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Editorial: Nutrition for humanity in the Anthropocene - for healthier people on a healthier planet. 社论:人类世的人类营养--让地球上的人类更健康。
IF 4 2区 农林科学 Q2 NUTRITION & DIETETICS Pub Date : 2024-08-23 eCollection Date: 2024-01-01 DOI: 10.3389/fnut.2024.1467576
Martin Kussmann, Matthew Hayek, Silvia Berciano
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引用次数: 0
Therapeutic potential of ghrelin/GOAT/GHSR system in gastrointestinal disorders. 胃泌素/GOAT/GHSR 系统在胃肠道疾病中的治疗潜力。
IF 4 2区 农林科学 Q2 NUTRITION & DIETETICS Pub Date : 2024-08-23 eCollection Date: 2024-01-01 DOI: 10.3389/fnut.2024.1422431
Yunxiao Ma, Qihui Yan, Ping Wang, Weiying Guo, Lu Yu

Ghrelin, a peptide primarily secreted in the stomach, acts via the growth hormone secretagogue receptor (GHSR). It regulates several physiological processes, such as feeding behavior, energy homeostasis, glucose and lipid metabolism, cardiovascular function, bone formation, stress response, and learning. GHSR exhibits significant expression within the central nervous system. However, numerous murine studies indicate that ghrelin is limited in its ability to enter the brain from the bloodstream and is primarily confined to specific regions, such as arcuate nucleus (ARC) and median eminence (ME). Nevertheless, the central ghrelin system plays an essential role in regulating feeding behavior. Furthermore, the role of vagal afferent fibers in regulating the functions of ghrelin remains a major topic of discussion among researchers. In recent times, numerous studies have elucidated the substantial therapeutic potential of ghrelin in most gastrointestinal (GI) diseases. This has led to the development of numerous pharmaceutical agents that target the ghrelin system, some of which are currently under examination in clinical trials. Furthermore, ghrelin is speculated to serve as a promising biomarker for GI tumors, which indicates its potential use in tumor grade and stage evaluation. This review presents a summary of recent findings in research conducted on both animals and humans, highlighting the therapeutic properties of ghrelin system in GI disorders.

胃泌素是一种主要在胃中分泌的多肽,通过生长激素分泌受体(GHSR)发挥作用。它调节多种生理过程,如进食行为、能量平衡、葡萄糖和脂质代谢、心血管功能、骨骼形成、应激反应和学习。GHSR 在中枢神经系统中有大量表达。然而,大量小鼠研究表明,胃泌素从血液进入大脑的能力有限,主要局限于特定区域,如弓状核(ARC)和正中突起(ME)。然而,中枢胃泌素系统在调节进食行为方面发挥着至关重要的作用。此外,迷走神经传入纤维在调节胃泌素功能中的作用仍然是研究人员讨论的主要话题。近来,大量研究阐明了胃泌素在大多数胃肠道(GI)疾病中的巨大治疗潜力。因此,许多针对胃泌素系统的药物应运而生,其中一些药物目前正在进行临床试验。此外,人们还推测胃泌素可作为胃肠道肿瘤的生物标记物,这表明它在肿瘤分级和分期评估中具有潜在用途。这篇综述总结了最近在动物和人类身上进行的研究成果,强调了胃泌素系统在消化道疾病中的治疗特性。
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引用次数: 0
Profiling of phenolic composition in camellia oil and its correlative antioxidant properties analysis. 山茶油中的酚类成分及其相关抗氧化特性分析。
IF 4 2区 农林科学 Q2 NUTRITION & DIETETICS Pub Date : 2024-08-23 eCollection Date: 2024-01-01 DOI: 10.3389/fnut.2024.1440279
Jiarong She, Qingyang Li, Maokai Cui, Qiong Zheng, Jie Yang, Tiantian Chen, Danyu Shen, Shaofeng Peng, Chi Li, Yihua Liu

