{"id":16608,"date":"2021-08-16T07:57:10","date_gmt":"2021-08-15T22:57:10","guid":{"rendered":"https:\/\/promea2014.com\/blog\/?p=16608"},"modified":"2021-08-16T07:57:10","modified_gmt":"2021-08-15T22:57:10","slug":"post-16608","status":"publish","type":"post","link":"https:\/\/promea2014.com\/blog\/?p=16608","title":{"rendered":"\u30a2\u30e1\u30ea\u30ab\u5fc3\u81d3\u75c5\u5b66\u4f1a\u306f\u4e2d\u6027\u8102\u80aa\u3092\u6e1b\u3089\u3059\u305f\u3081\u306e\u30e9\u30a4\u30d5\u30b9\u30bf\u30a4\u30eb\u4ecb\u5165\u3068\u3057\u3066\u7cd6\u8cea\u5236\u9650\u3092\u63d0\u5531\u3000\u305d\u306e3"},"content":{"rendered":"

\u4ee5\u524d\u306e\u8a18\u4e8b\u300c\u305d\u306e1<\/a>\u300d\u300c\u305d\u306e2<\/a>\u300d\u306e\u7d9a\u304d\u3067\u3059\u3002\u7cd6\u8cea\u306e\u7a2e\u985e\u306b\u3088\u308b\u9055\u3044\u306b\u3064\u3044\u3066\u5c11\u3057\u66f8\u304b\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n

Type of Carbohydrate<\/span>
\nSimple sugars (including monosaccharides and disaccharides) increase triglycerides more than oligo- and polysaccharides (complex carbohydrates), and dietary fiber attenuates the triglyceride-raising effect of dietary carbohydrate. The 2020 Dietary Guidelines Advisory Committee recommended that a healthy dietary pattern provide <6% of calories from added sugars for a 2,000 calorie diet and up to 7% to 8% of calories for higher-calorie diets (3,000 to 3,200 calories). These recommendations align with those of the AHA for added sugar (100 calories\/d for women and 150 calories\/d for men. The 2020-2025 Dietary Guidelines for Americans recommended <10% of calories per day from added sugars. In a systematic review and meta-analysis of 37 trials that reported lipid outcomes, higher versus lower dietary sugar intake increased triglycerides by 9.7 mg\/dL, which was independent of the effects of sugars on body weight. In this analysis, the higher sugar intervention (which varied in the amount and type of sugar: sucrose, fructose, high-fructose corn syrup, or glucose) was compared to a lower-sugar diet that also varied significantly in the amount and type of carbohydrates. Free sugars stimulate hepatic triglyceride synthesis (fructose more so than glucose) via a stimulatory effect on de novo lipogenesis and VLDL secretion. Fructose may also impair postprandial triglyceride clearance due to decreased insulin levels (via decreased secretion) and decreased lipoprotein lipase activity.<\/span><\/p>\n

