极低矿物质和细菌消耗性糖的摄入确保了7-14天延长全剥夺饮食方案的安全性和持久性

Xiaoxue Wang, Yancong Zhao, Yaying Yu, Yi Chen, Chenguang Niu, Q. Wei, Hongxia Xu, Xinxin Liu, Chenlu Zhang, Xiaolong Zheng, Cheng-gang Zhang, Garrick D. Lee
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引用次数: 0

摘要

极低矿物质和细菌消耗性糖的摄入保证了7-14天延长全剥夺饮食方案的安全性和持久性。摘要目的:本研究的目的是评估在超过7天的持续饮食剥夺(7D-CDD)中,由一种新型益生元Flexible Abrosia (FA)辅助的全禁食方案。我们的分析包括正常志愿者的基本体格检查、生物电阻抗分析、临床实验室和ELISA分析。方法:8名体重正常的健康受试者在特殊设计的益生菌辅助下参与7D-CDD。受试者被分配在每次用餐时间服用FA (113.4 KJ/10g/剂),以避免可能对肠道菌群造成伤害并消除饥饿感。在7D-CDD期间,建议受试者避免任何食物摄入,特别是碳水化合物,除了大量饮水。分别于CDD前作为自控、禁食7 d、复食7~14 d采集检验标本。4名受试者在6 m后再次进食。结果:FA-CDD方案显著减少饥饿感,治疗期间饥饿感可耐受。在每日补充矿物质电解质的情况下,受试者不仅完成了整个7D-CDD方案,而且在3名受试者中成功实现了高达14D的总禁食。空腹期间血糖、胰岛素和高密度脂蛋白水平显著降低,血尿酸(UA)、谷丙转氨酶(ALT)和肌酸激酶(CK)浓度升高。然而,在重新喂养2个多月后,与初始0 D对照水平相比,疾病标志物ALT、GOT和CK要么保持稳定,要么略有下调。结论:我们的实验提供了第一个积极的证据,在每天向肠道菌群提供约100千卡总热量的营养帮助下,人类受试者能够忍受饥饿感。我们发现,尽管7D-CDD在禁食期间诱导UA、CK和转移酶的增加,但与初始水平相比,重新喂食导致这些标记物要么下调,要么保持不变。这一现象在较长期(6米)采出中得到进一步证实。我们的研究结果不能支持禁食导致肝损伤的假设,因为ALT、GOT和CK在长期重新进食后仍然很低。我们的研究结果表明,以肠道菌群饱和度为目标的7D-CDD方案可能是可行的,并且可能有价值设计更大规模的临床禁食试验,以改善针对代谢紊乱的健康策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Intake of Extremely Low Minerals and Bacteria Consumable Saccharides Secured Safety and Persistent of 7-14 Days Prolonged Total Dietary Deprivation Regimen
ALT The Intake of Extremely Low Minerals and Bacteria Consumable Saccharides Secured Safety and Persistent of 7-14 Days Prolonged Total Dietary Deprivation Regimen. In: Abstract Objectives: The aim of this study was to evaluate a total fasting regimen assisted by a novel prebiotic, Flexible Abrosia (FA), in more than 7 days of continual dietary deprivation (7D-CDD). Our analysis included basic physical examinations, bioelectrical impedance analysis, and clinical lab and ELISA analysis in normal volunteers. Methods : Eight healthy subjects with normal body weight participated in 7D-CDD with the assistance of a specially designed probiotic. Individuals were assigned to take FA (113.4 KJ/10g/dose) at each mealtime to avoid possible injuries to intestinal flora and smooth the hunger sensation. During 7D-CDD, the subjects were advised to avoid any food intake, especially carbohydrates, except for drinking plentiful amounts of water. The examination samples were collected before CDD as self-control, at 7-d fasting, and after 7~14 d of refeeding. Four subjects were also tested after 6-m refeeding. Results: The FA-CDD regimen significantly decreased suffering from starvation, with tolerable hunger sensations during the treatment. With the addition of daily mineral electrolytes, the subjects not only passed through the entire 7D-CDD regimen but also succeed in up to 14D total fasting in three subjects. There was a significant reduction in blood glucose, insulin, and high-density lipoprotein levels during fasting, and the blood concentrations of uric acid (UA), alanine aminotransferase (ALT), and creatine kinase (CK) were increased. However, after more than 2 months of refeeding, the disease markers ALT, GOT, and CK either remained stable or were slightly downregulated compared to their initial 0 D control level. Conclusion: Our experiment has supplied the first positive evidence that, with the assistance of a daily nutritional supply around 100 kcal total calories to their intestinal flora, human subjects were able to tolerate hunger sensations. We have found that, although 7D-CDD induced increases in UA, CK, and transferases during fasting, refeeding led the markers to become either down-regulated or unchanged compared to their initial levels. This phenomenon was further confirmed in longer-term (6 m) recovery. Our results failed to support the hypothesis that fasting induced liver damage, since ALT, GOT, and CK remained low after longer-term refeeding. Our findings indicate that our 7D-CDD regimen which target of Intestinal flora saturation might be practical and that it might be valuable to design larger clinical fasting trials for improvement of health strategy-targeting in metabolic disorders.
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