Less research has been conducted on the association between camellia oil's (CO) phenolic composition and antioxidant capability. In this study, the phenolic profile of CO and its connection to antioxidant capacity were examined utilizing a combination of widely-targeted phenolic metabolomics and multivariate statistical analysis. A total of 751 phenolics were discovered. The WGCNA was used to link phenols to antioxidants, yielding 161 antioxidant-related phenols from the blue module. In response to several antioxidant assays, 59 (FRAP), 59 (DPPH), and 53 (ABTS) phenolics were identified as differential phenolic markers (DPMs). Further stepwise multiple linear regression revealed six DPMs that substantially influenced the antioxidant capacities. Nine metabolic pathways and their associated network mechanisms for the most significant phenolics were developed. This study sheds light on the phenolic content of CO, elucidates their role in antioxidant activity, and lays the groundwork for improving extraction techniques and generating improved product.

关于山茶油(CO)酚类成分与抗氧化能力之间关系的研究较少。在这项研究中,研究人员结合广泛的酚代谢组学和多元统计分析,对山茶油的酚类成分及其与抗氧化能力的关系进行了研究。共发现了 751 种酚类物质。利用 WGCNA 将酚类与抗氧化剂联系起来,从蓝色模块中得到了 161 种与抗氧化剂相关的酚类。在几种抗氧化测定中,59 种(FRAP)、59 种(DPPH)和 53 种(ABTS)酚类被确定为差异酚类标记(DPMs)。进一步的逐步多元线性回归发现,有六种 DPM 对抗氧化能力有重大影响。为最重要的酚类物质建立了九条代谢途径及其相关网络机制。这项研究揭示了一氧化碳中的酚类物质含量,阐明了它们在抗氧化活性中的作用,为改进提取技术和生产改良产品奠定了基础。
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引用次数: 0
Impact of inhibition of the renin-angiotensin system on early cardiac and renal abnormalities in Sprague Dawley rats fed short-term high fructose plus high salt diet. 抑制肾素-血管紧张素系统对短期高果糖加高盐饮食的 Sprague Dawley 大鼠早期心脏和肾脏异常的影响。
IF 4 2区 农林科学 Q2 NUTRITION & DIETETICS Pub Date : 2024-08-22 eCollection Date: 2024-01-01 DOI: 10.3389/fnut.2024.1436958
Sharif Hasan Siddiqui, Rebekah Pitpitan, Boycho Boychev, Dragana Komnenov, Noreen F Rossi

Introduction: The combination of a high fructose and high salt diet typical of western diet induces high blood pressure, aortic stiffening, left ventricular (LV) diastolic dysfunction and impaired renal function in rodents. Despite an activated renin-angiotensin system (RAS) in rats fed high fructose and high salt, acute inhibition of the RAS pathway does not improve cardiac and vascular parameters. It may well be that longer term treatment is required to permit remodeling and improve cardiovascular function. Thus, we hypothesized that chronic RAS inhibition fructose+high salt-fed rats to restore blood pressure (BP) to levels similar to glucose plus normal salt-fed controls will improve cardiorenal function and histopathology.

Methods: Male and female Sprague Dawley rats monitored by hemodynamic telemetry were fed 0.4% NaCl chow during baseline, then changed to chow containing either 20% glucose+0.4% NaCl (G) or 20% fructose+4% NaCl (F) and treated with vehicle, enalapril (Enal, 4 mg/kg/d) or losartan (Los, 8 mg/kg/d) by osmotic minipump for 25-26 days.

Results: BP was elevated in the fructose+high salt groups of both sexes (P < 0.05) and restored to control levels by Enal or Los. Pulse wave velocity (PWV) was lower in female F+Los rats and cardiac output higher in female F+Enal rats. GFR was not changed by diet or treatment. Fructose+high salt groups of both sexes displayed higher albuminuria that was decreased by Enal in male rats. Cardiac fibrosis and mesangial hypercellularity were greater in fructose+high salt-fed rats of both sexes and improved with either Los or Enal.

