
ããããæ¢ãŸããªãã®ã¯æå¿ãããªããŠãã«ã¢ã³ã ã£ãïœãããã€ã³ã»ã¬ãã¬ããžä»®èª¬
ããããäžè¢é£ã¹ãŠãèªåã¯æå¿ã匱ãâŠããšèœã¡èŸŒãã ããšããããŸãããïŒ
å®å¿ããŠãã ãããããã¯æå¿ã®åé¡ãããããŸããã äœã®ãã«ã¢ã³ãåºããŠããããŸã è¶³ããªãããšããã¢ã©ãŒã ã§ãã
ä»åã¯ãããããã¹ããã¯èåãæ¢ãŸããªãåå ãšããŠæ³šç®ãããŠããããããã€ã³ã¬ãã¬ããžä»®èª¬ãã«ã€ããŠãææ°ã®è«æãŸã§å«ããŠãŸãšããŠã¿ããã¿ã³ãã¯è³ªãšé£æ¬²ã®é¢ä¿ãè¶ å å·¥é£åãã¿ã³ãã¯è³ªãèããæ§é ããããŠFGF21ãšãããã«ã¢ã³ã®åœ¹å²ããã®ããããããªãã¹ãããããããã
äœã«ã¯ãã¿ã³ãã¯è³ªãæ»å®ããä»çµã¿ããããïŒãããã€ã³ã¬ãã¬ããžä»®èª¬ïŒ
ãŸããã²ãšã€ã ãèŠããŠã»ããããšã
人éã®äœã«ã¯ãã¿ã³ãã¯è³ªã®æåéãäžå®ã«ä¿ãšããšããä»çµã¿ãåãã£ãŠããã
ããããã€ã³ã¬ãã¬ããžããšåŒã°ãããã®çŸè±¡ã¯ã2005幎ã«ã·ãããŒå€§åŠã®SimpsonææãšRaubenheimerææãæå±ãããã®ã§ããã£ããèšããš
ãã¿ã³ãã¯è³ªã®æ¯çãäœãé£äºãé£ã¹ããšãäœãã¿ã³ãã¯è³ªã確ä¿ãããŸã§é£æ¬²ãæ¢ããªããçµæãšããŠç·ã«ããªãŒãå¢ããããšãã話ã
ã¡ã«ããºã ã®æ žã«ããã®ãFGF21ãšãããã«ã¢ã³ã ãèèããã¿ã³ãã¯è³ªãè¶³ããªãããšæç¥ãããšãFGF21ãè¡äžã«æŸåºãããŠè³ã«å±ãããããšè³ãããã£ãšé£ã¹ãããšããæä»€ãåºããã«ããªãŒãè¶³ããŠããŠãé¢ä¿ãªããã¿ã³ãã¯è³ªãæ¥ããŸã§ã飿¬²ã®ãã¬ãŒããããããŸãŸã«ãªãã
ãããã¯ããã®ã¢ã©ãŒã ã鳎ããã£ã±ãªãã«ããã
ããããèåãã³ã¯ãäœã¿ã³ãã¯ã»é«ã«ããªãŒãã®ãããŸãã ãããããããã¹ã¯100gããã541kcalã§ãã¿ã³ãã¯è³ªã¯ãã£ã4.7gãä»®ã«ãããã ãã§1æ¥ã¶ãã®ã¿ã³ãã¯è³ªïŒçŽ60gïŒãæºããããšãããšãã³ã³ããã®ãµã€ããµã€ãºã®è¢ã§20è¢ä»¥äžã7,000kcalè¿ãé£ã¹ãããšã«ãªãã
ãã¡ããå®éã«20è¢é£ã¹ããããããªãããã ãäœããã¿ã³ãã¯è³ªäžè¶³ã ããšæããŠããéãã飿¬²ã®ãã¬ãŒãããããç¶æ ããã£ãšç¶ããæ°ã¥ããªããã¡ã«ã«ããªãŒã ããç©ã¿äžãã£ãŠãããã ãããäžå£ã ããã®ã€ããããäžè¢ãªããªãã
æå¿ã匱ãããããªããFGF21ãšãããã«ã¢ã³ããæ£åžžã«åããŠããã ãã ã
22人ã«ãå³ã®åãé£äºã3çš®é¡é£ã¹ãŠããã£ããïŒäœã¿ã³ãã¯é£ãšéé£ïŒ
ãæ¬åœã«ãããªããšãèµ·ããã®ïŒããšæããŸãããã
