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1.
Annu Rev Nutr ; 36: 73-103, 2016 07 17.
Artigo em Inglês | MEDLINE | ID: mdl-27431364

RESUMO

Each of the macronutrients-carbohydrate, protein, and fat-has a unique set of properties that influences health, but all are a source of energy. The optimal balance of their contribution to the diet has been a long-standing matter of debate. Over the past half century, thinking has progressed regarding the mechanisms by which each macronutrient may contribute to energy balance. At the beginning of this period, metabolic signals that initiated eating events (i.e., determined eating frequency) were emphasized. This was followed by an orientation to gut endocrine signals that purportedly modulate the size of eating events (i.e., determined portion size). Most recently, research attention has been directed to the brain, where the reward signals elicited by the macronutrients are viewed as potentially problematic (e.g., contribute to disordered eating). At this point, the predictive power of the macronutrients for energy intake remains limited.


Assuntos
Regulação do Apetite , Dieta Saudável , Carboidratos da Dieta/metabolismo , Gorduras na Dieta/metabolismo , Proteínas Alimentares/metabolismo , Ingestão de Energia , Medicina Baseada em Evidências , Animais , Pesquisa Biomédica/métodos , Pesquisa Biomédica/tendências , Encéfalo/citologia , Encéfalo/metabolismo , Carboidratos da Dieta/administração & dosagem , Gorduras na Dieta/administração & dosagem , Proteínas Alimentares/administração & dosagem , Metabolismo Energético , Células Enteroendócrinas/citologia , Células Enteroendócrinas/metabolismo , Trato Gastrointestinal/citologia , Trato Gastrointestinal/inervação , Trato Gastrointestinal/metabolismo , Humanos , Células Neuroendócrinas/citologia , Células Neuroendócrinas/metabolismo , Neurônios/citologia , Neurônios/metabolismo , Ciências da Nutrição/métodos , Ciências da Nutrição/tendências
2.
J Nutr ; 145(9): 2076-83, 2015 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-26246322

RESUMO

BACKGROUND: Studies assessing the effects of protein supplementation on changes in body composition (BC) and health rarely consider the impact of total protein intake (TPro) or the change in TPro (CTPro) from participants' usual diets. OBJECTIVE: This secondary data analysis assessed the impact of TPro and CTPro on changes in BC and metabolic syndrome (MetS) indexes in overweight and obese middle-aged adults who participated in an exercise training program. METHODS: Men and women [n = 117; age: 50 ± 0.7 y, body mass index (BMI; in kg/m(2)): 30.1 ± 0.3; means ± SEs] performed resistance exercise 2 d/wk and aerobic exercise 1 d/wk and consumed an unrestricted diet along with 200-kcal supplements (0, 10, 20, or 30 g whey protein) twice daily for 36 wk. Protein intake was assessed via 4-d food records. Multiple linear regression model and stratified analysis were applied for data analyses. RESULTS: Among all subjects, TPro and CTPro were inversely associated (P < 0.05) with changes in body mass, fat mass (FM), and BMI. Changes in BC were different (P < 0.05) among groups that consumed <1.0 (n = 43) vs. ≥1.0 to <1.2 (n = 29) vs. ≥1.2 g · kg(-1) · d(-1) (n = 45). The TPro group with ≥1.0 to <1.2 g ·: kg(-1) ·: d(-1) reduced FM and %FM and increased percentage of LM (%LM) compared with the lowest TPro group, whereas the TPro group with ≥1.2 g ·: kg(-1) ·: d(-1) presented intermediate responses on changes in FM, %FM, and %LM. The gain in LM was not different among groups. In addition, MetS indexes were not influenced by TPro and CTPro. CONCLUSIONS: In conjunction with exercise training, higher TPro promoted positive changes in BC but not in MetS indexes in overweight and obese middle-aged adults. Changes in TPro from before to during the intervention also influenced BC responses and should be considered in future research when different TPro is achieved via diet or supplements. This trial was registered at clinicaltrials.gov as NCT00812409.