Discussion: Thus, inhibition of the RAS improves early changes in cardiac and renal histopathology in both sexes and albuminuria in male rats fed high fructose and high salt diet. Functional improvements in cardiorenal parameters may require longer treatment.

导言:西方饮食中典型的高果糖和高盐饮食会诱发啮齿类动物的高血压、主动脉硬化、左室舒张功能障碍和肾功能受损。尽管喂食高果糖和高盐的大鼠体内的肾素-血管紧张素系统(RAS)被激活,但急性抑制 RAS 途径并不能改善心脏和血管参数。很可能需要长期治疗才能允许重塑和改善心血管功能。因此,我们假设,对果糖+高盐喂养的大鼠进行慢性 RAS 抑制,将血压(BP)恢复到与葡萄糖+正常盐喂养对照组相似的水平,将改善心肾功能和组织病理学:通过血流动力学遥测监测的雌雄 Sprague Dawley 大鼠在基线期喂食 0.4% NaCl饲料,然后改喂含 20% 葡萄糖+0.4%NaCl(G)或 20% 果糖+4%NaCl(F)的饲料,并通过渗透压微型泵使用药物、依那普利(Enal,4 mg/kg/d)或洛沙坦(Losartan,8 mg/kg/d)治疗 25-26 天:结果:果糖+高盐组男女血压均升高(P 讨论):因此,抑制 RAS 可改善高果糖和高盐饮食雄性大鼠心脏和肾脏组织病理学的早期变化以及白蛋白尿。心肾功能参数的功能性改善可能需要更长时间的治疗。
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引用次数: 0
Development of an ic-CLEIA for precise detection of 3-CQA in herbs and patent medicines: ensuring quality control and therapeutic efficacy. 开发用于精确检测中草药和中成药中 3-CQA 的 ic-CLEIA:确保质量控制和疗效。
IF 4 2区 农林科学 Q2 NUTRITION & DIETETICS Pub Date : 2024-08-21 eCollection Date: 2024-01-01 DOI: 10.3389/fnut.2024.1439287
Longjiang Wu, Mei Dang, Rao Wu, Murtala Bindawa Isah, Xiaoying Zhang

Background: 3-caffeoylquinic acid (3-CQA), a member of the chlorogenic acid family, possesses diverse pharmacological properties, such as scavenging, antioxidant, and antiapoptotic activity, rendering substantial value to alimentary consumables and therapeutic substances. However, the pervasiveness of non-standard practices, notably the misuse and abuse of indigenous botanicals, coupled with the inherent susceptibility of 3-CQA to degradation under light and heat exposure, engenders discernible disparateness in the quality profiles of the same kinds of herbs. Consequently, precise quantification of 3-CQA becomes imperative.

Methods: In this context, an artificial antigen was synthesized as a specific conjugate of 3-CQA and bovine serum albumin (3-CQA-BSA), followed by the generation of a monoclonal antibody (mAb) against the conjugate. Through optimization, a mAb-based indirect competitive chemiluminescence enzyme immunoassay (ic-CLEIA) was developed.

Results: It demonstrated an IC50 and the calibration range of 2.97 ng/mL and 0.64-13.75 ng/mL, respectively, outperforming the conventional enzyme-linked immunosorbent assay (ELISA). Notably, the ic-CLEIA displayed 10.71% cross-reactivity with 3,5-dicaffeoylquinic acid, alongside minimal cross-reactivity toward other isomeric counterparts and analogs. Validation experiments on herbs and Chinese patent medicines using ic-CLEIA, confirmed by high-performance liquid chromatography (HPLC) analysis, revealed a robust correlation coefficient of 0.9667 between the two modalities.

Conclusion: These findings unequivocally demonstrated that the proposed ic-CLEIA represents a viable and reliable analytical method for 3-CQA determination. This method holds significant potential for ensuring the quality control and therapeutic efficacy germane to herbs and patent medicines, spanning diverse therapeutic milieus and applications.