ã·ãããŒå€§åŠã®ç ç©¶ããŒã ãããããå®éšã§æ€èšŒããŠãããç©ãåã®å¥åº·ãª22人ïŒå¥³æ§16人ãç·æ§6人ïŒã«ãèŠãç®ãå³ãã»ãŒåãé£äºãåºããããã ãäžèº«ã®ã¿ã³ãã¯è³ªã®å²åã ãã10%ã15%ã25%ãšå€ããŠãããåã人ã3ãã¿ãŒã³ãã¹ãŠã4æ¥ãã€ã1é±é以äžãããŠé çªã«é£ã¹ããã©ã®æéã奜ããªã ãé£ã¹ãŠããã被éšè ã¯èªåãã©ã®æ¡ä»¶ãç¥ããªãã
ã»ã¿ã³ãã¯è³ª10%ã®é£äºã®æéã¯ã15%ã®ãšããã1æ¥ã®ç·ã«ããªãŒã12%å€ãã£ã
ã»ãã®å¢ããåã®çŽ70%ããé£äºãšé£äºã®ããã ã®éé£ããšãã«å¡©å³ç³»ã®ã¹ããã¯
ã»ã¿ã³ãã¯è³ª25%ã®é£äºã®æéã¯ã15%ãšå€ãããªãã£ã
å¢ãããŠããé£ã¹ãéã¯æžããªãã£ãã
ã€ãŸãããã¯ãã¿ã³ãã¯è³ªãå¢ããã»ã©é£æ¬²ãæ¢ãŸãããšãã話ã§ã¯ãªãããå²åãäžããããããšæ¢ãŸããªããªãããšãã話ã ã

ãã®å®éšã§ã¿ã³ãã¯è³ªãæžãããã¶ãã¯ãçæ°Žåç©ã§åããŠãããã ãããç¯äººã¯çæ°Žåç©ã®ã»ãã§ã¯ããšããçãã¯æ®ããèè èªèº«ãããã¯éçãšããŠæžããŠããããã ããã®åŸã«38ã®è©ŠéšããŸãšããè§£æã§ã¯ãèããã®ãç³è³ªã§ãè質ã§ãåãããã«ç·ã«ããªãŒãå¢ããŠãããåããŠããã®ã¯ããã¯ãã¿ã³ãã¯è³ªã®å²åã®ã»ãã ã£ãã
ããã²ãšã€ãã«ããªãŒã12%å€ãé£ã¹ãŠãããšããã¿ã³ãã¯è³ªã®éã¯15%ã®æéã«å±ããªãã£ããäœã¯ãè¶³ããªãã¶ããå
šéšã¯åããããªãã£ããã¬ãã¬ããžã¯ãäžå®å
šãã ã
ã ãããã¿ã³ãã¯è³ªãæºãããããŸã§é£ã¹ç¶ããããšããã»ã©æ¿ãã話ã§ã¯ãªãããã¬ãŒãããããã§ãããããäœèšã«é£ã¹ãŠããŸããããããããæ£ç¢ºã ãšæãã
åããŠããã®ã¯ã飿¬²ã®ãã«ã¢ã³ã§ã¯ãªãã£ã
åã22人ã®ããŒã¿ã§ãè¡æ¶²äžã®ãã«ã¢ã³ãŸã§æž¬ãçŽããå ±åã2016幎ã«åºãŠããã飿¬²ã®ãã«ã¢ã³ãšããã°ããŸãã°ã¬ãªã³ã ãããªãã空ãããšè³ã«äŒãã圹ãããŠãããéã«ãããæºè
¹ã ãšäŒããGLP-1ãCCKãããã
ãã®ã©ãããåããŠããªãã£ãã
代ããã«å€§ããåããã®ããFGF21ã ã£ããã¿ã³ãã¯è³ª25%ã®é£äºã®æéãšæ¯ã¹ãŠã10%ã®ãšãã¯ç©ºè
¹æã®è¡äžæ¿åºŠã6åã«ãªã£ãŠãããåã人ãåãæ¥æ°ãåãããã«å¥œããªã ãé£ã¹ãŠãããã ããå€ãã£ãã
飿¬²ã®ãã«ã¢ã³ã¯åããŠããªãã®ã«ãå¥ã®ä»çµã¿ããè¶³ããªãããšèšãç¶ããŠãããã ããæ¬äººã«ã¯ããã ã®æå¿ã®åŒ±ãã«èŠããã
FGF21ã®å·®ãã¯ã£ããã€ããã®ã¯ã10%ãš25%ãšããé¢ããæ¡ä»¶ãæ¯ã¹ããšãã ã£ãã10%ãš15%ã®ããã ã§ã¯ãå·®ã¯ã¯ã£ããããªãã£ãããã«ã¢ã³ã®åããšé£ã¹ãéã®åããããããã«äžå¯Ÿäžã§å¯Ÿå¿ããŠããããã§ã¯ãªãã
ããã§ããããç¥ããã飿¬²ã®ãã«ã¢ã³ã§ã¯èª¬æãã€ããªããšãããšãããŸã§ã¯èšããã
è¶ å å·¥é£åãã¿ã³ãã¯è³ªããèããŠãããïŒé£ç°å¢ãšã¿ã³ãã¯è³ªæ¯çïŒ