Assuntos
Composição Corporal , Proteínas Alimentares/administração & dosagem , Exercício Físico , Obesidade/terapia , Sobrepeso/terapia , Treinamento Resistido , Adulto , Idoso , Apetite/efeitos dos fármacos , Glicemia , Índice de Massa Corporal , HDL-Colesterol/sangue , LDL-Colesterol/sangue , Método Duplo-Cego , Ingestão de Energia , Feminino , Humanos , Modelos Lineares , Masculino , Síndrome Metabólica , Pessoa de Meia-Idade , Avaliação Nutricional , Estudos Prospectivos , Triglicerídeos/sangue , Proteínas do Soro do Leite/administração & dosagem
3.
Am J Clin Nutr ; 102(1): 75-83, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-26016861

RESUMO

BACKGROUND: Dietary lipids are one of the most effective stimulators of carotenoid absorption, but very limited data exist on the impact of endogenous food sources of lipids to enhance carotenoid absorption. The co-consumption of whole egg with carotenoid-rich foods may increase overall carotenoid absorption via lipid-rich egg yolk. OBJECTIVE: We designed this study to assess the effects of egg consumption on carotenoid absorption from a carotenoid-rich, raw mixed-vegetable salad. DESIGN: Healthy young men (n = 16) consumed the same salad (all served with 3 g canola oil) with no egg (control), 75 g scrambled whole eggs (1.5 eggs) [low egg (LE)], and 150 g scrambled whole eggs (3 eggs) [high egg (HE)] (a randomized crossover design). Control, LE, and HE meals contained 23 mg, 23.4 mg (0.4 mg from eggs), and 23.8 mg (0.8 mg from eggs) total carotenoids and 3 g, 10.5 g (7.5 g from eggs), and 18 g (15 g from eggs) total lipids, respectively. Blood was collected hourly for 10 h, and the triacylglycerol-rich lipoprotein (TRL) fraction was isolated. Total and individual carotenoid contents, including lutein, zeaxanthin , α-carotene, ß-carotene, and lycopene in TRL were analyzed, and composite areas under the curve (AUCs) were calculated. RESULTS: The total mean (±SE) carotenoid AUC0-10h in TRL was higher for the HE meal than for LE and control meals [125.7 ± 19.4(a) compared with 44.8 ± 9.2(b) compared with 14.9 ± 5.2(b) nmol/L · 10 h, respectively (values without a common superscript letter differ); P < 0.0001]. The TRL AUC(0-10h) of lutein and zeaxanthin increased 4-5-fold (P < 0.001), and the TRL AUC(0-10h) of carotenoid not present in eggs, including α-carotene, ß-carotene, and lycopene, increased 3-8-fold (P < 0.01) for the HE meal compared with the control meal. CONCLUSION: These findings support the claim that co-consuming cooked whole eggs is an effective way to enhance carotenoid absorption from other carotenoid-rich foods such as a raw mixed-vegetable salad. This trial was registered at clinicaltrials.gov as NCT01951313.


Assuntos
Carotenoides/farmacocinética , Ovos , Luteína/farmacocinética , Verduras , Zeaxantinas/farmacocinética , beta Caroteno/farmacocinética , Adulto , Índice de Massa Corporal , Carotenoides/sangue , Colesterol/sangue , Culinária , Estudos Cross-Over , Gorduras na Dieta/administração & dosagem , Ácidos Graxos Monoinsaturados/administração & dosagem , Voluntários Saudáveis , Humanos , Absorção Intestinal/fisiologia , Luteína/sangue , Licopeno , Masculino , Período Pós-Prandial , Óleo de Brassica napus , Método Simples-Cego , Triglicerídeos/sangue , Adulto Jovem , Zeaxantinas/sangue , beta Caroteno/sangue
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