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高羽扇豆饮食对超重者氧化应激以及血管功能影响因子的影响
The effects of a lupin-enriched diet on oxidative stress and factors influencing vascular function in overweight subjects
Yang X, Croft KD, Lee YP, Mori TA, Puddey IB, Sipsas S, Barden A, Swinny E, Hodgson JM  2010/11/2 11:14:00 
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Antioxidants and Redox Signaling, 2010, Volume 13, Issue 10 
 

A diet enriched in lupin kernel flour can lower blood pressure, but mechanisms responsible are unclear. Lupin is a source of polyphenols, protein, and L-arginine, factors that may influence blood pressure via effects on oxidative stress and vascular function. Therefore, we aimed to determine the effects of a lupin-enriched diet on oxidative stress and factors influencing vascular function as potential mechanisms for demonstrated benefits on blood pressure. Overweight men and women (n = 88) were recruited to a 16-week parallel-design study. Participants were randomly assigned to replace 15%-20% of their usual daily energy intake with white bread (control) or lupin kernel flour-enriched bread (lupin). All measurements were taken at baseline and 16 weeks. At baseline, plasma F2-isoprostanes and 20- hydroxyeicosatetraenoic acid (20-HETE) were positively associated with blood pressure, and plasma nitrite was negatively associated with blood pressure (p < 0.05). For lupin relative to control, the estimated differences in plasma F2-isoprostanes (45 pmol/L; 95%CI: - 68, 158), urinary F 2-isoprostanes (17 pmol/mmol creatinine; 95%CI: - 43, 76), plasma 20-HETE (75 pmol/L; 95%CI: - 91, 241), and plasma nitrite (-0.3 μmol/L; 95%CI: - 1.1, 0.4) were not significant. Although regular consumption of lupin-enriched bread can lower blood pressure, these results do not support for the hypothesis that this is via effects on oxidative stress or vascular function. © Mary Ann Liebert, Inc.

Correspondence Address: Hodgson J, M, School of Medicine and Pharmacology Royal Perth Hospital Unit GPO Box X2213 Perth WA 6847 Australia email:Jonathan.Hodgson@uwa.edu.au 
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 王燕燕 王曙

上海交通大学附属瑞金医院内分泌科

患者,女,69岁。2009年1月无明显诱因下出现乏力,当时程度较轻,未予以重视。2009年3月患者乏力症状加重,尿色逐渐加深,大便习惯改变,颜色变淡。4月18日入我院感染科治疗,诉轻度头晕、心慌,体重减轻10kg。无肝区疼痛,无发热,无腹痛、腹泻、腹胀、里急后重,无恶性、呕吐等。入院半月前于外院就诊,查肝功能:ALT 601IU/L,AST 785IU/L,TBIL 97.7umol/L,白蛋白 41g/L,甲状腺功能:游离T3 30.6pmol/L,游离T4 51.9pmol/L,心电图示快速房颤。
 

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