ãå¥ã«ã¿ã³ãã¯è³ªãé¿ããŠãã€ããã¯ãªããã ãã©âŠããšãã人ãã»ãšãã©ã ãšæãã
åé¡ã¯ãé¿ããŠãããã©ãããããªããã³ã³ãããã¹ãŒããŒã§æã«åããã®ã®ã»ãããåæã«ã¿ã³ãã¯è³ªãèããŠããã
ç±³åœã®å šåœå¥åº·æ é€èª¿æ»ïŒNHANESïŒ9,042åã®ããŒã¿åæã§ã¯ãè¶ å å·¥é£å(ã³ã³ããåŒåœãã«ãã麺ãèåãã³ãå·åé£åãªã©)ãããããé£ã¹ã人ã»ã©é£äºå šäœã®ã¿ã³ãã¯è³ªæ¯çãäžãã£ãŠãããæãè¶ å å·¥é£åãå€ãã°ã«ãŒãã§ã¯ãã¿ã³ãã¯è³ªæ¯çã18.2%ãã13.3%ãŸã§äœäžããããŠã¿ã³ãã¯è³ªæ¯çãäžããã»ã©ãç·ã«ããªãŒæåéãå¢ããŠãããã¿ã³ãã¯è³ªã®çµ¶å¯Ÿéã¯ã»ãŒäžå®ã®ãŸãŸã

ããã¯æšªæç ç©¶ãªã®ã§ãè¶ å å·¥é£åãã¿ã³ãã¯è³ªãèãããã倪ã£ãããšãŸã§ã¯èšãåããªãããã ããããã€ã³ã¬ãã¬ããžã®äºæž¬ãšå®å šã«äžèŽãããã¿ãŒã³ã§ã¯ããã
倿¥ã§çµå¶è
ã®é£äºèšé²ãèŠããšãæã³ã³ããã®ãµã³ãã€ãããæŒã«ãã麺ãå€ã¯æ¥åŸ
ã§é
ãšæãç©âŠâŠã¿ãããªãã¿ãŒã³ãããªãå€ããæ¬äººã¯ãã¡ãããšé£ã¹ãŠããã€ãããªã®ã«ãèšç®ãããšã¿ã³ãã¯è³ªæ¯çã13%å°ã«ãªã£ãŠãããNHANESã®ææªã°ã«ãŒããšåãæ°Žæºãå¿ãã人ã»ã©ãã®ã¯ãã«ã¯ãŸããããã
ã¡ãªã¿ã«è¶
å å·¥é£åã®æãã¯ãã¿ã³ãã¯è³ªãèããããšã ããããªããå¥ã®èšäºã§ãè¶
å å·¥é£åãå¿èãå£ãããã«ããªãŒç®¡çããŠããã倧äžå€«ãã§ã¯é²ããªãããšããè©±ãæžãããã«ããªãŒç®¡çããŠããã€ãããã®äººã»ã©èªãã§ã»ããã
å¿èãšè¡ç®¡ã«äœãèµ·ããããŸã§ç¥ã£ãŠãããšãã³ã³ããã§éžã¶ãã®ãå€ããã
ãã§åµ1åã§ãå²åã¯åãã®ã
察çã¯ã1æ¥ãéããŠã¿ã³ãã¯è³ªã®å²åãä¿ã€ããšãå¢ããããšã§ã¯ãªããèããªãããšã
ã§ããå²åãèšç®ããããšèšãããŠãå¿ãã人ã«ã¯ç¡çã§ããããããã§èªåã倿¥ã§å§ããŠããå®è·µæ³ã2ã€ããã
1ã€ç®ã¯ããããã€ã³ãã¡ãŒã¹ããã
é£äºã®ãã¡ã°ãæåã«ã¿ã³ãã¯è³ªãå
¥ãããèãéãåµããããå
ã«é£ã¹ãã
ãããã€ã³ã¬ãã¬ããžã®ç ç©¶èªäœã¯ã1æ¥ã®é£äºå šäœã®ã¿ã³ãã¯è³ªã®å²åãã®è©±ã§ãã£ãŠã1åã®é£äºã§äœãå ã«é£ã¹ãããæ€èšŒãããã®ã§ã¯ãªãããã ãã¿ã³ãã¯è³ªãéèãå ã«é£ã¹ãŠçæ°Žåç©ãåŸã«ããé£äºæ³ãè¡ç³å€ãæ¹åããããšã¯å¥ã®ç ç©¶ã§ç€ºãããŠããŠãã¿ã³ãã¯è³ªãæåã«å ¥ããããšã§æºè ¹ã·ã°ãã«ãæ©ãç«ã¡äžãããšããç¥èŠãããããããã€ã³ã¬ãã¬ããžã®ç¥èŠãšé£äºé åºã®ç ç©¶ãçµã¿åããããèšåºå®¶ãšããŠã®ææ¡ã ãšæã£ãŠã»ããã
2ã€ç®ã¯ãéé£ãã¿ã³ãã¯è³ªã«çœ®ãæãããã
èªåã倿¥ã§çµå¶è
