
糖是敵人,,對嗎,?事實并非總是如此——至少一項新研究表明,危害程度取決于你如何攝入糖分,。
楊百翰大學(Brigham Young University)的研究人員在對來自多個大洲的超50萬人的數(shù)據(jù)進行分析時,,發(fā)現(xiàn)了意想不到的情況:通過蘇打水等飲料攝入的糖分——甚至包括富含天然果糖的純果汁——似乎比從食物中攝入的糖分危害更大。
該研究第一作者,、楊百翰大學營養(yǎng)學教授凱倫·德拉·科爾特(Karen Della Corte)在一份新聞稿中表示:“這是第一項明確不同糖源與2型糖尿病風險間劑量反應關系的研究,。這凸顯了飲用含糖飲料——無論是蘇打水還是果汁——比直接吃糖對健康的危害更大的原因?!?/p>
研究發(fā)現(xiàn),,從食物中攝入的糖分與糖尿病之間不存在此類關聯(lián),甚至在部分情形下,還呈現(xiàn)出與較低患病風險相關的態(tài)勢,。
在調(diào)整體重指數(shù)及各類生活方式風險因素后,,研究結(jié)果包括:
? 含糖飲料有風險。每日每多攝入12盎司(約合355毫升)含糖飲料(包括軟飲料,、能量飲料和運動飲料),,罹患2型糖尿病(T2D)的風險就會增加25%,。
? 果汁同樣存在問題,。每日每多攝入8盎司(約合237毫升)果汁(包括100%純果汁、花蜜和果汁飲料),,罹患2型糖尿病的風險就會增加5%,。
? 個體反應存在差異。研究人員指出,,上述風險為“相對風險,,而非絕對風險”,取決于個體患2型糖尿病的基線風險,;例如,,如果普通人患2型糖尿病的基線風險約為10%,那么每日飲用四罐蘇打水可將這一風險提高到約20%,,而非100%,。
? 含糖食物則屬于不同類別。相比之下,,每日攝入20克(約1.6湯匙)總蔗糖(食糖)與總糖(飲食中所有天然糖和添加糖的總和)與2型糖尿病呈負相關,,“暗示存在令人驚訝的保護性關聯(lián)”。
為何飲用含糖飲料會更糟糕,?
新聞稿解釋稱,,這可能歸結(jié)于其對新陳代謝產(chǎn)生的影響不同。
新聞稿指出:“含糖飲料和果汁提供的是游離糖,,會導致血糖水平大幅上升,,給肝臟代謝帶來沉重負擔并使其紊亂,進而增加肝臟脂肪含量并引發(fā)胰島素抵抗,?!?/p>
但在富含營養(yǎng)的食物(如全果、乳制品或全谷物)中攝入或添加的膳食糖不會導致肝臟代謝過載,。新聞稿提到,,“這些嵌入食物中的糖分因伴隨纖維、脂肪,、蛋白質(zhì)和其他有益營養(yǎng)素,,引發(fā)的血糖反應更為平緩,。”
關于果汁的注意事項
盡管認為果汁與蘇打水危害程度相近可能有悖直覺,,但研究人員解釋了其中的邏輯,。
研究指出,與提供“空熱量”的含糖飲料(SSBs)中的糖相比,,果汁“可能含有維生素和植物化學物質(zhì)等有益營養(yǎng)素,;然而我們的研究發(fā)現(xiàn),從果汁中攝入糖分與2型糖尿病風險呈正相關,。果汁高糖且缺乏纖維的特性與含糖飲料類似,,因此它無法替代全果——后者提供更高含量的纖維,有助于更好地調(diào)節(jié)血糖,?!?
