sponsored links

最新研究:BCAA不能在減肥期間防止肌肉流失

在過去很長時間裡,支鏈氨基酸(BCAA)常被視為抵抗肌肉分解的神奇補劑,但隨著近年來相關研究的增多,其神話地位已經越來越受質疑。

發表在2021年2月4日《營養學雜誌》(Journal of Nutrition)上的一項新研究報告稱,補充支鏈氨基酸(BCAA)並不能使肥胖成年人在減肥過程中保持瘦體重。高蛋白飲食可能更有利於保持瘦體重。

這項新的隨機對照減肥試驗包括132名成年人(63名男性和69名女性),他們被隨機分配到三種低熱量飲食中。受試者經歷了16周被規定的飲食和補劑干預,在隨後的8周體重維持期僅規定了補劑。

在經歷16周的能量不足後,三組受試者在體重(7.97%)、脂肪(13.8%)和腰圍(7.27%)上出現了相似的顯著下降。研究發現,在肥胖成年人減肥期間,補充BCAA並不能保持瘦體重。

最新研究:BCAA不能在減肥期間防止肌肉流失

支鏈氨基酸(亮氨酸、異亮氨酸和纈氨酸)是肌肉蛋白質合成的必需氨基酸。亮氨酸是一種強大的合成代謝觸發器——它是最有效的支鏈氨基酸(BCAA)和mTOR通路的關鍵啟用劑,對促進肌肉生長的肌肉蛋白質合成至關重要。

亮氨酸有許多生長益處:防止肌肉流失,增加胰島素敏感性,促進脂肪代謝和恢復。亮氨酸是開啟mTOR通路的最重要化學物質,所以在運動後攝取亮氨酸可能比攝取BCAA更有效(也更便宜)。

由於在轉運到肌肉細胞方面存在競爭,異亮氨酸和纈氨酸的加入可能會阻礙亮氨酸的作用——在進入細胞和肌肉細胞方面,BCAA共享相同的主動轉運系統。事實上,異亮氨酸和纈氨酸已被證明能抑制亮氨酸的吸收。

最新研究:BCAA不能在減肥期間防止肌肉流失

氨基酸研究人員羅伯特·R·沃爾夫在《國際運動營養學會雜誌》(2017年)中說:BCAA還與其他氨基酸競爭運輸,包括苯丙氨酸,這種競爭可能影響肌肉內其他EAA的可用性。作為轉運蛋白競爭的結果,單獨使用亮氨酸可能對肌肉蛋白質合成有短暫的刺激作用,BCAA無法引起這種反應。

研究表明,肌肉蛋白質合成的增加依賴於亮氨酸的濃度。亮氨酸刺激肌肉蛋白質自身的合成代謝作用。

2018年10月18日發表在《營養學雜誌》上的一項日本研究發現,與透過一餐補充相同數量的亮氨酸相比,單獨服用亮氨酸補劑可能更有利於肌肉蛋白質的合成代謝。

最新研究:BCAA不能在減肥期間防止肌肉流失

營養研究表明:基於這些發現,可以推測,與單獨攝取蛋白質或遊離氨基酸相比,從混合飲食中攝取蛋白質可能導致血漿中最大亮氨酸濃度較低。然而,迄今為止,還沒有研究調查攝取混合飲食與攝取相似量遊離氨基酸後氨基酸濃度的變化。

在一項隨機交叉研究中,10名健康的日本年輕男性在不同條件下進行了試驗:單獨攝取2克亮氨酸;含2.15克亮氨酸的混合飲食(不含任何亮氨酸補劑);飯後立即攝取2克亮氨酸;飯後180分鐘攝取2克亮氨酸。

該研究得出結論:基於上述討論,單獨攝取遊離亮氨酸顯著增加血漿亮氨酸濃度。然而,食用含有相同亮氨酸量的混合飲食後,亮氨酸濃度的增加顯著低於單獨攝取遊離亮氨酸。

此外,當在混合飲食後攝取遊離亮氨酸以增加血漿亮氨酸濃度時,儘管總亮氨酸含量加倍,但最大血漿濃度降低。這些結果表明,當以提高血漿氨基酸濃度為目的攝取遊離氨基酸時,需要考慮混合飲食攝取的時間。