\u70ad\u6c34\u5316\u7269\u306e\u7a2e\u985e<\/span><\/p>\n

\u5358\u7cd6\uff08\u5358\u7cd6\u3068\u4e8c\u7cd6\u3092\u542b\u3080\uff09\u306f\u3001\u30aa\u30ea\u30b4\u7cd6\u3068\u591a\u7cd6\uff08\u8907\u5408\u7cd6\u8cea\uff09\u3088\u308a\u3082\u4e2d\u6027\u8102\u80aa\u3092\u5897\u52a0\u3055\u305b\u3001\u98df\u7269\u7e4a\u7dad\u306f\u3001\u98df\u4e8b\u306b\u3088\u308b\u70ad\u6c34\u5316\u7269\u306e\u4e2d\u6027\u8102\u80aa\u4e0a\u6607\u52b9\u679c\u3092\u5f31\u3081\u307e\u3059\u30022020\u5e74\u306e\u98df\u4e8b\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u8aee\u554f\u59d4\u54e1\u4f1a\u306f\u3001\u8ffd\u52a0\u306e\u7802\u7cd6\u304b\u3089\u3001\u5065\u5eb7\u7684\u306a\u98df\u4e8b\u30d1\u30bf\u30fc\u30f3\u3067\u306f2,000\u30ab\u30ed\u30ea\u30fc\u306e\u98df\u4e8b\u3042\u305f\u308a6\uff05\u672a\u6e80\u306e\u30ab\u30ed\u30ea\u30fc\u3001\u9ad8\u30ab\u30ed\u30ea\u30fc\u306e\u98df\u4e8b\uff083,000\u301c3,200\u30ab\u30ed\u30ea\u30fc\uff09\u3067\u306f\u6700\u59277\uff05\u301c8\uff05\u306e\u30ab\u30ed\u30ea\u30fc\u3092\u63d0\u4f9b\u3059\u308b\u3053\u3068\u3092\u63a8\u5968\u3057\u307e\u3057\u305f\u3002\u3053\u308c\u3089\u306e\u52e7\u544a\u306f\u3001AHA\u306e\u7802\u7cd6\u306e\u52e7\u544a\uff08\u5973\u6027\u3067\u306f100\u30ab\u30ed\u30ea\u30fc\/\u65e5\u304a\u3088\u3073\u7537\u6027\u3067\u306f150\u30ab\u30ed\u30ea\u30fc\/\u65e5\uff09\u3068\u4e00\u81f4\u3057\u3066\u3044\u307e\u3059\u3002\u30a2\u30e1\u30ea\u30ab\u4eba\u306e\u305f\u3081\u306e2020\u5e74\u304b\u30892025\u5e74\u98df\u751f\u6d3b\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u306f\u8ffd\u52a0\u7cd6\u304b\u3089\u306e\u4e00\u65e5\u3042\u305f\u308a\u306e\u30ab\u30ed\u30ea\u30fc\u306e<10\uff05\u3092\u63a8\u5968\u3057\u3066\u3044\u307e\u3059\u3002\u8102\u8cea\u306e\u7d50\u679c\u3092\u5831\u544a\u3057\u305f37\u4ef6\u306e\u8a66\u9a13\u306e\u7cfb\u7d71\u7684\u30ec\u30d3\u30e5\u30fc\u3068\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\u3067\u306f\u3001\u98df\u4e8b\u304b\u3089\u306e\u7802\u7cd6\u6442\u53d6\u91cf\u304c\u591a\u3044\u5834\u5408\u3067\u306f\u5c11\u306a\u3044\u5834\u5408\u3068\u6bd4\u3079\u3066\u4e2d\u6027\u8102\u80aa\u304c9.7 mg\/dL\u5897\u52a0\u3057\u307e\u3057\u305f\u3002\u3053\u308c\u306f\u3001\u4f53\u91cd\u306b\u5bfe\u3059\u308b\u7802\u7cd6\u306e\u5f71\u97ff\u3068\u306f\u7121\u95a2\u4fc2\u3067\u3057\u305f\u3002\u3053\u306e\u5206\u6790\u3067\u306f\u3001\u7cd6\u8cea\u306e\u591a\u3044\u4ecb\u5165\uff08\u7cd6\u306e\u91cf\u3068\u7a2e\u985e\u306f\u69d8\u3005\uff1a\u30b7\u30e7\u7cd6\u3001\u679c\u7cd6\u3001\u9ad8\u679c\u7cd6\u30b3\u30fc\u30f3\u30b7\u30ed\u30c3\u30d7\u3001\u307e\u305f\u306f\u30d6\u30c9\u30a6\u7cd6\uff09\u3092\u3001\u70ad\u6c34\u5316\u7269\u306e\u91cf\u3084\u7a2e\u985e\u304c\u69d8\u3005\u306a\u7cd6\u8cea\u306e\u5c11\u306a\u3044\u98df\u4e8b\u3068\u6bd4\u8f03\u3057\u307e\u3057\u305f\u3002\u904a\u96e2\u7cd6\u306f\u3001\uff08\u30d6\u30c9\u30a6\u7cd6\u3088\u308a\u3082\u679c\u7cd6\u306e\u65b9\u304c\uff09denovo\u8102\u8cea\u751f\u6210\u304a\u3088\u3073VLDL\u5206\u6ccc\u306b\u5bfe\u3059\u308b\u523a\u6fc0\u52b9\u679c\u3092\u4ecb\u3057\u3066\u3001\u809d\u81d3\u306e\u4e2d\u6027\u8102\u80aa\u5408\u6210\u3092\u523a\u6fc0\u3057\u307e\u3059\u3002\u679c\u7cd6\u306f\u307e\u305f\u3001\u30a4\u30f3\u30b9\u30ea\u30f3\u30ec\u30d9\u30eb\u306e\u4f4e\u4e0b\uff08\u5206\u6ccc\u306e\u4f4e\u4e0b\u306b\u3088\u308b\uff09\u304a\u3088\u3073\u30ea\u30dd\u30bf\u30f3\u30d1\u30af\u8cea\u30ea\u30d1\u30fc\u30bc\u6d3b\u6027\u306e\u4f4e\u4e0b\u306b\u3088\u308a\u3001\u98df\u5f8c\u306e\u4e2d\u6027\u8102\u80aa\u30af\u30ea\u30a2\u30e9\u30f3\u30b9\u3092\u640d\u306a\u3046\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/span><\/p>\n

