丰盛的早餐会改变食欲和肠道健康。
Big Breakfast Alters Appetite, Gut Health

原始链接: https://www.cambridge.org/core/journals/british-journal-of-nutrition/article/big-breakfast-diet-composition-impacts-on-appetite-control-and-gut-health-a-randomized-weight-loss-trial-in-adults-with-overweight-or-obesity/69D4E150EAE7D9632D33904D7A4AE5FA

本研究调查了高纤维 (HF) 与高蛋白 (HP) 早餐对超重/肥胖成年人体重减轻、食欲和肠道健康的影响。十九名参与者遵循了两种为期 28 天的减肥饮食,每种饮食都提供膳食,且卡路里分配侧重于丰盛的早餐(每日卡路里的 45%)。 结果显示,与 HP 饮食(-3.87 公斤)相比,HF 饮食导致更大的体重减轻(-4.87 公斤)。然而,HP 饮食在抑制食欲方面更有效。有趣的是,HF 饮食对肠道健康产生积极影响,增加了有益细菌,如 *双歧杆菌* 和丁酸生产菌。 该研究得出结论,早餐组成显著影响饱腹感和肠道菌群。虽然较高的蛋白质促进饱腹感,但富含纤维的早餐可能对整体肠道健康更有益。

## 大早餐与健康:黑客新闻总结 近期一项研究(文章中链接)调查了“大早餐”对食欲和肠道健康的影响,在黑客新闻上引发了讨论。该研究在减肥饮食中比较了高蛋白早餐与高纤维早餐,发现**高蛋白早餐更能有效抑制食欲,而高纤维早餐则更有利于肠道健康。** 评论者指出样本量较小(19名参与者),并质疑该研究对是否应该吃早餐更广泛的影响,引用了2019年的荟萃分析,表明早餐并不能帮助减肥。另一些人指出,该研究的设计——交叉试验,参与者测试了两种饮食——尽管参与者数量有限,但加强了研究结果。 讨论还集中在早餐的构成、饮食研究的挑战以及确认这些结果的更大规模研究的必要性上。一些幽默的评论调侃了行业资金(“大早餐”)。最终,这项研究被视为进一步调查的垫脚石,而非最终答案。
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Growing evidence supports early eating to control appetite and energy balance but there are few controlled studies to assess the amount and/or type of breakfast meal. This randomized, within-participant, diet intervention examined the effects of higher-fibre (HF) and higher-protein (HP) breakfasts in adults with overweight/obesity. Nineteen healthy adults consumed two randomized 28 day weight loss (WL) diets; as higher-fibre (HFWL) or higher protein (HPWL), with all food provided. Both WL diets were designed as 45%, 35% and 20% of calories to be consumed at the morning, afternoon and evening, respectively. The primary outcome was energy balance, analysed by body weight changes. The secondary outcomes were gut health (assessed by changes in faecal microbiota composition and microbial metabolite concentrations) and subjective appetite assessed with visual analogue scales (VAS). There was a diet effect on WL, with mean loss of -4.87 kg and -3.87 kg for the HFWL and HPWL diets, respectively (P=0.002). The HPWL diet was superior to the HFWL diet for suppressing subjective appetite (P=0.003). The faecal microbiota analysis showed beneficial groups of bacteria, including bifidobacteria, and the butyrate-producers Faecalibacterium and Roseburia, were significantly increased in proportional abundance on the HFWL diet. Breakfast composition has an important role in influencing subjective appetite with the higher-protein diet promoting greater feelings of satiety. The proportional abundance of putatively beneficial groups of gut microbiota was markedly higher on the fibre-enriched diet, which may be preferable for gut health.

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