為了達到最佳的合成代謝觸發效果,應該在練後餐的前30分鐘服用5克亮氨酸(空腹)或蛋白質奶昔。一項綜合了7項研究結果的薈萃分析(Nutrition, 2017)顯示,BCAA補劑最好在運動後服用,而不是運動前或運動期間。

最新研究:BCAA不能在減肥期間防止肌肉流失

與隨食物一起服用相比,空腹服用純亮氨酸會使血液水平更好,因為食物可以減緩亮氨酸的吸收。由於轉運肌肉細胞方面的競爭,異亮氨酸和纈氨酸的加入可能會阻礙亮氨酸的作用。

當空腹攝取亮氨酸時,它是開啟蛋白質合成的一個強大代謝開關。亮氨酸可以在訓練後的幾個小時內增加mTOR活性。當在抗阻運動後,和富含必需氨基酸的含蛋白質練後餐前服用亮氨酸,它會促進蛋白質合成,改善恢復,獲得更大的收益。

總之,最近發表在《營養學雜誌》(Journal of Nutrition)上的這項新的隨機對照減肥干預研究證實,BCAA補劑在超重和肥胖成年人減肥過程中並不能保持瘦體重。

高蛋白飲食和氨基酸亮氨酸結合有氧運動和抗阻訓練,可能更有利於在節食期間保持瘦體重。記住,最重要的是,健康的減肥是在保持肌肉質量的情況下逐漸減少脂肪。

參考資料(滑動查閱)

1.Delicia S Q Ooi, Jennifer Q R Ling, Suresh Anand Sadananthan, S Sendhil Velan, Fang Yi Ong, ChinMeng Khoo, E Shyong Tai, Christiani Jeyakumar Henry, Melvin K S Leow, Eric Y H Khoo, Chuen SengTan, Yung Seng Lee, Mary F F Chong, Branched-Chain Amino Acid Supplementation Does Not Preserve Lean Mass or Affect Metabolic Profile in Adults with Overweight or Obesity in a Randomized Controlled Weight Loss Intervention, The Journal of Nutrition 2021; nxaa414, https://doi.org/10.1093/jn/nxaa414

2.Yoshii at al. Nutrients 2018, 10(10), 1543; https://doi.org/10.3390/nu10101543Effect of Mixed Meal and Leucine Intake on Plasma Amino Acid Concentrations in Young Men.

3.Rahimi MH, Shab-Bidar S et al. Branched-chain amino acid supplementation and exercise-inducedmuscle damage in exercise recovery: A meta-analysis of randomized clinical trials. Nutrition 2017.

4.Chad M Kerksick, Colin D Wilborn, Michael D. ISSN Exercise & Sports Nutrition Review Update:Research & Recommendations.

5.Roberts, et al. Journal of the International Society of Sports Nutrition 2018; 15:38.https://doi.org/10.1186/s12970-018-0242-y 1 June 2018

6.Robert R. Wolfe. Branched-chain amino acids and muscle protein synthesis in humans: myth orreality? Journal of the International Society of Sports Nutrition 2017; 14:30.https://doi.org/10.1186/s12970-017-0184-9

7.Szmelcman S, Guggenheim K. Interference between leucine, isoleucine and valine during intestinal absorption. Biochemical Journal 1966; 100(1):7-11.

8.Wilkinson, DJ et al. Effects of leucine and its metabolite beta-hydroxy-beta-methylbutyrateonhumanskeletalmuscleproteinmetabolism. J Physiol 2013; 591, 2911-2923.

9.Cummings NE, Williams EM, Kasza I, Konon EN et al. (2018), Restoration of metabolic health bydecreased consumption of branched‐chain amino acids. J Physiol; 596: 623-645.doi:10.1113/JP275075

10.Duke University. Diabetes researchers find switch for fatty liver disease: Carbs, fats andprotein: One molecule to rule them all? ScienceDaily, 17 May 2018.www.sciencedaily.com/releases/2018/05/180517113847.htm

11.PJ White, RW McGarrah, PA Grimsrud, S Tso, W Yang, JM Haldeman, C Newgard et al. The BCKDHKinase and Phosphatase Integrate BCAA and Lipid Metabolism via Regulation of ATP-Citrate Lyase.Cell Metabolism, 2018; DOI: 10.1016/j.cmet.2018.04.015

12.NutraIngredients-USA.com, December 17, 2017. Nathan Gray. Could dropping specific amino acidsfrom diet be key to weight loss?