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Although fruit is a dietary source of fructose, a recent meta-analysis of 5 cross-sectional studies reported a 21% decrease in triglycerides (OR: 0.79; 95% CI: 0.72-0.87) for the highest versus the lowest fruit intake category, suggesting that increasing fruit consumption is associated with a lower risk of hypertriglyceridemia. Added sugars, however, should be limited to <10% of calories for patients with triglycerides <500 mg\/dL and to <5% of calories for patients with triglycerides \u2265500 mg\/dL. Artificial sweeteners may be used as a substitute for added sugars. It is important to note, however, that a recent Science Advisory from the AHA advises caution on the consumption of non-nutritive sweeteners. Further research is needed on the effects of the non-nutritive sweeteners on energy balance, cardiometabolic risk factors, and risk of CVD and other chronic diseases.<\/span><\/p>\n

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\"\"<\/a><\/p>\n

\"\"<\/a><\/p>\n

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 <\/p>\n

Clinical Summary: Patients with hypertriglyceridemia should limit intake of added sugars, sugar sweetened beverages, and desserts. The clinician should advise patients to consume whole fruit and avoid fruit juices when possible. Emphasize fresh fruits without added sugar or salt.<\/span><\/p>\n

\u81e8\u5e8a\u7684\u6982\u8981\uff1a\u9ad8\u4e2d\u6027\u8102\u80aa\u8840\u75c7\u306e\u60a3\u8005\u306f\u3001\u8ffd\u52a0\u306e\u7802\u7cd6\u3001\u7802\u7cd6\u3067\u7518\u304f\u3057\u305f\u98f2\u6599\u3001\u304a\u3088\u3073\u30c7\u30b6\u30fc\u30c8\u306e\u6442\u53d6\u3092\u5236\u9650\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u81e8\u5e8a\u533b\u306f\u3001\u679c\u7269\u5168\u4f53\u3092\u6d88\u8cbb\u3057\u3001\u53ef\u80fd\u306a\u5834\u5408\u306f\u30d5\u30eb\u30fc\u30c4\u30b8\u30e5\u30fc\u30b9\u3092\u907f\u3051\u308b\u3088\u3046\u306b\u60a3\u8005\u306b\u30a2\u30c9\u30d0\u30a4\u30b9\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u7802\u7cd6\u3084\u5869\u3092\u52a0\u3048\u305a\u306b\u65b0\u9bae\u306a\u679c\u7269\u3092\u5f37\u8abf\u3057\u307e\u3059\u3002<\/span><\/p>\n

\u6442\u308b\u306e\u3067\u3042\u308c\u3070\u679c\u7269\u305d\u306e\u3082\u306e\u3067\u3057\u3087\u3046\u3002\u5e02\u8ca9\u306e\u30d5\u30eb\u30fc\u30c4\u30b8\u30e5\u30fc\u30b9\u306f100\uff05\u3067\u3042\u3063\u3066\u3082\u5065\u5eb7\u7684\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u3057\u304b\u3082\u30d5\u30eb\u30fc\u30c4\u30b8\u30e5\u30fc\u30b9\u306f\u305d\u3053\u306b\u542b\u307e\u308c\u308b\u679c\u7cd6\u306f\u5927\u91cf\u3067\u3059\u3002<\/p>\n

\u305d\u306e\u3042\u3068\u306e\u8a18\u8ff0\u306b\u306f\u30aa\u30e1\u30ac3\u3084\u8eab\u4f53\u6d3b\u52d5\u306b\u3064\u3044\u3066\u3082\u66f8\u304b\u308c\u3066\u3044\u307e\u3059\u3002\u305d\u3057\u3066\u3082\u30461\u3064\u3001\u30a2\u30eb\u30b3\u30fc\u30eb\u306b\u3064\u3044\u3066\u3082\u66f8\u304b\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n

Alcohol<\/span>
\nAlcohol consumption of 1 ounce per day is estimated to correspond to a 5% to 10% higher concentration of triglycerides in drinkers versus nondrinkers. A standard drink is 12 ounces of regular beer, 5 ounces of wine, or 1.5 ounces of distilled spirits. The alcohol and sugar content in mixed drinks varies. Persons who do not consume alcohol should be advised not to start.<\/span><\/p>\n