ã«å¿
ãäŒããèšèãããã
ãããªãã空ãããããŸããã§åµã1ã€é£ã¹ãŠãã ããã
ãè¶³ãããšã眮ãæãããã§ã¯ãå¹ãæ¹ããŸãã§éãã
1æ¥2,200kcalãã¿ã³ãã¯è³ª13.3%ã®äººã§èšç®ããŠã¿ãããã§åµã1åãè¶³ãããšãå²åã¯14%ã«ãããªããªããã»ãšãã©åããªããåããã§åµãããã1è¢ãš ã眮ãæããããšã15%ãè¶ ããã å®éšã§é£ã¹ãããèµ·ããã®ã¯ã¿ã³ãã¯è³ªã10%ãŸã§äžãããšãã§ã15%ã§ã¯èµ·ããŠããªãããã®15%ã®æ°ŽæºãŸã§ãåµ1åã§æ»ããã

å¹ããŠããã®ã¯åµã®ã¿ã³ãã¯è³ª7gã ããããªãããããã®325kcalãæ¶ããã¶ããå¹ããŠãããèããŠãããã®ãæžããã»ãããè¶³ãããå²åã¯åãã
ãŸãäžåºŠã詊ã䟡å€ã¯ãããšæããããããžã®æžæããèœã¡çã人ã¯ããªãå€ãã
ãŸãšã
é£ã¹ããã®åå ã¯ãæå¿ã®åŒ±ãããããªããŠãã¿ã³ãã¯è³ªäžè¶³ãžã®ãã«ã¢ã³å¿ç
ãã ããå¢ããã»ã©ãããã§ã¯ãªããå®éšã§ã¯15%ãã25%ã«å¢ãããŠãé£ã¹ãéã¯å€ãããªãã£ã
åããŠããã®ã¯ã°ã¬ãªã³ãªã©ã®ç©ºè ¹ãã«ã¢ã³ã§ã¯ãªããFGF21ã ã£ã
è¶ å å·¥é£åäžå¿ã®é£ç掻ã¯ãèªèŠãªãã¿ã³ãã¯è³ªã®å²åã13%å°ãŸã§äžãã
察çã¯ãæåã®ã²ãšå£ãã¿ã³ãã¯è³ªã«ãïŒãéé£ããã§åµã«çœ®ãæããããè¶³ãã®ã§ã¯ãªãã眮ãæãã
ãããŸã§èªãã§ãã ãã£ãŠãããããšãããããŸããã
圹ã«ç«ã£ãããã¹ããããããããšããããå±ã¿ã«ãªããŸãã
èªåã®äœã§ã詊ããå¥åº·ã®è©±ããããããªããŒãã§ãæ°æ¥ã«1æ¬ãããåºããŠããŸãããã²ãã©ããŒããŠããããšå¬ããã§ãã
ãã£ãšæ·±ãç¥ãããæ¹ãž
ãã®èšäºã¯ãå²åãã®è©±ã§ãããæ¬¡ã«æ°ã«ãªãã®ã¯ããããéã¯ã©ãã ãèŠãã®ãããšãé£ã¹ãããšäœã®äžã§äœãèµ·ããŠããããã ãšæããŸãã
⌠å²åã®æ¬¡ã¯ã1æ¥ã®ç·éã
ã¿ã³ãã¯è³ªã¯1æ¥ã©ãããããšãã°ããã®ãïœçèãšé·å¯¿ã§çããå€ããçç±ïŒã¡ã³ããŒéå®ïŒ
ã¿ã³ãã¯è³ªãã©ããããåãã°ããã®ãã¯é£ãããçèã®ããã«ã¯ãããããšã£ãæ¹ããããã©ãåããªãã»ãã寿åœã䌞ã³ããšããããŠã¹ç ç©¶ã倿°ãçèãé·å¯¿ã幎霢ãè
èã®ç
æ°ã®æç¡ã§çããå€ããçç±ãæŽçããŠããŸãã
⌠é£ã¹ãããšãäœã®äžã§èµ·ããŠããããš
å»è
ã2é±éãªãã¬ãã€ããŠæ°ã¥ãããè¡ç³å€ã®æå€ãããçå®ãïŒã¡ã³ããŒéå®ïŒ
ã¿ã³ãã¯è³ªãå
ã«å
¥ãããšé£æ¬²ãèœã¡çãããã®è£ã§åæã«èµ·ããŠããã®ããè¡ç³ã¹ãã€ã¯ã®æå¶ãã§ããèªåã2é±éãªãã¬ïŒæç¶è¡ç³ã¢ãã¿ãŒïŒãã€ããŠèšé²ããçµæãšã倿¥ã®çµå¶è
ã«äŒããŠãããè¡ç³ãæŽããªãé£ã¹æ¹ãããŸãšããŠããŸãã
ã¡ã³ããŒã·ãããDr.ãããã©ããã®ãç¥ãã