13.CB Newgard, J An, JR Bain et al. A Branched-Chain Amino Acid-Related Metabolic Signature thatDifferentiates Obese and Lean Humans and Contributes to Insulin Resistance Cell Metab 2009April; 9(4): 311-326. doi:10.1016/j.cmet.2009.02.002

14.Zheng Y, Li Y, Qi Q et al. Cumulative consumption of branched-chain amino acids and incidence of type 2 diabetes. Int J Epidemiol 2016; 45: 1482-92.

15.Isanejad M, LaCroix AZ, Thomson CA et al. Branched-chain amino acid, meat intake and risk oftype 2 diabetes in the Women’s Health Initiative. Br J Nutr 2017; 117:1523-30.

16.Newgard CB, An J, Bain JR et al. A branched-chain amino acid-related metabolic signature thatdifferentiates obese and lean humans and contributes to insulin resistance. Cell Metab 2009; 9:311-26

17.Tremblay F, Krebs M, Dombrowski L et al. Overactivation of S6 kinase 1 as a cause of humaninsulin resistance during increased amino acid availability. Diabetes 2005; 54: 2674-84.

18.Tremblay F, Krebs M, Dombrowski L et al. Overactivation of S6 kinase 1 as a cause of humaninsulin resistance during increased amino acid availability. Diabetes 2005; 54: 2674-84.

19.Lee CC, Watkins SM, Lorenzo C et al. Branched-chain amino acids and insulin metabolism: TheInsulin Resistance Atherosclerosis Study (IRAS). Diabetes Care 2016; 39: 582-8.

20.Yoon M-S. The emerging role of branched-chain amino acids in insulin resistance and metabolism. Forum Nutr 2016; 8: 405-17.

21.Abdul-Ghani MA, Tripathy D and DeFronzo RA. Contributions of beta-cell dysfunction and insulin resistance to the pathogenesis of impaired glucose tolerance and impaired fasting glucose. Diabetes Care 2006; 29:1130-9.

22.Jang C, Oh, SF, et al A branched-chain amino acid metabolite drives vascular fatty acidtransport and causes insulin resistance. Nat Med 22, 421-426.

23.Sara B Seidelmann, Brian Claggett, Susan Cheng, Mir Henglin, Amil Shah, Lyn M Steffen, Aaron R Folsom, Eric B Rimm, Walter C Willett, Scott D Solomon, Dietary carbohydrate intake andmortality: a prospective cohort study and meta-analysis. The Lancet Public Health 2018; ISSN2468-2667, https://doi.org/10.1016/S2468-2667(18)30135-X.

24.Zhaoping Li, Professor of Medicine, UCLA, US National Library of Medicine www. ClinicalTrials.gov. Identifier: NCT02684565 Last Update Posted: February 12, 2018https://clinicaltrials.gov/ct2/show/NCT02684565

25.Lotta LA, Scott RA, Sharp SJ, Burgess S, Luan J, et al. (2016) Genetic Predisposition to anImpaired Metabolism of the Branched-Chain Amino Acids and Risk of Type 2 Diabetes: A MendelianRandomisation Analysis. PLOS Medicine 13(11):e1002179.https://doi.org/10.1371/journal.pmed.1002179

26.Avogaro A and Bier DM (1989) Contribution of 3-hydroxyisobutyrate to the measurement of 3-hydroxybutyrate in human plasma: comparison of enzymatic and gas-liquid chromatography-massspectrometry assays in normal and in diabetic subjects. J Lipid Res 30; 1811-1817

27.Giesbertz P, Padberg I et al. (2015) Metabolite profiling in plasma and tissues of ob/ob anddb/db mice identifies novel markers of obesity and type 2 diabetes. Diabetologia 58; 2133-2143.