The effects of alcohol on triglycerides are synergistically exaggerated when coupled with a meal high in saturated fat. An oral fat load produces transient lipemia. Simultaneous ingestion of alcohol impairs chylomicron hydrolysis and also increases triglyceride production and secretion of triglyceride-rich VLDL. Excess alcohol consumption, particularly in individuals with pre-existing hypertriglyceridemia, is associated with marked triglyceride elevation, often \u2265250 mg\/dL, and can precipitate hypertriglyceridemic pancreatitis. High-risk individuals should abstain completely from alcohol to reduce the risk of developing pancreatitis.<\/span><\/p>\n

\u30a2\u30eb\u30b3\u30fc\u30eb<\/span>
\n\u4e00\u65e5\u3042\u305f\u308a1\u30aa\u30f3\u30b9\u306e\u30a2\u30eb\u30b3\u30fc\u30eb\u6d88\u8cbb\u306f\u3001\u975e\u98f2\u9152\u8005\u3068\u6bd4\u8f03\u3057\u3066\u3001\u98f2\u9152\u8005\u3067\u306f\u4e2d\u6027\u8102\u80aa\u304c5\uff05\u301c10\uff05\u9ad8\u3044\u6fc3\u5ea6\u306b\u76f8\u5f53\u3059\u308b\u3068\u63a8\u5b9a\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u6a19\u6e96\u7684\u306a\u98f2\u307f\u7269\u306f\u300112\u30aa\u30f3\u30b9\u306e\u901a\u5e38\u306e\u30d3\u30fc\u30eb\u30015\u30aa\u30f3\u30b9\u306e\u30ef\u30a4\u30f3\u3001\u307e\u305f\u306f1.5\u30aa\u30f3\u30b9\u306e\u84b8\u7559\u9152\u3067\u3059\u3002\u30df\u30c3\u30af\u30b9\u30c9\u30ea\u30f3\u30af\u306e\u30a2\u30eb\u30b3\u30fc\u30eb\u3068\u7802\u7cd6\u306e\u542b\u6709\u91cf\u306f\u3055\u307e\u3056\u307e\u3067\u3059\u3002\u30a2\u30eb\u30b3\u30fc\u30eb\u3092\u6d88\u8cbb\u3057\u306a\u3044\u4eba\u306f\u98f2\u9152\u3092\u59cb\u3081\u306a\u3044\u3088\u3046\u306b\u5fe0\u544a\u3055\u308c\u308b\u3079\u304d\u3067\u3059\u3002<\/span><\/p>\n

\u98fd\u548c\u8102\u80aa\u306e\u9ad8\u3044\u98df\u4e8b\u3068\u7d44\u307f\u5408\u308f\u305b\u308b\u3068\u4e2d\u6027\u8102\u80aa\u306b\u5bfe\u3059\u308b\u30a2\u30eb\u30b3\u30fc\u30eb\u306e\u52b9\u679c\u304c\u76f8\u4e57\u7684\u306b\u5927\u304d\u304f\u306a\u308a\u307e\u3059\u3002\u7d4c\u53e3\u8102\u80aa\u8ca0\u8377\u306f\u4e00\u904e\u6027\u306e\u8102\u80aa\u8840\u75c7\u3092\u5f15\u304d\u8d77\u3053\u3057\u307e\u3059\u3002\u30a2\u30eb\u30b3\u30fc\u30eb\u306e\u540c\u6642\u6442\u53d6\u306f\u3001\u30ab\u30a4\u30ed\u30df\u30af\u30ed\u30f3\u306e\u52a0\u6c34\u5206\u89e3\u3092\u640d\u306a\u3044\u3001\u307e\u305f\u4e2d\u6027\u8102\u80aa\u306e\u7523\u751f\u304a\u3088\u3073\u4e2d\u6027\u8102\u80aa\u306b\u5bcc\u3080VLDL\u306e\u5206\u6ccc\u5897\u52a0\u3082\u3082\u305f\u3089\u3057\u307e\u3059\u3002\u904e\u5270\u306e\u30a2\u30eb\u30b3\u30fc\u30eb\u6442\u53d6\u306f\u3001\u7279\u306b\u65e2\u5b58\u306e\u9ad8\u4e2d\u6027\u8102\u80aa\u8840\u75c7\u3092\u6709\u3059\u308b\u4eba\u3067\u4e2d\u6027\u8102\u80aa\u306e\u4e0a\u6607\u3068\u95a2\u9023\u3057\u3066\u3044\u308b\u3002\u3057\u3070\u3057\u3070250mg\/dL\u4ee5\u4e0a\u3067\u306f\u9ad8\u4e2d\u6027\u8102\u80aa\u8840\u75c7\u6027\u81b5\u708e\u3092\u5f15\u304d\u8d77\u3053\u3059\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002\u9ad8\u30ea\u30b9\u30af\u306e\u4eba\u306f\u3001\u81b5\u708e\u3092\u767a\u75c7\u3059\u308b\u30ea\u30b9\u30af\u3092\u6e1b\u3089\u3059\u305f\u3081\u306b\u3001\u30a2\u30eb\u30b3\u30fc\u30eb\u3092\u5b8c\u5168\u306b\u63a7\u3048\u308b\u3079\u304d\u3067\u3059\u3002<\/span><\/p>\n