背景:3-咖啡酰奎宁酸(3-CQA)是绿原酸家族的一员,具有多种药理特性,如清除、抗氧化和抗细胞凋亡活性,为食品和治疗物质带来了巨大价值。然而,由于非标准做法的普遍存在,特别是对本地植物的误用和滥用,再加上 3-CQA 在光和热的照射下容易降解,导致同类药材的质量差异明显。因此,必须对 3-CQA 进行精确定量:为此,我们合成了一种人工抗原--3-CQA 和牛血清白蛋白的特异性共轭物(3-CQA-BSA),然后生成了针对该共轭物的单克隆抗体(mAb)。通过优化,开发出了一种基于 mAb 的间接竞争性化学发光酶免疫分析法(ic-CLEIA):结果:该方法的 IC50 和校准范围分别为 2.97 纳克/毫升和 0.64-13.75 纳克/毫升,优于传统的酶联免疫吸附测定法(ELISA)。值得注意的是,ic-CLEIA 与 3,5-二咖啡酰奎宁酸的交叉反应率为 10.71%,与其他同分异构体和类似物的交叉反应率极低。使用 ic-CLEIA 对中草药和中成药进行的验证实验(经高效液相色谱(HPLC)分析确认)显示,两种模式之间的相关系数高达 0.9667:这些研究结果清楚地表明,拟议的 ic-CLEIA 是测定 3-CQA 的一种可行而可靠的分析方法。该方法在确保中草药和中成药的质量控制和疗效方面具有巨大潜力,可用于多种治疗领域和应用。
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引用次数: 0
A report card assessment of the prevalence of healthy eating among preschool-aged children: a cross-cultural study across Australia, Hong Kong, Singapore, and the US. 对学龄前儿童健康饮食普及率的成绩单评估:一项横跨澳大利亚、香港、新加坡和美国的跨文化研究。
IF 4 2区 农林科学 Q2 NUTRITION & DIETETICS Pub Date : 2024-08-21 eCollection Date: 2024-01-01 DOI: 10.3389/fnut.2024.1428852
Alison Wing Lam Wan, Kevin Kien Hoa Chung, Jian-Bin Li, Shebe Siwei Xu, Derwin King Chung Chan

Objective: This study aimed to initially adopt an International Healthy Eating Report Card for Preschool-Aged Children to assess the prevalence of healthy eating behaviours and favourable family home food environments (FHFEs) among preschool-aged children in Australia, Hong Kong, Singapore, and the US. We also examined which cultural contexts would exhibit significant differences in the report card scores among the four cultural contexts.

Methods: In this cross-cultural study, 2059 parent-child dyads, with approximately 500 dyads in each cultural context, were recruited. The parents were asked to complete the validated International Healthy Eating Report Card Scale to assess the dimensions of the Report Card [i.e., Indicator of Children's Eating Behaviours: (1) Children's Dietary Patterns and (2) Children's Mealtime Behaviours, and Indicator of FHFEs: (3) Parental Food Choices and Preparation, (4) Home Healthier Food Availability and Accessibility and (5) Family Mealtime Environments]. Each indicator received a letter grade [i.e., A (≥80%) = excellent, B (60-79%) = good, C (40-59%) = fair, D (20-39%) = poor, F (<20%) = very poor and including the plus (+) and minus (-) signs] to represent the proportion of participants who could meet the predefined benchmarks. We also employed ANCOVA and Bonferroni's post-hoc test to examine the differences in the report card scores between the four cultural contexts. A significance level was set at p < 0.05.

Results: The average overall report card grade across the four cultural contexts was "B-" (Good), ranging from "C+" (Singapore and the US) to "B-" (Australia and Hong Kong). The average grade for Children's Eating Behaviours was classified as Fair ("C-"), while the average grade for FHFEs was classified as Good ("B+") for all cultural contexts. A comparison of the overall report card scores revealed that Australia exhibited a significantly higher report card score than Singapore and the US, while Hong Kong achieved a significantly higher score than Singapore.