28.Insulin Resistance, And What May Contribute to It, by Lila Abassi on March 14, 2016. AmericanCouncil on Science & Health. https://www.acsh.org/news/2016/03/14/branched-chain-amino-metabolite-a-culprit-in-insulin-resistance

29.Lydia-Ann LS Harris, Gordon I Smith, Bruce W Patterson, Raja S Ramaswamy et al. Alterations in 3-Hydroxyisobutyrate and FGF21 Metabolism Are Associated With Protein Ingestion-Induced Insulin Resistance. Diabetes 2017; 66:1871-1878 https://doi.org/10.2337/db16-1475

30.Mardinoglu, Adil et al. Elevated Plasma Levels of 3-Hydroxyisobutyric Acid Are Associated With Incident Type 2 Diabetes. EBioMedicine, Volume 27; 151-155, Jan. 2018.

31.Ulrika Andersson-Hall, Carolina Gustavsson, Anders Pedersen, Daniel Malmodin, Louise Joelsson, and Agneta Holmäng. Higher Concentrations of BCAAs and 3-HIB Are Associated with Insulin Resistance in the Transition from Gestational Diabetes to Type 2 Diabetes. Journal of Diabetes Research, vol. 2018, Article ID 4207067, 12 pages, 2018. https://doi.org/10.1155/2018/4207067.

32.Macotela Y, Emanuelli B, Bang AM et al. (2011) Dietary leucine - an environmental modifier ofinsulin resistance acting on multiple levels of metabolism. PLoS One 6; e21187.

33.Cunxi Nie, Ting He, Wenju Zhang, Guolong Zhang, Xi Ma. Branched Chain Amino Acids: BeyondNutrition Metabolism. Int J Mol Sci 2018 Apr; 19(4): 954. Published online 2018 Mar 23. doi:10.3390/ijms19040954

34.Y Zhang, K Guo, RE LeBlanc, D Loh, GJ Schwartz and Y Yu. Increasing Dietary Leucine IntakeReduces Diet-Induced Obesity and Improves Glucose and Cholesterol Metabolism in Mice viaMultimechanisms. Diabetes Jun 2007; 56 (6) 1647-1654; DOI: 10.2337/db07-0123

35.Deirdre K Tobias, Clary Clish, Samia Mora, Jun Li, Liming Liang, Frank B. Hu, JoAnn E. Manson, Cuilin Zhang. Dietary Intakes and Circulating Concentrations of Branched-Chain Amino Acids in Relation to Incident Type 2 Diabetes Risk Among High-Risk Women with a History of Gestational Diabetes Mellitus. Clinical Chemistry Aug 2018; 64 (8) 1203-1210; DOI:10.1373/clinchem.2017.285841

36.McCormack S.E, Shaham O, McCarthy MA, Deik AA, Wang TJ, Gerszten RE, Clish CB, Mootha VK,Grinspoon SK and Fleischman A. (2013), Branched‐chain amino acids and IR in children. PediatricObesity, 8: 52-61. doi:10.1111/j.2047-6310.2012.00087.x.

37.Sina S Ullrich, Penelope CE Fitzgerald, Gudrun Schober, Robert E Steinert, Michael Horowitz,Christine Feinle-Bisset; Intragastric administration of leucine or isoleucine lowers the bloodglucose response to a mixed-nutrient drink by different mechanisms in healthy, lean volunteers.The American Journal of Clinical Nutrition, Volume 104, Issue 5, 1 November 2016, Pages 1274-

1284, https://doi.org/10.3945/ajcn.116.140640.

38.Haufe S. et al. Branched-chain and aromatic amino acids, insulin resistance and liver specific ectopic fat storage in overweight to obese subjects. Nutrition, Metabolism and Cardiovascular Diseases, Volume 26, Issue 7, 637-642

39.Li H, Xu M, Lee J, He C and Xie Z. (2012). Leucine supplementation increases SIRT1 expressionand prevents mitochondrial dysfunction and metabolic disorders in high-fat diet-induced obesemice. American Journal of Physiology - Endocrinology and Metabolism, 303(10), E1234-E1244.http://doi.org/10.1152/ajpendo.00198.2012

40.Chunzi Liang, Benjamin J Curry, Patricia L Brown and Michael B. Zemel. Leucine ModulatesMitochondrial Biogenesis and SIRT1-AMPK Signaling in C2C12 Myotubes. Journal of Nutrition andMetabolism, vol. 2014, Article ID 239750, 11 pages, 2014. https://doi.org/10.1155/2014/239750.