\u30a2\u30eb\u30b3\u30fc\u30eb\u306f\u679c\u7cd6\u3068\u540c\u69d8\u306b\u4e2d\u6027\u8102\u80aa\u3092\u5897\u52a0\u3055\u305b\u307e\u3059\u3002\u7cd6\u8cea\u5236\u9650\u3092\u3057\u3066\u3082\u4e2d\u6027\u8102\u80aa\u304c\u6e1b\u5c11\u3057\u306a\u3044\u5834\u5408\u306b\u306f\u30a2\u30eb\u30b3\u30fc\u30eb\u6442\u53d6\u3092\u898b\u76f4\u3059\u3053\u3068\u304c\u5fc5\u8981\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002<\/p>\n

\u6700\u5f8c\u306e\u307e\u3068\u3081\u306e\u3088\u3046\u306a\u3068\u3053\u308d\u3067\u3082\u6b21\u306e\u3088\u3046\u306a\u3053\u3068\u304c\u66f8\u304b\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n

\u500b\u3005\u306e\u30cb\u30fc\u30ba\u306b\u5fdc\u3058\u3066\u6804\u990a\u7642\u6cd5\u3092\u8abf\u6574\u3059\u308b\u305f\u3081\u306b\u3001\u9ad8\u4e2d\u6027\u8102\u80aa\u8840\u75c7\u306e\u4e3b\u306a\u539f\u56e0\u3092\u8a55\u4fa1\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u4e00\u90e8\u306e\u60a3\u8005\u306f\u7dcf\u8102\u80aa\u306e\u5927\u5e45\u306a\u524a\u6e1b\u304b\u3089\u6069\u6075\u3092\u53d7\u3051\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u304c\u3001\u4ed6\u306e\u60a3\u8005\u306f\u98df\u4e8b\u306e\u70ad\u6c34\u5316\u7269\u3092\u6e1b\u3089\u3059\u3053\u3068\u304b\u3089\u3088\u308a\u591a\u304f\u306e\u6069\u6075\u3092\u53d7\u3051\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002<\/span><\/p>\n

\u30a2\u30e1\u30ea\u30ab\u5fc3\u81d3\u75c5\u5b66\u4f1a\u306f\u307e\u3060\u7dcf\u8102\u80aa\u3092\u6e1b\u3089\u3059\u3053\u3068\u3092\u624b\u653e\u3057\u3066\u306f\u3044\u307e\u305b\u3093\u304c\u3001\u70ad\u6c34\u5316\u7269\u3092\u6e1b\u3089\u3059\u3053\u3068\u304c\u5927\u304d\u304f\u4e2d\u6027\u8102\u80aa\u3092\u6e1b\u3089\u3059\u3053\u3068\u3092\u8a8d\u3081\u307e\u3057\u305f\u3002\u5927\u304d\u306a\u524d\u9032\u3067\u3059\u3002\u591a\u304f\u306e\u4eba\u304c\u7cd6\u8cea\u5236\u9650\u3092\u3057\u3066\u4e2d\u6027\u8102\u80aa\u5024\u3092\u3057\u3063\u304b\u308a\u4e0b\u3052\u3066\u3057\u307e\u3046\u3068\u3001\u5f7c\u3089\u306e\u4ed5\u4e8b\u304c\u6fc0\u6e1b\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u306b\u3082\u95a2\u308f\u3089\u305a\u3001\u3082\u306f\u3084\u9003\u3052\u308b\u3053\u3068\u304c\u96e3\u3057\u304f\u306a\u3063\u305f\u306e\u3067\u3057\u3087\u3046\u3002<\/span><\/p>\n

