋价值以及学历情况,以进一步控制社会经济地位的潜在混杂影响。调整之后,结果没有发生实质性改变,仍存在显著差异,高橄榄油摄入量组比最低组的总死亡率显著降低19%。
 
然而,前述研究中,研究学者仅关注了橄榄油的摄入量,并未给其他食用油油分类,那么用橄榄油取代不同的食用油,结果会存在差异吗?
 
在多变量调整模型中,用10g/d橄榄油代替10g/d的人造黄油,与总死亡率降低13%显著相关。用橄榄油替代黄油、蛋黄酱或乳制品中的脂肪,总死亡率分别下降14%、19%和13%。特定原因死亡率,包括心血管疾病、癌症、神经退行性疾病和呼吸系统疾病所致死亡率,与总死亡率的结果保持一致,均显著下降。
 
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橄榄油替代其他油脂所致死亡风险
 
不过值得注意的是,研究学者发现,用橄榄油替代其他植物油(如玉米油、菜籽油、大豆油等),死亡风险没有显著变化。
 
综上所述,每天食用半汤匙以上的橄榄油与零摄入相比,可以显著降低19%的总死亡率,19%的心血管疾病死亡率,17%的癌症死亡率,29%的神经退行性疾病死亡率,18%的呼吸系统疾病死亡率。用橄榄油替代动物油、人造黄油、蛋黄酱、乳制品中所含脂肪,与死亡风险降低有关,但与其他植物油没有差别。
 
“我们的研究表明,尽管橄榄油优于大多数动物脂肪和人造黄油,但它并不优于植物油,”本研究的一作Marta Guasch-Frrer博士表示,“这意味着用植物油代替动物脂肪,是改善心血管健康的优良策略。”
 
事实上,像玉米油、菜籽油、大豆油等植物油是中国人常用的烹饪用油。单从降低死亡风险的角度来看,没有太多的必要舍弃其他植物油而只用橄榄油,毕竟价格也是一个很大的考量因素呢。

 

参考文献:
Guasch-Ferré M, Li Y, Willett WC, Sun Q, Sampson L, Salas-Salvadó J, Martínez-González MA, Stampfer MJ, Hu FB. Consumption of Olive Oil and Risk of Total and Cause-Specific Mortality Among U.S. Adults. J Am Coll Cardiol. 2022 Jan 18;79(2):101-112. doi: 10.1016/j.jacc.2021.10.041. PMID: 35027106; PMCID: PMC8851878.

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    2022-04-17 ms5000000005942839

    花生油和玉米油,菜籽油等其他植物油的效果一样吗?

    0

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    2022-04-09 Cong777

    学习了!

    0

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    2022-04-07 12439c99m81(暂无昵称)

    学习了

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=2045379, encodeId=c6d320453e9f4, content=<a href='/topic/show?id=7e4de13990f' target=_blank style='color:#2F92EE;'>#癌症死亡#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71399, encryptionId=7e4de13990f, topicName=癌症死亡)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6f7770, createdName=jeanqiuqiu, createdTime=Mon Feb 06 15:05:17 CST 2023, time=2023-02-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1211902, encodeId=573a121190231, content=花生油和玉米油,菜籽油等其他植物油的效果一样吗?, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b0a26558487, createdName=ms5000000005942839, createdTime=Sun Apr 17 14:31:16 CST 2022, time=2022-04-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1209828, encodeId=820512098289b, content=学习了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/101296147/54EB8C2AC3BECF7C61BC2CFCD312B435/100, createdBy=83b32261325, createdName=Cong777, createdTime=Sat Apr 09 16:12:06 CST 2022, time=2022-04-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1209169, encodeId=2ca8120916940, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f5c82471153, createdName=12439c99m81(暂无昵称), createdTime=Thu Apr 07 10:03:41 CST 2022, time=2022-04-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1200559, encodeId=022812005595b, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=807e6541475, createdName=ms8000001673273348, createdTime=Tue Mar 08 14:54:44 CST 2022, time=2022-03-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1199994, encodeId=5c951199994d5, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=00b23462159, createdName=130a765fm69暂无昵称, createdTime=Sun Mar 06 19:50:19 CST 2022, time=2022-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1199907, encodeId=527c119990e17, content=已学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=07586536952, createdName=ms5000000078691768, createdTime=Sun Mar 06 14:51:14 CST 2022, time=2022-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1199735, encodeId=5f791199e35c1, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210609/8588be583be34b508a2809826a42a66a/a3dbc46f442b4c8ea2f0e0a549926e6b.jpg, createdBy=7d285469957, createdName=陈凤娥, createdTime=Sat Mar 05 20:38:06 CST 2022, time=2022-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1199555, encodeId=e2731199555b5, content=学习了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=cbcd5675699, createdName=moyanju2796, createdTime=Sat Mar 05 07:55:59 CST 2022, time=2022-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1199325, encodeId=232c119932523, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b2f95127501, createdName=1464b8f6m00暂无昵称, createdTime=Fri Mar 04 10:18:19 CST 2022, time=2022-03-04, status=1, ipAttribution=)]
    2022-03-08 ms8000001673273348