41.Binder E, Bermúdez-Silva FJ, André C, Elie M, Romero-Zerbo SY, et al. Leucine SupplementationProtects from Insulin Resistance by Regulating Adiposity Levels (2013). Leucine SupplementationProtects from Insulin Resistance by Regulating Adiposity Levels. PLOS ONE 8(9): e74705.https://doi.org/10.1371/journal.pone.0074705

42.Banerjee, Jheelam et al. Activation of the AMPK/Sirt1 pathway by a leucine-metformin combination increases insulin sensitivity in skeletal muscle, and stimulates glucose and lipid metabolism and increases life span in Caenorhabditis elegans. Metabolism - Clinical and Experimental, Volume 65, Issue 11, 1679-1691

43.Jiao J, Han S-F, Zhang W, Xu J-Y, Tong X, Yin X-B, Qin L-Q (2016). Chronic leucinesupplementation improves lipid metabolism in C57BL/6J mice fed with a high-fat/cholesterol diet. Food & Nutrition Research, 60, 10.3402/fnr.v60.31304. http://doi.org/10.3402/fnr.v60.31304

44.Cholsoon Jang, Sungwhan F Oh, Shogo Wada, Glenn C Rowe, Laura Liu, Mun Chun Chan, James Rhee, Atsushi Hoshino, Boa Kim, Ayon Ibrahim, Luisa G Baca, Esl Kim, Chandra C Ghosh, Samir M Parikh, Aihua Jiang, Qingwei Chu, Daniel E Forman, Stewart H Lecker, Saikumari Krishnaiah, Joshua D Rabinowitz, Aalim M Weljie, Joseph A Baur, Dennis L Kasper & Zoltan Arany. Published: 07 March 2016. A branched-chain amino acid metabolite drives vascular fatty acid transport and causes insulin resistance. Nature Medicine, volume 22, pages 421-426 (2016)

45.D’Antona G, Ragni M, Cardile A, Tedesco L, Dossena M, Bruttini F et al. (2010). Branched-chain amino acid supplementation promotes survival and supports cardiac and skeletal musclemitochondrial biogenesis in middle-aged mice. Cell Metab 12, 362-372. doi:10.1016/j.cmet.2010.08.016

46.Szmelcman S, Guggenheim K. Interference between leucine, isoleucine and valine during intestinal absorption. Biochemical Journal 1966; 100(1):7-11.

47.Robert R. Wolfe. Branched-chain amino acids and muscle protein synthesis in humans: myth orreality? Journal of the International Society of Sports Nutrition 2017; 14:30https://doi.org/10.1186/s12970-017-0184-9

48.L Deldicque, C Sanchez Canedo and S Horman. Antagonistic effects of leucine and glutamine on the mTOR pathway in myogenic C2C12 cells. Amino Acids, 2008; Volume 35, Number 1, Page 147

49.Amy Hector, Stuart M. Phillips. Protein Recommendations for Weight Loss in Elite Athletes: AFocus on Body Composition and Performance. Int J Sport Nutr Exerc Metab 2017

50.Rahimi MH, Shab-Bidar S, Mollahosseini M, Djafarian K. Nutrition 2017. Leucine, Not TotalProtein, Content of a Supplement Is the Primary Determinant of Muscle Protein Anabolic Responses in Healthy Older Women. The Journal of Nutrition, nxy091, June 13, 2018

51.Branched-chain amino acid supplementation and exercise-induced muscle damage in exerciserecovery: A meta-analysis of randomized clinical trials.

52.Jiao J, Han S.F, Zhang W, Xu JY, Tong X, Yin XB, Yuan LX, Qin LQ (2016). Chronic leucine supplementation improves lipid metabolism in C57BL/6J mice fed with a high-fat/cholesterol diet. Food & Nutrition Research, 60, 31304. doi:10.3402/fnr.v60.31304

53.Macotela Y, Emanuelli B, Ba˚ng AM, Espinoza DO, Boucher J, Beebe K, et al. Dietary leucine an environmental modifier of insulin resistance acting on multiple levels of metabolism. PLoS One 2011; 6: e21187.

54.Zhang Y, Guo K, LeBlanc RE, Loh D, Schwartz GJ, Yu YH. Increasing dietary leucine intake reduces diet-induced obesity and improves glucose and cholesterol metabolism in mice via multimechanisms. Diabetes 2007; 56: 164754.

