Aia i kēia manawa kahi kūlana e pono ai ke kaulike pono e pili ana i ke kūpono o ka erythritol no ka po?e me nā ma?i cardiovascular a me ka cerebrovascular: he mau pōmaika?i ko?iko?i ko?iko?i, akā aia kekahi ha?awina ho?opa?apa?a ko?iko?i e kuhikuhi ana i nā pilikia kūpono (?a?ole i ho?oholo pa?a ?ia). ?O kēia ma lalo iho kahi kānana piha.

Nā pōmaika?i kūpono (kāko?o i ka ?ao?ao ho?ohana)
?A?ole ho?onui i ke kō koko a me ka insulin:

?O kēia ka pōmaika?i nui loa. ?O ka po?e ma?i me nā ma?i cardiovascular a me ka cerebrovascular e pili pinepine me ka ma?i diabetes, insulin resistance a i ?ole metabolic syndrome. ?A?ohe hopena o Erythritol i ke kō koko a me ka pae o ka insulin, a he mea ko?iko?i ia no ka ho?omalu ?ana i ke kō koko. Hiki ke ho'ēmi i ka pilikia o ka ma?i cardiovascular.
?O ka calorie ?a?ohe/calorie ha?aha?a loa:

Kōkua i ka mālama ?ana i ke kaumaha a me ka nui o ka calorie. ?O ka momona he mea ko?iko?i ko?iko?i no nā ma?i cardiovascular a me cerebrovascular. ?O ka ho?ololi ?ana i ka sucrose me ia hiki ke hō?emi i ka lawe ?ana i ka calorie pono ?ole a ho?oma?ama?a i ka ho?okele kaumaha.
?A?ole hana i ka ?eha niho:

Aia ka pilina ma waena o ke olakino waha a me ke olakino holo?oko?a (me ke olakino cardiovascular) (?o ka ma?i periodontal kekahi o nā kumu pilikia no ka ma?i cardiovascular).
E ho?ololi i ke kō i ho?ohui ?ia i ka calorie ki?eki?e:

?O ka ?ai nui ?ana o ke kō i ho?ohui ?ia (?oi aku ka sucrose a me ka fructose syrup) ?ike ?ia he kumu nui e alaka?i ai i ka momona, ka ma?i diabetes a me ka dyslipidemia (e like me ka hypertriglyceride), kahi e ho?onui pololei ai i ka hopena o nā ma?i cardiovascular a me cerebrovascular. Hā?awi ?o Erythritol i kahi ?ono momona ?olu?olu a he mea hana pono ia no ka hō?emi ?ana i ka ?ai ?ana o nā kō i ho?ohui ?ia.
?O nā ho?opa?apa?a nui a me nā pilikia kūpono (?ao?ao maka?ala)
'ōlelo mai ka 2023 Nature Medicine study:

