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颜如玉编辑台· Korin Miller·· 5 天前AI 评分76

全谷物碳水被低估了:87 项试验汇总显示,它和更好的血压、胆固醇相关

These Carbs May Help Lower Your Blood Pressure—And Most People Aren't Eating Enough of Them

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碳水不全是一回事。Women's Health 引述《欧洲心脏杂志》一项汇总 87 项临床试验的分析:全谷物吃得较多的饮食,与较低的体重、较低的 LDL(坏)胆固醇、较小的腰围、较低的血压,以及较低的炎症标志物白介素-6 相关。文中给出的量级是:每天 30–40 克全谷物起就开始出现相关获益,60–100 克(约 4–6 份)时关联最明显。全谷物指的是保留麸皮、胚芽和胚乳完整结构的谷物种子,和白米、白面不是一类;营养师解释,机制很可能主要在膳食纤维——可溶性纤维有助于降低 LDL,整体纤维也有助于血糖控制、饱腹感和肠道菌群。落地做法并不激进:早餐换燕麦或全谷物麦片,三明治用 100% 全谷物面包,白米每周几次换成糙米、法罗麦、大麦或藜麦,再把全谷物加进汤和沙拉,同时搭配足够的蛋白质、健康脂肪和非淀粉类蔬菜。证据限制必须说清:这是多项试验的汇总分析,观察的是血压、胆固醇等风险指标的关联与变化,不等于吃全谷物就能治愈或保证预防心脏病,个人效果还受整体饮食、运动和基础疾病影响,有明确心血管风险的人仍应按医生建议管理。

正文

Carbs have gotten a bad rap for years, with many diets recommending that you swear off the macronutrient to lose weight. But the rise of fibermaxxing has put carbs back into play, leaving plenty of people confused. Now, new research suggests that one form of carbohydrates in particular could deliver an impressive boost for your heart health.

It's whole grains, and the new data suggest that having up to six servings of these carbs a day could reduce the risk of a slew of factors that contribute to heart disease. Just a recap: Whole grains are plant seeds that keep its original parts, including the bran (outside), germ (core), and endosperm (inner layer). These are not the same as white rice and pasta.

The new findings come at a time when people are rethinking their relationship with carbs, according to Keri Gans, RD, author of The Small Change Diet. "We’re moving away from treating all carbohydrates as nutritionally equivalent," she says. "Whole grains provide fiber and other important nutrients, and research continues to support their role in heart health."

Here's what the study found, plus why dietitians recommend adding more whole grains to your plate.

Meet the experts: Jessica Cording, RD, author of The Little Book of Game-Changers; Keri Gans, RD, author of The Small Change Diet

What did the study find?

The European Heart Journal study analyzed data from 87 clinical trials that looked at the impact of diets that included whole grains on risk factors for heart disease.

After crunching the data, the researchers linked a slew of heart healthy markers with diets higher in whole grains. That included having a lower body weight, lower LDL ("bad") cholesterol, smaller waist size, and lower blood pressure, along with lower levels of interleukin-6, which is a marker of inflammation.

These perks started to show up in people who ate 30 to 40 grams (1 to 1.5 ounces) of whole grains a day, although the biggest benefits were in people who ate 60 to 100 grams a day. That's the equivalent of 2.1 to 3.5 ounces of whole grains daily, or four to six servings.

How do whole grains support heart health?

There are likely a few factors driving this, according to dietitians. "Whole grains tend to be higher in fiber than many refined grains, like white bread and pasta," says Jessica Cording, RD, author of The Little Book of Game-Changers. "Fiber is very important for managing cholesterol levels, especially LDL cholesterol."

Gans agrees that fiber is likely the big factor here. While the soluble (dissolvable) fiber in whole grains can help to lower LDL cholesterol, "overall fiber may support blood sugar control, fullness, and a healthier gut microbiome, all of which can influence cardiovascular risk," she says.

How to incorporate more whole grains into your diet

Cording suggests looking at the refined grains in your diet, and considering whole grain swaps. "If you're currently eating white rice or white pasta, that's a case for whole grains," she says.

She also recommends incorporating those grains into your diet with adequate protein, healthy fat, and non-starchy vegetables to balance your blood sugar.

Gans also suggests subbing in whole grains throughout the day. "Choose oatmeal or a whole-grain cereal for breakfast, use 100 percent whole-grain bread for sandwiches, and swap white rice for brown rice, farro, barley, or quinoa a few times a week," she says. "You can also add whole grains to soups, salads, or side dishes without changing the entire meal."

But Cording says you don't need to go overboard when adding whole grains to your diet. "You don't have to eat giant portions to get benefits," she says.

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来源:颜如玉编辑台 · womenshealthmag.com