55.Khan M, Joseph F. Adipose tissue and adipokines: the association with and application of adipokines in obesity. Scientifica (Cairo) 2014; 2014: 328592

56.Zemel MB, Bruckbauer A. Effects of a leucine and pyridoxine containing nutraceutical on fat oxidation, and oxidative and inflammatory stress in overweight and obese subjects. Nutrients 2012; 4: 52941

57.Ricoult SJ, Manning BD. The multifaceted role of mTORC1 in the control of lipid metabolism. EMBO Rep 2013; 14: 24251

58.Freudenberg A, Petzke KJ, Klaus S. Comparison of high protein diets and leucine supplementation in the prevention of metabolic syndrome and related disorders in mice. J Nutr Biochem 2012; 3:152430.

59.Vaughan RA, Garcia-Smith R, Gannon NP, Bisoffi M, Trujillo KA, Conn CA. Leucine treatment enhances oxidative capacity through complete carbohydrate oxidation and increased mitochondrial density in skeletal muscle cells. Amino Acids 2013; 45: 90111.

60.Zhang Y et al. (2007) Increasing dietary leucine intake reduces diet-induced obesity and improves glucose and cholesterol metabolism in mice via multimechanisms. Diabetes 56(6):1647-1654

61.Okekunle AP, Zhang M, Wang Z. et al. Dietary branched-chain amino acids intake exhibited a different relationship with type 2 diabetes and obesity risk: a meta-analysis. Acta Diabetol(2018). https://doi.org/10.1007/s00592-018-1243-7

62.Binder E, Bermúdez-Silva FJ, André C, Elie M, Romero-Zerbo SY, et al. Leucine Supplementation Protects from Insulin Resistance by Regulating Adiposity Levels (2013). PLOS ONE 8(9): e74705. https://doi.org/10.1371/journal.pone.0074705

63.Binder E, Bermúdez‐Silva FJ, Elie M, Leste‐Lasserre T, Belluomo I, Clark S, Duchampt A,Mithieux G and Cota D. (2014) Leucine supplementation modulates fuel substrates utilization and glucose metabolism in previously obese mice. Obesity, 22: 713-720. doi:10.1002/oby.20578

64.Li H, Xu M, Lee J, He C and Xie Z (2012). Leucine supplementation increases SIRT1 expression and prevents mitochondrial dysfunction and metabolic disorders in high-fat diet-induced obese mice. American Journal of Physiology. Endocrinology and Metabolism, 303(10), E1234-44.

65.Pedroso JA, Zampieri TT and and Donato J. (2015). Reviewing the Effects of L-LeucineSupplementation in the Regulation of Food Intake, Energy Balance, and Glucose Homeostasis.Nutrients, 7 (5), 3914-37. https://dx.doi.org/10.3390%2Fnu7053914

66.Caoileann H Murphy, Nelson I Saddler, Michaela C Devries, Chris McGlory, Steven K Baker and Stuart M Phillips. Leucine supplementation enhances integrative myofibrillar protein synthesis in free-living older men consuming lower- and higher-protein diets: a parallel-group crossover study. The American Journal of Clinical Nutrition, Volume 104, Issue 6, 1 December 2016, Pages 1594-1606, https://doi.org/10.3945/ajcn.116.136424

67.Yadao DR, MacKenzie S and Bergdahl A. (2018) Reducing branched‐chain amino acid intake to reverse metabolic complications in obesity and type 2 diabetes. J Physiol, 596: 3455-3456.doi:10.1113/JP276274

分類: 健康
時間: 2021-11-05

相關文章

雪鐵納推出六款全新DS Powermatic 80勁能系列大三針日曆腕錶

雪鐵納推出六款全新DS Powermatic 80勁能系列大三針日曆腕錶
[腕錶之家 品牌新聞] 雪鐵納推出六款全新DS Powermatic 80勁能系列腕錶,新款腕錶為簡單大三針日曆款式,提供精鋼錶殼或精鋼飾金色PVD塗層錶殼,以及白色.藍色.金色.綠色或棕色五種錶盤. ...