不過,含糖飲料的危害仍高于含糖食物,,因為它們提供的游離糖會導致血糖水平大幅上升,。研究人員指出:“而其他來源的膳食糖,尤其是從全果,、乳制品或全谷物等營養(yǎng)密集型食物中攝入時,,可能因伴隨纖維、脂肪或蛋白質(zhì),,引發(fā)更為平緩的血糖反應,。”
最后,,他們指出,,盡管未來仍需開展研究來評估糖分攝入的長期影響,但現(xiàn)有發(fā)現(xiàn)表明,,糖分類型在決定膳食糖關聯(lián)中至關重要,,“顯然,液體糖分攝入量越高,,危害就越大?!保ㄘ敻恢形木W(wǎng))
譯者:中慧言-王芳
糖是敵人,,對嗎?事實并非總是如此——至少一項新研究表明,,危害程度取決于你如何攝入糖分,。
楊百翰大學(Brigham Young University)的研究人員在對來自多個大洲的超50萬人的數(shù)據(jù)進行分析時,發(fā)現(xiàn)了意想不到的情況:通過蘇打水等飲料攝入的糖分——甚至包括富含天然果糖的純果汁——似乎比從食物中攝入的糖分危害更大,。
該研究第一作者,、楊百翰大學營養(yǎng)學教授凱倫·德拉·科爾特(Karen Della Corte)在一份新聞稿中表示:“這是第一項明確不同糖源與2型糖尿病風險間劑量反應關系的研究,。這凸顯了飲用含糖飲料——無論是蘇打水還是果汁——比直接吃糖對健康的危害更大的原因?!?/p>
研究發(fā)現(xiàn),,從食物中攝入的糖分與糖尿病之間不存在此類關聯(lián),甚至在部分情形下,,還呈現(xiàn)出與較低患病風險相關的態(tài)勢,。
在調(diào)整體重指數(shù)及各類生活方式風險因素后,研究結(jié)果包括:
? 含糖飲料有風險,。每日每多攝入12盎司(約合355毫升)含糖飲料(包括軟飲料,、能量飲料和運動飲料),罹患2型糖尿?。═2D)的風險就會增加25%,。
? 果汁同樣存在問題。每日每多攝入8盎司(約合237毫升)果汁(包括100%純果汁,、花蜜和果汁飲料),,罹患2型糖尿病的風險就會增加5%。
? 個體反應存在差異,。研究人員指出,,上述風險為“相對風險,而非絕對風險”,,取決于個體患2型糖尿病的基線風險,;例如,如果普通人患2型糖尿病的基線風險約為10%,,那么每日飲用四罐蘇打水可將這一風險提高到約20%,,而非100%。
? 含糖食物則屬于不同類別,。相比之下,,每日攝入20克(約1.6湯匙)總蔗糖(食糖)與總糖(飲食中所有天然糖和添加糖的總和)與2型糖尿病呈負相關,“暗示存在令人驚訝的保護性關聯(lián)”,。
為何飲用含糖飲料會更糟糕,?
新聞稿解釋稱,這可能歸結(jié)于其對新陳代謝產(chǎn)生的影響不同,。
新聞稿指出:“含糖飲料和果汁提供的是游離糖,,會導致血糖水平大幅上升,給肝臟代謝帶來沉重負擔并使其紊亂,,進而增加肝臟脂肪含量并引發(fā)胰島素抵抗,。”
但在富含營養(yǎng)的食物(如全果,、乳制品或全谷物)中攝入或添加的膳食糖不會導致肝臟代謝過載,。新聞稿提到,,“這些嵌入食物中的糖分因伴隨纖維、脂肪,、蛋白質(zhì)和其他有益營養(yǎng)素,,引發(fā)的血糖反應更為平緩?!?/p>
關于果汁的注意事項
盡管認為果汁與蘇打水危害程度相近可能有悖直覺,,但研究人員解釋了其中的邏輯。
研究指出,,與提供“空熱量”的含糖飲料(SSBs)中的糖相比,,果汁“可能含有維生素和植物化學物質(zhì)等有益營養(yǎng)素;然而我們的研究發(fā)現(xiàn),,從果汁中攝入糖分與2型糖尿病風險呈正相關,。果汁高糖且缺乏纖維的特性與含糖飲料類似,因此它無法替代全果——后者提供更高含量的纖維,,有助于更好地調(diào)節(jié)血糖,。”
不過,,含糖飲料的危害仍高于含糖食物,,因為它們提供的游離糖會導致血糖水平大幅上升。研究人員指出:“而其他來源的膳食糖,,尤其是從全果,、乳制品或全谷物等營養(yǎng)密集型食物中攝入時,可能因伴隨纖維,、脂肪或蛋白質(zhì),,引發(fā)更為平緩的血糖反應?!?/p>
最后,,他們指出,盡管未來仍需開展研究來評估糖分攝入的長期影響,,但現(xiàn)有發(fā)現(xiàn)表明,,糖分類型在決定膳食糖關聯(lián)中至關重要,“顯然,,液體糖分攝入量越高,,危害就越大?!保ㄘ敻恢形木W(wǎng))
譯者:中慧言-王芳
Sugar is the enemy. Right? Not always, as it turns out—at least according to a new study, which found it depends on how you consume it.
