アボカド摂取が肥満者の心疾患リスク因子を低減(Eating an avocado a day lowers heart disease risk factor for people with obesity)

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2026-07-13 ペンシルベニア州立大学(PennState)

米国ペンシルベニア州立大学の研究チームは、肥満のある成人が毎日アボカドを1個、6か月間摂取すると、心血管疾患リスク因子であるLDL粒子(低密度リポタンパク質粒子)が減少することを明らかにした。研究では、腹部肥満を有する786人を対象に、通常の食生活を続ける群と、通常の食生活に加えて毎日アボカド1個を摂取する群を比較した。その結果、アボカド摂取群ではLDL粒子濃度が平均49 nmol/L低下し、心疾患リスクが約4%低減すると推定された。LDLコレステロール値が同じでも、粒子数が多く小さいほど動脈壁へ侵入しやすく、動脈硬化の原因となるため、LDL粒子数は独立した心血管リスク指標とされる。一方、体重や腹囲に有意な変化は認められなかった。効果は性別、年齢、人種、BMIにかかわらず一貫しており、研究者らは、食生活全体の改善ほど大きな効果ではないものの、アボカドを日常的に取り入れることは、肥満者が無理なく心血管リスクを低減する実践的な方法になり得るとしている。

<関連情報>

腹部肥満の成人における、1日1個のアボカド摂取が、通常の摂取量と比較してリポタンパク質粒子濃度に及ぼす影響:ランダム化比較試験である「習慣的食事とアボカド試験」の副次的研究 Effect of incorporating 1 avocado per day on lipoprotein particle concentrations compared to habitual intake in adults with abdominal obesity: An ancillary study of the Habitual Diet and Avocado Trial, a randomized controlled trial

Janhavi J. Damani, PhD ∙ Penny M. Kris-Etherton, PhD ∙ Nirupa R. Matthan, PhD ∙ … ∙ Joan Sabaté, MD, DrPH ∙ David M. Reboussin, PhD ∙ Kristina S. Petersen, PhD
Journal of Clinical Lipidology  Published:June 12, 2026
DOI:https://doi.org/10.1016/j.jacl.2026.06.005

Highlights

  • In US adults with abdominal obesity, intake of 1 avocado/day for 26 weeks reduced low-density lipoprotein particles.
  • No changes were observed for apolipoprotein B or A‑1, or triglyceride‑rich, or high‑density lipoprotein particles and their subclasses.
  • Incorporating avocados into habitual diets may be a feasible dietary strategy to lower fasting LDL-P.
  • The LDL-P lowering observed with avocado intake corresponds to an approximate 4% lower risk of cardiovascular disease.

Abstract

BACKGROUND
Avocado intake improves blood lipid profiles, but the effect on lipoprotein particles and subclasses is less clear.

OBJECTIVE
The aim was to investigate the effect of consuming 1 avocado per day for 26 weeks on the change in lipoprotein particles and subclasses compared to a habitual diet without supplemental avocados in free-living adults with abdominal obesity.

METHODS
This is an ancillary study of the Habitual Diet and Avocado Trial, a multicenter, parallel-arm, 26-week randomized controlled trial. The Avocado-supplemented Diet Group was provided with 1 avocado per day, and the Habitual Diet Group was instructed to follow their habitual diet. Fasting plasma samples collected at baseline and 26 weeks were analyzed for concentrations of lipoprotein particles and subclasses (exploratory outcomes) using nuclear magnetic resonance spectroscopy. Between-group differences in the 26-week change from baseline were evaluated using linear regression, with adjustment for study site.

RESULTS
The analytical sample included 786 participants (74% female; aged 51 ± 14 years; body mass index 32.9 ± 5.4 kg/m2) with available data (Avocado-supplemented Diet Group: n = 389; Habitual Diet Group: n = 397). The Avocado-supplemented Diet Group had a reduction in total low-density lipoprotein (LDL) particle concentration (mean difference: −49.1 nmol/L; 95% CI: −83.6, −14.5; P = .005) compared to the Habitual Diet Group. No between-group differences were observed for LDL particle size and subclasses, triglyceride-rich lipoprotein particles, high-density lipoprotein particles, or apolipoproteins A or B.

CONCLUSION
Incorporating 1 avocado per day into habitual diets for 26 weeks reduced the concentration of atherogenic LDL particles without affecting other lipoprotein particles and subclasses in adults with abdominal obesity.

医療・健康
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