“三毛”長大了!8歲成名,14歲禿頂,34歲變帥哥,植髮挨300多針

“三毛”長大了!8歲成名,14歲禿頂,34歲變帥哥,植髮挨300多針
一部<三毛流浪記>讓小演員孟智超成為紅人, 頭上三根黏在一起的頭髮,頂著一個大鼻頭, 一雙又黑又亮的眼睛,在上海灘歷經辛苦. 然而小三毛卻積極樂觀,即便被看不起也從不退縮抱怨, 在流浪的過 ...

3年花17萬打增高針,家長“瘋魔”了:怕孩子以後求職找物件自卑

3年花17萬打增高針,家長“瘋魔”了:怕孩子以後求職找物件自卑
8歲的昕儀從小就長得很嬌小,媽媽一直在等待她自然長高,5歲時,媽媽帶昕儀去北京的三甲醫院看過,醫生建議多觀察,儘量不給孩子打針. 但看著別人家的孩子一天天長高,,昕儀的媽媽越來越著急.2020年底,媽 ...

關於赫本的19個有趣事實:42碼大腳、討厭手錶、用針分開睫毛

關於赫本的19個有趣事實:42碼大腳、討厭手錶、用針分開睫毛
奧黛麗·赫本是20世紀真正的偶像--在好萊塢和時尚界都是如此. 她在電影中俘獲了影迷的心,例如<蒂芙尼的早餐>.<羅馬假日> 和 <龍鳳配>等. 她的衣著打扮也影響 ...

為對付蘇聯,美國60年代向太空發射4億根針,至今影響各國航天器

為對付蘇聯,美國60年代向太空發射4億根針,至今影響各國航天器
2015年,美國太空探索技術公司(SpaceX)執行長馬斯克提出了一個所謂的"星鏈計劃",計劃發射12000個衛星,這樣就可在地球上空組建龐大的星鏈網,如此一來就可為人類提供低成本 ...

高中生自創“刺蝟字型”,一筆一劃好像針扎,網友:容嬤嬤附體了

高中生自創“刺蝟字型”,一筆一劃好像針扎,網友:容嬤嬤附體了
高中生的學習壓力非常大,其實是沒有太多的時間去練字的,但是如果高中生寫字不好,確實會對考試的成績產生影響,甚至還會影響高考的分數,所以高中階段,學生們也不能忽視了自己寫字的質量. 現在的學生都比較有創 ...

快速搞定網球肘的特效針法!(簡靈奇針創始人周大鵬老師講解)

快速搞定網球肘的特效針法!(簡靈奇針創始人周大鵬老師講解)
加入天下明醫平臺,做明明白白醫生 導讀: 網球肘(肱骨外上髁炎)是肘關節外側前臂伸肌起點處肌腱發炎疼痛.疼痛的產生是由於前臂伸肌重複用力引起的慢性撕拉傷造成的.患者會在用力抓握或提舉物體時感到患部疼痛 ...

花生開花下針期,用這個配方噴施2遍,既能防落葉又能增產

花生開花下針期,用這個配方噴施2遍,既能防落葉又能增產
花生開花下針期是花生莢果形成最關鍵的時期,也是病蟲害的高發期,常常造成大量葉片提前脫落,從而造成減產.如何管理才能有效預防葉片提前脫落,並促進果實發育呢? 開花下針期主要特點 花生開花下針期是指有50 ...

美國食藥監局顧問組:不建議全民接種新冠加強針,支援65歲以上及重病者施打
<聯合早報>9月18日訊息,美國食品藥品監督管理局(FDA)疫苗諮詢委員會週五針對加強針表決,多數專家反對對大眾推出加強針,但支援65歲以上者和患有嚴重疾病的高風險群體接種. 據報道,FD ...

好可愛啊啊啊啊,畫家Kamwei Fong用針管筆畫的喵,毛茸茸,太可愛啦!無聊的時候塗鴉起來

好可愛啊啊啊啊,畫家Kamwei Fong用針管筆畫的喵,毛茸茸,太可愛啦!無聊的時候塗鴉起來
好可愛啊啊啊啊,畫家Kamwei Fong用針管筆畫的喵,毛茸茸,太可愛啦! 無聊的時候塗鴉起來~ 來源: 中國天氣

花生開花下針期如何管理?常見小問題,教你輕鬆解決

花生開花下針期如何管理?常見小問題,教你輕鬆解決
花生進入下針期,田間的管理也非常重要.這個時期花生葉片數量增多,根系生長健壯,根瘤菌逐漸形成,固氮的作用也逐漸增強,這是有利於花生開花結莢的一方面.另外,還有一方面需要注意,花生的花期比較長,開花數量 ...