Conclusion: The International Healthy Eating Report Card provided an overview of the prevalence of healthy eating in different cultural contexts. We believe that the International Healthy Eating Report Card may offer new perspectives on interventions for fostering healthy eating in young children.

研究目的本研究旨在初步采用国际学龄前儿童健康饮食报告单来评估澳大利亚、香港、新加坡和美国学龄前儿童的健康饮食行为和有利的家庭饮食环境(FHFEs)的普遍程度。我们还研究了在哪种文化背景下,四种文化背景下的成绩单得分会出现显著差异:在这项跨文化研究中,我们招募了 2059 对亲子组合,每种文化背景下约有 500 对组合。家长们被要求填写经过验证的国际健康饮食报告单量表,以评估报告单的各个维度[即儿童饮食行为指标:(1)儿童饮食模式和(2)儿童进餐行为,以及家庭健康饮食指标:(3)家长的食物选择和准备、(4)家庭健康食物的提供和可及性以及(5)家庭进餐环境]。每项指标都有一个字母等级[即 A(≥80%)=优,B(60-79%)=良,C(40-59%)=一般,D(20-39%)=差,F(P 结果:四种文化背景下的成绩单平均总成绩为 "B-"(良好),从 "C+"(新加坡和美国)到 "B-"(澳大利亚和香港)不等。在所有文化背景下,儿童饮食行为的平均成绩为 "一般"("C-"),而 "家庭健康饮食习惯 "的平均成绩为 "良好"("B+")。对报告卡总分的比较显示,澳大利亚的报告卡得分明显高于新加坡和美国,而香港的得分明显高于新加坡:国际健康饮食报告单概述了不同文化背景下健康饮食的普遍程度。我们相信,国际健康饮食报告单可为促进幼儿健康饮食的干预措施提供新的视角。
{"title":"A report card assessment of the prevalence of healthy eating among preschool-aged children: a cross-cultural study across Australia, Hong Kong, Singapore, and the US.","authors":"Alison Wing Lam Wan, Kevin Kien Hoa Chung, Jian-Bin Li, Shebe Siwei Xu, Derwin King Chung Chan","doi":"10.3389/fnut.2024.1428852","DOIUrl":"10.3389/fnut.2024.1428852","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to initially adopt an International Healthy Eating Report Card for Preschool-Aged Children to assess the prevalence of healthy eating behaviours and favourable family home food environments (FHFEs) among preschool-aged children in Australia, Hong Kong, Singapore, and the US. We also examined which cultural contexts would exhibit significant differences in the report card scores among the four cultural contexts.</p><p><strong>Methods: </strong>In this cross-cultural study, 2059 parent-child dyads, with approximately 500 dyads in each cultural context, were recruited. The parents were asked to complete the validated International Healthy Eating Report Card Scale to assess the dimensions of the Report Card [i.e., Indicator of Children's Eating Behaviours: (1) Children's Dietary Patterns and (2) Children's Mealtime Behaviours, and Indicator of FHFEs: (3) Parental Food Choices and Preparation, (4) Home Healthier Food Availability and Accessibility and (5) Family Mealtime Environments]. Each indicator received a letter grade [i.e., A (≥80%) = excellent, B (60-79%) = good, C (40-59%) = fair, D (20-39%) = poor, F (<20%) = very poor and including the plus (+) and minus (-) signs] to represent the proportion of participants who could meet the predefined benchmarks. We also employed ANCOVA and Bonferroni's post-hoc test to examine the differences in the report card scores between the four cultural contexts. A significance level was set at <i>p</i> < 0.05.</p><p><strong>Results: </strong>The average overall report card grade across the four cultural contexts was \"B-\" (Good), ranging from \"C+\" (Singapore and the US) to \"B-\" (Australia and Hong Kong). The average grade for Children's Eating Behaviours was classified as Fair (\"C-\"), while the average grade for FHFEs was classified as Good (\"B+\") for all cultural contexts. A comparison of the overall report card scores revealed that Australia exhibited a significantly higher report card score than Singapore and the US, while Hong Kong achieved a significantly higher score than Singapore.