    学习

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=2045379, encodeId=c6d320453e9f4, content=<a href='/topic/show?id=7e4de13990f' target=_blank style='color:#2F92EE;'>#癌症死亡#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71399, encryptionId=7e4de13990f, topicName=癌症死亡)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6f7770, createdName=jeanqiuqiu, createdTime=Mon Feb 06 15:05:17 CST 2023, time=2023-02-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1211902, encodeId=573a121190231, content=花生油和玉米油,菜籽油等其他植物油的效果一样吗?, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b0a26558487, createdName=ms5000000005942839, createdTime=Sun Apr 17 14:31:16 CST 2022, time=2022-04-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1209828, encodeId=820512098289b, content=学习了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/101296147/54EB8C2AC3BECF7C61BC2CFCD312B435/100, createdBy=83b32261325, createdName=Cong777, createdTime=Sat Apr 09 16:12:06 CST 2022, time=2022-04-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1209169, encodeId=2ca8120916940, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f5c82471153, createdName=12439c99m81(暂无昵称), createdTime=Thu Apr 07 10:03:41 CST 2022, time=2022-04-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1200559, encodeId=022812005595b, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=807e6541475, createdName=ms8000001673273348, createdTime=Tue Mar 08 14:54:44 CST 2022, time=2022-03-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1199994, encodeId=5c951199994d5, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=00b23462159, createdName=130a765fm69暂无昵称, createdTime=Sun Mar 06 19:50:19 CST 2022, time=2022-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1199907, encodeId=527c119990e17, content=已学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=07586536952, createdName=ms5000000078691768, createdTime=Sun Mar 06 14:51:14 CST 2022, time=2022-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1199735, encodeId=5f791199e35c1, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210609/8588be583be34b508a2809826a42a66a/a3dbc46f442b4c8ea2f0e0a549926e6b.jpg, createdBy=7d285469957, createdName=陈凤娥, createdTime=Sat Mar 05 20:38:06 CST 2022, time=2022-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1199555, encodeId=e2731199555b5, content=学习了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=cbcd5675699, createdName=moyanju2796, createdTime=Sat Mar 05 07:55:59 CST 2022, time=2022-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1199325, encodeId=232c119932523, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b2f95127501, createdName=1464b8f6m00暂无昵称, createdTime=Fri Mar 04 10:18:19 CST 2022, time=2022-03-04, status=1, ipAttribution=)]
    2022-03-06 130a765fm69暂无昵称

    学习

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=2045379, encodeId=c6d320453e9f4, content=<a href='/topic/show?id=7e4de13990f' target=_blank style='color:#2F92EE;'>#癌症死亡#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71399, encryptionId=7e4de13990f, topicName=癌症死亡)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6f7770, createdName=jeanqiuqiu, createdTime=Mon Feb 06 15:05:17 CST 2023, time=2023-02-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1211902, encodeId=573a121190231, content=花生油和玉米油,菜籽油等其他植物油的效果一样吗?, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b0a26558487, createdName=ms5000000005942839, createdTime=Sun Apr 17 14:31:16 CST 2022, time=2022-04-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1209828, encodeId=820512098289b, content=学习了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/101296147/54EB8C2AC3BECF7C61BC2CFCD312B435/100, createdBy=83b32261325, createdName=Cong777, createdTime=Sat Apr 09 16:12:06 CST 2022, time=2022-04-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1209169, encodeId=2ca8120916940, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f5c82471153, createdName=12439c99m81(暂无昵称), createdTime=Thu Apr 07 10:03:41 CST 2022, time=2022-04-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1200559, encodeId=022812005595b, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=807e6541475, createdName=ms8000001673273348, createdTime=Tue Mar 08 14:54:44 CST 2022, time=2022-03-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1199994, encodeId=5c951199994d5, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=00b23462159, createdName=130a765fm69暂无昵称, createdTime=Sun Mar 06 19:50:19 CST 2022, time=2022-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1199907, encodeId=527c119990e17, content=已学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=07586536952, createdName=ms5000000078691768, createdTime=Sun Mar 06 14:51:14 CST 2022, time=2022-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1199735, encodeId=5f791199e35c1, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210609/8588be583be34b508a2809826a42a66a/a3dbc46f442b4c8ea2f0e0a549926e6b.jpg, createdBy=7d285469957, createdName=陈凤娥, createdTime=Sat Mar 05 20:38:06 CST 2022, time=2022-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1199555, encodeId=e2731199555b5, content=学习了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=cbcd5675699, createdName=moyanju2796, createdTime=Sat Mar 05 07:55:59 CST 2022, time=2022-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1199325, encodeId=232c119932523, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b2f95127501, createdName=1464b8f6m00暂无昵称, createdTime=Fri Mar 04 10:18:19 CST 2022, time=2022-03-04, status=1, ipAttribution=)]
    2022-03-06 ms5000000078691768