Nā ?ike kumu noi?i:
?O nā ki?eki?e ki?eki?e o ka erythritol i loko o ke koko e pili nui ana me ka pi?i nui ?ana o nā hanana ma?i cardiovascular ko?iko?i (e like me ka myocardial infarction, stroke, a me ka make) i loko o nā makahiki 3 e hiki mai ana i nā heluna nui e pili ana i ka ma?i cardiovascular a me ka po?e e hele ana i nā ho?okolohua na?au.
Ua hō?ike ?ia nā ho?okolohua in vitro a me nā holoholona e hiki i ka erythritol ke ho?oikaika i ka hō?ulu?ulu platelet (?o nā platelets ke kī nui no ka ho?okumu ?ana i ka thrombus) a e ho?olalelale i ke kūkulu ?ana i ka thrombus.
Nā palena a me nā mea ho?opa?apa?a o ka noi?i (mea nui loa!):
?O ke a?o ?ana, ?a?ohe kumu kumu: ?O kēia ha?awina hiki ke hō?ike wale i nā ki?eki?e ki?eki?e o ka erythritol i loko o ke koko e pili ana me ka pi?i nui ?ana o nā hanana cardiovascular, akā ?a?ole hiki ke hō?oia i ka lawe ?ana i ka erythritol e alaka?i pololei i nā hanana cardiovascular. ?O ke ki?eki?e ki?eki?e o ka erythritol i loko o ke koko he hō?ailona wale nō paha ia o ka pilikia nui o ka ma?i cardiovascular (no ka la?ana, hiki i nā ma?i metabolic ke alaka?i i ka ho?onui ?ana i ka erythritol endogenous), ma mua o ke kumu.
Nā kumuhana kūikawā: ?o ke a?o ?ana e kuhikuhi nui ?ia i ka po?e i loa?a i nā ma?i ma?i cardiovascular (e like me ka ma?i diabetes, hypertension, atherosclerosis) a i ?ole e hana ana i ka loiloi na?au. ?A?ole hiki ke ho?onui pololei ?ia nā hopena i ka lehulehu me ke olakino cardiovascular.
?A?ole ?ike maopopo ?ia ke kumu o ke koko: ?o ka hapa nui o ka erythritol i ho?opili ?ia e komo wikiwiki a ho?oku?u ?ia ma o nā pu?upa?a, me kahi manawa noho pōkole i ke koko (ki?eki?e 1-2 mau hola ma hope o ka lawe ?ana, ho?oma?ema?e ?ia i loko o kekahi mau hola). Ma ka noi?i ?ana, ?ike pinepine ?ia nā la?ana koko ho?okē?ai, a ?oi aku ka nui o kā lākou erythritol e hō?ike i nā pae i hana ?ia e ka hopena endogenous i loko o ke kino, ma mua o ka no?ono?o pono ?ana i ka ?ai mea?ai exogenous. Ua kuhikuhi pū ka po?e noi?i pono e noi?i hou a?e e ho?oholo ai inā pili ka mea?ai i nā pae koko lō?ihi.
?O ka hopena: ?Oi aku ka ki?eki?e o ke koko i loko o ke a?o ?ana ma mua o ka manawa pōkole loa e hiki ke loa?a ma hope o ka ?ai ma?amau o ka erythritol i loko o ka mea?ai a me nā mea inu. He ki?eki?e loa ka mana?o i ho?ohana ?ia i nā ho?okolohua vitro.
Ho?okahi ha?awina: ?O kēia ka manawa mua i hō?ike ?ia kēia hui i kahi heluna nui a ?a?ole i ho?opi?i nui ?ia e nā ha?awina kū?oko?a ?ē a?e.
?O ke ?ano o kēia manawa o FDA/JECFA a me nā ?oihana ?ē a?e:

I kēia manawa, ?a?ole i ho?ololi nā ?oihana ho?oponopono ko?iko?i ma ka honua holo?oko?a (FDA, EFSA, JECFA, China National Health Commission) i kā lākou hopena i ka palekana o ka erythritol ma ke ?ano he mea?ai mea?ai ma muli o kēia noi?i. Mana?o lākou ?a?ole lawa nā hō?ike e kū nei e ho?ohuli i ka loiloi mua, akā e nānā mau ana i ka noi?i ma hope.
Mana?o nā hui mana e pono ai ka noi?i ?oi aku ka nui (?oi aku ka maika?i o nā ho?okolohua ho?okele randomized a me nā noi?i nānā ?ana no ka wā lō?ihi) e hō?oia i kēia hui a e ?imi i nā pilina kumu.
Mana?o mana?o no ka po?e me nā ma?i cardiovascular a me ka cerebrovascular (alaka?i hana ma hope o ke kaupaona ?ana)
Mai hopohopo, akā e maka?ala: Ma muli o nā hō?ike o kēia manawa, ?a?ole ia e ?ōlelo ?ia no nā po?e ki?eki?e me nā ma?i cardiovascular a me ka cerebrovascular e maka?u loa a pale i ka erythritol, akā pono lākou e maka?ala ma mua o nā kānaka olakino.
He mea ko?iko?i ke kumu o ka ho?oha?aha?a:
E ho?opa?a pono i ka ?ai ?ana: ?O nā ?awa?awa kō i mana?o mua ?ia he palekana hiki ke hō?eha ?ia (e like me ka ma?i pa?i) inā ?ai nui ?ia. Ma muli o ka noi?i hou, ?ōlelo ?ia e ho?opa?a pono i ka ?ai no nā po?e me nā ma?i cardiovascular a me ka cerebrovascular. E hō?alo i ka ?ai nui ?ana o nā mea?ai a me nā mea inu i loko o ka erythritol.
E heluhelu i nā lepili mea?ai: E no?ono?o i nā mea ?ono i nā mea?ai manuahi ?ole a ho?omaopopo i ka ?ike o ka erythritol.
E ho?okahua i ke ?ano mea?ai holo?oko?a: Aia ke kī o ke olakino cardiovascular a me ka cerebrovascular i ke ?ano mea?ai olakino holo?oko?a (e like me ka DASH diet, Mediterranean diet), e ho?oikaika ana i nā hua?ai, nā mea kanu, nā kī?aha holo?oko?a, ka protein ki?eki?e (i?a, moa, pī), nā momona maika?i (?aila ?oliva, nati), ka palena ?ana i nā momona saturated, trans fats, sodium sucro, a me nā ?ano substitutes a pau. Mai ha?alele i ka maika?i holo?oko?a o kāu mea?ai no kou ho?ohana ?ana i nā pani kō.
Kūkākūkā ho?okahi me nā kauka a mea?ai mea?ai paha:
Inā he ma?i ?oe me ka ma?i ma?i cardiovascular a i ?ole kahi hui ki?eki?e (e like me ke atherosclerosis ko?iko?i, ka mō?aukala o ka myocardial infarction a i ?ole ka hahau ?ana, ka ma?i diabetes me nā pilikia vascular, a me nā mea ?ē a?e), ?oi aku ka ikaika e nīnau i kāu kauka hele a i ?ole mea?ai mea?ai.
Hiki iā lākou ke hā?awi i nā ?ōlelo a?o pilikino e pili ana i kāu kūlana kiko?ī (e like me ka hana platelet, ke kūlana coagulation), ka ho?ohana ?ana i ka lā?au lapa?au (?oi aku ka antiplatelet/anticoagulant lā?au), a me nā ?ano mea?ai, e loiloi ana i nā pono a me nā pō?ino o ka ho?ohana ?ana i ka erythritol i kou kūlana.
E no?ono?o i nā mea ?ono ?ē a?e: Inā he hopohopo, hiki ke hā?awi ?ia ka mea nui i nā mea ?ono kūlohelohe ?ē a?e me nā mo?olelo palekana lō?ihi a me ka noi?i ?oi aku ka maika?i o ka ma?i cardiovascular ma ke ?ano he mau koho, e like me:
Stevioside: lawe ?ia mai nā mea kanu, zero calorie, ?a?ole pili i ke kō koko. Nui nā ha?awina e kāko?o ana i kona palekana a loa?a paha nā hopena maika?i ?ole a ?olu?olu paha i nā ?āpana cardiovascular e like me ke koko.
?O Siraitia grosvenorii glycoside: like me stevia, mea kanu extract, zero calorie, ?a?ole pili i ke koko koko, a he ?ono maika?i.
(E ho?omana?o: pono e ho?ohana ?ia kēlā me kēia mea ?ono)
hō?ulu?ulu
No nā po?e me nā ma?i cardiovascular a me ka cerebrovascular, ?o ke kūpono o ka erythritol he mea pono e no?ono?o pono:

Akaka nā pōmaika?i: ?a?ole ia e ho?onui i ke kō a loa?a ?ole nā ??calorie, e lilo ia i koho maika?i loa e ho?ololi i nā sugars i ho?ohui ?ia, ?oi aku ka maika?i no ka mālama ?ana i ke kō koko a me ka mālama ?ana i ke kaumaha.
He mea kānalua ka pilikia akā pono e no?ono?o nui ?ia: Hō?ike ka ha?awina 2023 i nā pilikia o ka thrombosis a me nā hanana cardiovascular. ?Oiai ua kaupalena ?ia ka pae o ka hō?ike a ?a?ole maopopo ka pilina kumu, ?o nā kumuhana noi?i ?o ia ka heluna kanaka, no laila pono e maka?ala loa.
Mana?o mana?o o kēia manawa:
Ka palena ko?iko?i: ho?emi nui i ka lawe ?ana a pale i ka ?ai ?ana i ka nui.
Kūkākūkā ko?iko?i no nā hui ko?iko?i: No ka po?e i loa?a i ka ma?i cardiovascular ko?iko?i a i ?ole ka pilikia ki?eki?e, pono e nīnau i ke kauka a mea ?ai mea?ai ma mua o ka ho?ohana ?ana.
E nānā i ka mea?ai holo?oko?a: ?O ke ?ano mea?ai olakino ke kumu mau.
E no?ono?o i nā mea ?ē a?e: hiki ke koho ?ia ka stevioside, siraitin, etc.
A hiki i nā ha?awina ki?eki?e ki?eki?e, ?oi aku ka nui o nā ha?awina prospective a me nā ho?okolohua lapa?au e pili ana i nā ma?i cardiovascular, hiki i nā hopena maopopo, ?oi aku ka ma?alahi o ka ho?ohana ?ana i kahi ho?olālā "palena palena" no ka erythritol i nā po?e me nā ma?i cardiovascular a me cerebrovascular. E no?ono?o pono i nā loiloi loiloi hope mai nā hui mana e like me ka FDA a me ka National Health Commission.