</p><p><strong>Conclusion: </strong>The International Healthy Eating Report Card provided an overview of the prevalence of healthy eating in different cultural contexts. We believe that the International Healthy Eating Report Card may offer new perspectives on interventions for fostering healthy eating in young children.</p>","PeriodicalId":12473,"journal":{"name":"Frontiers in Nutrition","volume":null,"pages":null},"PeriodicalIF":4.0,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11371745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142132349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The effects of ketogenic metabolic therapy on mental health and metabolic outcomes in schizophrenia and bipolar disorder: a randomized controlled clinical trial protocol. 生酮代谢疗法对精神分裂症和双相情感障碍患者心理健康和代谢结果的影响:随机对照临床试验方案。
IF 4 2区 农林科学 Q2 NUTRITION & DIETETICS Pub Date : 2024-08-21 eCollection Date: 2024-01-01 DOI: 10.3389/fnut.2024.1444483
Calogero Longhitano, Sabine Finlay, Isabella Peachey, Jaymee-Leigh Swift, Flavia Fayet-Moore, Toby Bartle, Gideon Vos, Donna Rudd, Omer Shareef, Shaileigh Gordon, Mostafa Rahimi Azghadi, Iain Campbell, Shebani Sethi, Christopher Palmer, Zoltan Sarnyai
<p><strong>Background: </strong>Schizophrenia, schizoaffective disorder, and bipolar affective disorder are debilitating psychiatric conditions characterized by a chronic pattern of emotional, behavioral, and cognitive disturbances. Shared psychopathology includes the pre-eminence of altered affective states, disorders of thoughts, and behavioral control. Additionally, those conditions share epidemiological traits, including significant cardiovascular, metabolic, infectious, and respiratory co-morbidities, resulting in reduced life expectancy of up to 25 years. Nutritional ketosis has been successfully used to treat a range of neurological disorders and preclinical data have convincingly shown potential for its use in animal models of psychotic disorders. More recent data from open clinical trials have pointed toward a dramatic reduction in psychotic, affective, and metabolic symptoms in both schizophrenia and bipolar affective disorder.</p><p><strong>Objectives: </strong>to investigate the effects of nutritional ketosis via a modified ketogenic diet (MKD) over 14 weeks in stable community patients with bipolar disorder, schizoaffective disorder, or schizophrenia.</p><p><strong>Design: </strong>A randomized placebo-controlled clinical trial of 100 non-hospitalized adult participants with a diagnosis of bipolar disorder, schizoaffective disorder, or schizophrenia who are capable of consenting and willing to change their diets.</p><p><strong>Intervention: </strong>Dietitian-led and medically supervised ketogenic diet compared to a diet following the Australian Guide to Healthy Eating for 14 weeks.