ç¡æèšäºã§ã¯ãããããæ¢ãŸããªãçç±ããã«ã¢ã³ãšã¿ã³ãã¯è³ªã®å²åããæžããŸããã
ã¡ã³ããŒã·ããã§ã¯ããã®å
ãæ±ã£ãŠããŸããäŒé£ãç¶ãé±ã«ã©ãã§å²åãæ»ãããå€é
ãé£äºã®é çªãè¡ç³ã®å®æž¬ãŸã§ãæ ¹æ§ã§ã¯ãªãçµã¿æ¹ã§é£æ¬²ãæ±ãããæ¹ã«åããŠããŸãã
æé¡1000åã§å šèšäºèªã¿æŸé¡ã§ããåããªãã£ããããè§£çŽã§ããŸããæ°ã«ãªã£ãæ¹ã¯ãèŠããŠã¿ãŠãã ããã
â»æ¬èšäºã¯äžè¬çãªå¥åº·ã»å»åŠæ å ±ã®æäŸãç®çãšãããã®ã§ãããç¹å®ã®å人ã«å¯Ÿãã蚺æã»æ²»çã»å»åŠçå©èšãè¡ããã®ã§ã¯ãããŸãããå¥åº·äžã®æžå¿µãããå Žåã¯ãå¿ ãå»çæ©é¢ãå蚺ããŠãã ãããèšäºã®æ å ±ã«åºã¥ãè¡åã®çµæã«ã€ããŠã¯ãçè ã¯è²¬ä»»ãè² ããããŸãã
åèæç®
Simpson SJ, Raubenheimer D. Obesity: the protein leverage hypothesis. Obes Rev. 2005; 6(2): 133-142.Gosby AK et al. Testing protein leverage in lean humans: a randomised controlled experimental study. PLoS ONE. 2011; 6(10): e25929.
Gosby AK, Conigrave AD, Raubenheimer D, Simpson SJ. Protein leverage and energy intake. Obes Rev. 2014; 15(3): 183-191.
Shukla AP et al. Food order has a significant impact on postprandial glucose and insulin levels. Diabetes Care. 2015; 38(7): e98-e99.
Gosby AK et al. Raised FGF-21 and triglycerides accompany increased energy intake driven by protein leverage in lean, healthy individuals: a randomised trial. PLoS ONE. 2016; 11(8): e0161003.
MartÃnez Steele E et al. Ultra-processed foods, protein leverage and energy intake in the USA. Public Health Nutr. 2018; 21(1): 114-124.
Raubenheimer D, Simpson SJ. Protein appetite as an integrator in the obesity system. Phil Trans R Soc B. 2023; 378(1888): 20220212.
Honfo SH et al. Evidence for protein leverage on total energy intake, but not body mass index, in a large cohort of older adults. Int J Obes. 2024; 48: 654-661.
#飿¬² #ã¿ã³ãã¯è³ª #é£äºç®¡ç #è«æè§£èª¬ #ãã€ãšãã