In analyzing data from over half a million people across multiple continents, researchers at Brigham Young University found something unexpected: that sugar consumed through drinks like soda—and even pure fruit juice, which is high in naturally occurring fructose—appeared to be more harmful than sugar that is eaten in foods.
“This is the first study to draw clear dose-response relationships between different sugar sources and Type 2 diabetes risk,” said Karen Della Corte, lead author and BYU nutritional science professor, in a news release. “It highlights why drinking your sugar—whether from soda or juice—is more problematic for health than eating it.”
Food sugar sources showed no such link and, in some cases, were even associated with a lower risk.
The findings, after correcting for body mass index and various lifestyle risk factors, include:
? Sugary drinks are risky. The risk for developing Type 2 diabetes (T2D) increased by 25% with each additional 12 oz daily serving of sugar-sweetened beverages—including soft drinks, energy drinks, and sports drinks.
? Fruit juice is also a problem. With each additional eight-ounce serving of fruit juice per day—including 100% fruit juice, nectars, and juice drinks—the risk for developing T2D increased by 5%.
? Individual responses may vary. The above risks are “relative but not absolute,” note the researchers, and depend on a person’s baseline risk of developing T2D; for example, if the average person’s baseline risk of developing T2D is about 10%, four sodas a day could raise that to roughly 20%, not 100%.
? Sugary food is in a different category. Comparatively, an intake of 20 grams a day (about 1.6 tablespoons) of total sucrose (table sugar) and total sugar (the sum of all naturally occurring and added sugars in the diet) showed an inverse association with T2D, “hinting at a surprising protective association.”
Why is drinking sugar worse?
It may come down to the differing metabolic effects, explains the news release.
“Sugar-sweetened beverages and fruit juice supply isolated sugars, leading to a greater glycemic impact that would overwhelm and disrupt liver metabolism thereby increasing liver fat and insulin resistance,” it notes.
But dietary sugars consumed in or added to nutrient-dense foods, such as whole fruits, dairy products, or whole grains, do not cause metabolic overload in the liver. “These embedded sugars,” says the release, “elicit slower blood glucose responses due to accompanying fiber, fats, proteins, and other beneficial nutrients.”
A note about fruit juice
While it might be counterintuitive to think that fruit juice could be in the same relative category of harm as soda, the researchers explain why it makes sense.
Compared to sugars from sugar-sweetened beverages (SSBs), which provide empty calories, fruit juice, the study says, “can contain beneficial nutrients such as vitamins and phytochemicals; however, our study found that sugar consumption from fruit juice was positively associated with T2D risk. The high sugar content and lack of fiber in fruit juice are similar to SSBs, making it a poor substitute for whole fruits, which provide higher fiber content to support better blood glucose regulation.”
But sugar-sweetened beverages are still worse than sugary foods, as they supply isolated sugars leading to a greater glycemic impact. “Whereas other sources of dietary sugars, particularly when consumed in nutrient-dense foods such as whole fruits, dairy products, or whole grains, may elicit slower blood glucose responses due to accompanying fiber, fats, or proteins,” the researchers note.
Finally, they point out that, while future research is still needed to evaluate the long-term impacts of sugar consumption, the findings suggest the importance of sugar type in determining the association of dietary sugar, “with higher liquid sugar intakes apparently linked to greater harm.”