\u65e5\u672c\u306e\u5fc3\u81d3\u75c5\u5b66\u4f1a\u306f\u3069\u3046\u3059\u308b\u3067\u3057\u3087\u3046\u304b\uff1f<\/p>\n

\u300c2021 ACC Expert Consensus Decision Pathway on the Management of ASCVD Risk Reduction in Patients With Persistent Hypertriglyceridemia: A Report of the American College of Cardiology Solution Set Oversight Committee\u300d<\/span><\/p>\n

\u300c\u6301\u7d9a\u6027\u9ad8\u4e2d\u6027\u8102\u80aa\u8840\u75c7\u60a3\u8005\u306b\u304a\u3051\u308bASCVD\u30ea\u30b9\u30af\u4f4e\u6e1b\u306e\u7ba1\u7406\u306b\u95a2\u3059\u308b2021\u5e74ACC\u5c02\u9580\u5bb6\u30b3\u30f3\u30bb\u30f3\u30b5\u30b9\u6c7a\u5b9a\u7d4c\u8def\uff1a\u30a2\u30e1\u30ea\u30ab\u5fc3\u81d3\u75c5\u5b66\u4f1a\u30bd\u30ea\u30e5\u30fc\u30b7\u30e7\u30f3\u30bb\u30c3\u30c8\u76e3\u8996\u59d4\u54e1\u4f1a\u306e\u5831\u544a\u300d\uff08\u539f\u6587\u306f\u3053\u3053<\/a>\uff09<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

\u4ee5\u524d\u306e\u8a18\u4e8b\u300c\u305d\u306e1\u300d\u300c\u305d\u306e2\u300d\u306e\u7d9a\u304d\u3067\u3059\u3002\u7cd6\u8cea\u306e\u7a2e\u985e\u306b\u3088\u308b\u9055\u3044\u306b\u3064\u3044\u3066\u5c11\u3057\u66f8\u304b\u308c\u3066\u3044\u307e\u3059\u3002 Type of Carbohydrate Simple sugars (including monosaccharides an<\/p>\n","protected":false},"author":1,"featured_media":16613,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[8,155,10,160,13],"tags":[19,59],"class_list":["post-16608","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-8","category-cvd","category-10","category-alcohol","category-13","tag-toushitsuseigen","tag-fructose","two-columns"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/promea2014.com\/blog\/wp-content\/uploads\/2021\/08\/1056174_s.jpg?fit=640%2C428&ssl=1","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p9cBot-4jS","jetpack-related-posts":[{"id":16592,"url":"https:\/\/promea2014.com\/blog\/?p=16592","url_meta":{"origin":16608,"position":0},"title":"\u30a2\u30e1\u30ea\u30ab\u5fc3\u81d3\u75c5\u5b66\u4f1a\u306f\u4e2d\u6027\u8102\u80aa\u3092\u6e1b\u3089\u3059\u305f\u3081\u306e\u30e9\u30a4\u30d5\u30b9\u30bf\u30a4\u30eb\u4ecb\u5165\u3068\u3057\u3066\u7cd6\u8cea\u5236\u9650\u3092\u63d0\u5531\u3000\u305d\u306e2","author":"Dr.Shimizu","date":"2021\u5e748\u670812\u65e5","format":false,"excerpt":"\u30a2\u30e1\u30ea\u30ab\u5fc3\u81d3\u75c5\u5b66\u4f1a\u306f\u4e2d\u6027\u8102\u80aa\u3092\u6e1b\u3089\u3059\u305f\u3081\u306e\u98df\u4e8b\u3068\u3057\u3066\u7cd6\u8cea\u5236\u9650\u3092\u63d0\u5531\u3057\u307e\u3057\u305f\u3002\u524d\u56de\u306e\u8a18\u4e8b\u300c\u305d\u306e1\u300d\u306e\u7d9a\u2026","rel":"","context":"\u7cd6\u8cea\u5236\u9650","block_context":{"text":"\u7cd6\u8cea\u5236\u9650","link":"https:\/\/promea2014.com\/blog\/?cat=8"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/promea2014.com\/blog\/wp-content\/uploads\/2021\/08\/5162953_s.jpg?fit=640%2C427&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/promea2014.com\/blog\/wp-content\/uploads\/2021\/08\/5162953_s.jpg?fit=640%2C427&ssl=1&resize=350%2C200 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