打水光針之前,你應該問清楚的幾件事

打水光針之前,你應該問清楚的幾件事
我相信很多人對水光針並不陌生,您可以把它理解為一個破皮的醫美專案,對面板有深層補水需求的人都可以做(深層指的是真皮層),選擇不同成份的水光針解決面板問題. 做水光針之前,你應該問清楚的幾件事: 1.你 ...

一個困擾多年的問題:打針時,針管裡的肉去哪了?實驗告訴你答案

一個困擾多年的問題:打針時,針管裡的肉去哪了?實驗告訴你答案
有網友來稿說,她最近生病去醫院看病,在等待輸液的時候,看到周圍的護士在給患者打針時都是戴著口罩的. 於是就想,為什麼護士在打針輸液的時候都戴著口罩呢?是怕不小心被患者認出來遭到報復嗎?還是有其他的原因 ...

“白蛋白針”真的是一種“高階補品”嗎?

“白蛋白針”真的是一種“高階補品”嗎?
在臨床工作中,經常會碰到患者家屬對我說:"醫生,他/她比較虛弱,我們想是不是給他/她掛點白蛋白針,提提精神呢?"這時候,我會翻看患者的白蛋白指標,如在正常範圍內,就建議還是不要輸注 ...

「新增1456」人在愛爾蘭要不要打加強針?聽聽專家怎麼說

「新增1456」人在愛爾蘭要不要打加強針?聽聽專家怎麼說
愛爾蘭今日新增:1456 愛爾蘭累計確診:- 愛爾蘭今日死亡:- 愛爾蘭累計死亡:5179 今日關注 今日疫情資料 衛生部報告今日新增1456例新冠肺炎病例,目前有261人在醫院接受治療.重症監護室的 ...

得了口腔潰瘍,你還在用針挑破?錯!應該做到這8點

得了口腔潰瘍,你還在用針挑破?錯!應該做到這8點
[得了口腔潰瘍,你還在用針挑破?錯!應該做到這8點]便民資訊口腔潰瘍雖然面積不大,卻讓人痛苦不堪,反覆發作更是讓人崩潰.什麼樣的口腔潰瘍需要警惕?治療口腔潰瘍有哪些誤區?我們又應該如何正確緩解呢?戳圖 ...

為什麼有些人第二針會更疼?

為什麼有些人第二針會更疼?
[為什麼有些人第二針會更疼 ?]第二針比第一針疼 如果接種第2針之後注射部位出現有硬塊或者硬結的話,首先觀察有沒有紅腫或者有沒有膿液,如果只是有硬結輕微疼痛感的話,可以自行簡單處理.如果有膿液和發熱需 ...

眼周抗衰,你還在打這種針?

眼周抗衰,你還在打這種針?
打針,首先要知道針筒裡面是什麼. 我有很多客戶去醫美機構打針之前,根本不知道里面裝了什麼,要麼是不關心,要麼是機構的人刻意含糊其辭. 今天想給大家聊聊[除皺針],這個大到三甲醫院,小到私人工作室,你都 ...

摩登日記|擁有70萬針的刺繡手袋,藏著令人傾心的藝術美學

摩登日記|擁有70萬針的刺繡手袋,藏著令人傾心的藝術美學
風靡了好幾季的腋下包熱潮,至今仍然沒有"退燒"跡象,而每一季都會瀏覽各品牌官網的"時尚看官",也依舊樂此不疲.Celine在2021秋冬系列上,便再次改造了品牌 ...

科普篇丨想打瘦臉針?知道這些不吃虧

科普篇丨想打瘦臉針?知道這些不吃虧
每個人都想有精緻的面孔,現在生活水平又很高,很多人在飲食上不注意導致面部非常肥胖,很多愛美女性為了讓自己看起來更美觀去選擇打瘦臉針,感覺這種方式方便快捷,見效快,沒有創口,看起來比較自然,安全性高. ...