    已学习

    0

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    2022-03-05 陈凤娥

    学习了

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=2045379, encodeId=c6d320453e9f4, content=<a href='/topic/show?id=7e4de13990f' target=_blank style='color:#2F92EE;'>#癌症死亡#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71399, encryptionId=7e4de13990f, topicName=癌症死亡)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6f7770, createdName=jeanqiuqiu, createdTime=Mon Feb 06 15:05:17 CST 2023, time=2023-02-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1211902, encodeId=573a121190231, content=花生油和玉米油,菜籽油等其他植物油的效果一样吗?, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b0a26558487, createdName=ms5000000005942839, createdTime=Sun Apr 17 14:31:16 CST 2022, time=2022-04-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1209828, encodeId=820512098289b, content=学习了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/101296147/54EB8C2AC3BECF7C61BC2CFCD312B435/100, createdBy=83b32261325, createdName=Cong777, createdTime=Sat Apr 09 16:12:06 CST 2022, time=2022-04-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1209169, encodeId=2ca8120916940, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f5c82471153, createdName=12439c99m81(暂无昵称), createdTime=Thu Apr 07 10:03:41 CST 2022, time=2022-04-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1200559, encodeId=022812005595b, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=807e6541475, createdName=ms8000001673273348, createdTime=Tue Mar 08 14:54:44 CST 2022, time=2022-03-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1199994, encodeId=5c951199994d5, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=00b23462159, createdName=130a765fm69暂无昵称, createdTime=Sun Mar 06 19:50:19 CST 2022, time=2022-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1199907, encodeId=527c119990e17, content=已学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=07586536952, createdName=ms5000000078691768, createdTime=Sun Mar 06 14:51:14 CST 2022, time=2022-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1199735, encodeId=5f791199e35c1, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210609/8588be583be34b508a2809826a42a66a/a3dbc46f442b4c8ea2f0e0a549926e6b.jpg, createdBy=7d285469957, createdName=陈凤娥, createdTime=Sat Mar 05 20:38:06 CST 2022, time=2022-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1199555, encodeId=e2731199555b5, content=学习了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=cbcd5675699, createdName=moyanju2796, createdTime=Sat Mar 05 07:55:59 CST 2022, time=2022-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1199325, encodeId=232c119932523, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b2f95127501, createdName=1464b8f6m00暂无昵称, createdTime=Fri Mar 04 10:18:19 CST 2022, time=2022-03-04, status=1, ipAttribution=)]
    2022-03-05 moyanju2796

    学习了。

    0

  10. [GetPortalCommentsPageByObjectIdResponse(id=2045379, encodeId=c6d320453e9f4, content=<a href='/topic/show?id=7e4de13990f' target=_blank style='color:#2F92EE;'>#癌症死亡#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71399, encryptionId=7e4de13990f, topicName=癌症死亡)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6f7770, createdName=jeanqiuqiu, createdTime=Mon Feb 06 15:05:17 CST 2023, time=2023-02-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1211902, encodeId=573a121190231, content=花生油和玉米油,菜籽油等其他植物油的效果一样吗?, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b0a26558487, createdName=ms5000000005942839, createdTime=Sun Apr 17 14:31:16 CST 2022, time=2022-04-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1209828, encodeId=820512098289b, content=学习了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/101296147/54EB8C2AC3BECF7C61BC2CFCD312B435/100, createdBy=83b32261325, createdName=Cong777, createdTime=Sat Apr 09 16:12:06 CST 2022, time=2022-04-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1209169, encodeId=2ca8120916940, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f5c82471153, createdName=12439c99m81(暂无昵称), createdTime=Thu Apr 07 10:03:41 CST 2022, time=2022-04-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1200559, encodeId=022812005595b, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=807e6541475, createdName=ms8000001673273348, createdTime=Tue Mar 08 14:54:44 CST 2022, time=2022-03-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1199994, encodeId=5c951199994d5, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=00b23462159, createdName=130a765fm69暂无昵称, createdTime=Sun Mar 06 19:50:19 CST 2022, time=2022-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1199907, encodeId=527c119990e17, content=已学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=07586536952, createdName=ms5000000078691768, createdTime=Sun Mar 06 14:51:14 CST 2022, time=2022-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1199735, encodeId=5f791199e35c1, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210609/8588be583be34b508a2809826a42a66a/a3dbc46f442b4c8ea2f0e0a549926e6b.jpg, createdBy=7d285469957, createdName=陈凤娥, createdTime=Sat Mar 05 20:38:06 CST 2022, time=2022-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1199555, encodeId=e2731199555b5, content=学习了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=cbcd5675699, createdName=moyanju2796, createdTime=Sat Mar 05 07:55:59 CST 2022, time=2022-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1199325, encodeId=232c119932523, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b2f95127501, createdName=1464b8f6m00暂无昵称, createdTime=Fri Mar 04 10:18:19 CST 2022, time=2022-03-04, status=1, ipAttribution=)]
    2022-03-04 1464b8f6m00暂无昵称

    学习了

    0

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