</p><p><strong>Outcomes: </strong>The primary outcomes include psychiatric and cognitive measures, reported as symptom improvement and functional changes in the Positive and Negative Symptoms Scale (PANSS), Young Mania Rating Scale (YMS), Beck Depression Inventory (BDI), WHO Disability Schedule, Affect Lability Scale and the Cambridge Cognitive Battery. The secondary metabolic outcomes include changes in body weight, blood pressure, liver and kidney function tests, lipid profiles, and markers of insulin resistance. Ketone and glucose levels will be used to study the correlation between primary and secondary outcomes. Optional hair cortisol analysis will assess long-term stress and variations in fecal microbiome composition. Autonomic nervous system activity will be measured via wearable devices (OURA ring and EMBRACE wristband) in the form of skin conductance, oximetry, continuous pulse monitoring, respiratory rate, movement tracking, and sleep quality. Based on the encouraging results from established preclinical research, clinical data from other neurodevelopment disorders, and open trials in bipolar disorder and schizophrenia, we predict that the ketogenic metabolic therapy will be well tolerated and result in improved psychiatric and metabolic outcomes as well as global measures of social and community functioning. We additionally predict that a correl
背景:精神分裂症、分裂情感障碍和双相情感障碍是一种使人衰弱的精神疾病,其特征是长期的情感、行为和认知障碍。共同的精神病理学特征包括情感状态改变、思维紊乱和行为控制。此外,这些疾病还具有共同的流行病学特征,包括严重的心血管、代谢、感染和呼吸系统并发症,导致预期寿命缩短长达 25 年。营养性酮病已成功用于治疗一系列神经系统疾病,临床前数据也令人信服地显示了其在精神病动物模型中的应用潜力。最近的公开临床试验数据表明,营养性酮病可显著减轻精神分裂症和双相情感障碍患者的精神、情感和代谢症状。目的:研究通过改良生酮饮食(MKD)对患有双相情感障碍、精神分裂症或精神分裂症的稳定社区患者进行为期14周的营养性酮病治疗的效果:设计:随机安慰剂对照临床试验,对象为 100 名被诊断为双相情感障碍、分裂情感障碍或精神分裂症且能够同意并愿意改变饮食习惯的非住院成年参与者:干预措施:由营养师指导并在医生监督下进行为期 14 周的生酮饮食与遵循《澳大利亚健康饮食指南》的饮食比较:主要结果包括精神和认知测量,即阳性和阴性症状量表(PANSS)、青年躁狂评分量表(YMS)、贝克抑郁量表(BDI)、世卫组织残疾表、情感易变性量表和剑桥认知测验中的症状改善和功能变化。次要代谢结果包括体重、血压、肝肾功能检测、血脂概况和胰岛素抵抗标志物的变化。酮体和葡萄糖水平将用于研究主要结果和次要结果之间的相关性。可选的毛发皮质醇分析将评估长期压力和粪便微生物组组成的变化。自律神经系统活动将通过可穿戴设备(OURA 戒指和 EMBRACE 腕带)进行测量,测量形式包括皮肤电导率、血氧饱和度、连续脉搏监测、呼吸频率、运动跟踪和睡眠质量。基于临床前研究取得的令人鼓舞的成果、其他神经发育疾病的临床数据以及双相情感障碍和精神分裂症的公开试验,我们预测生酮代谢疗法将具有良好的耐受性,并能改善精神和代谢结果以及社会和社区功能的全面衡量。此外,我们还预测,干预组所达到的酮病水平与代谢、认知和精神治疗效果之间可能存在相关性。
{"title":"The effects of ketogenic metabolic therapy on mental health and metabolic outcomes in schizophrenia and bipolar disorder: a randomized controlled clinical trial protocol.","authors":"Calogero Longhitano, Sabine Finlay, Isabella Peachey, Jaymee-Leigh Swift, Flavia Fayet-Moore, Toby Bartle, Gideon Vos, Donna Rudd, Omer Shareef, Shaileigh Gordon, Mostafa Rahimi Azghadi, Iain Campbell, Shebani Sethi, Christopher Palmer, Zoltan Sarnyai","doi":"10.3389/fnut.2024.1444483","DOIUrl":"10.3389/fnut.2024.1444483","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Schizophrenia, schizoaffective disorder, and bipolar affective disorder are debilitating psychiatric conditions characterized by a chronic pattern of emotional, behavioral, and cognitive disturbances. Shared psychopathology includes the pre-eminence of altered affective states, disorders of thoughts, and behavioral control. Additionally, those conditions share epidemiological traits, including significant cardiovascular, metabolic, infectious, and respiratory co-morbidities, resulting in reduced life expectancy of up to 25 years. Nutritional ketosis has been successfully used to treat a range of neurological disorders and preclinical data have convincingly shown potential for its use in animal models of psychotic disorders. More recent data from open clinical trials have pointed toward a dramatic reduction in psychotic, affective, and metabolic symptoms in both schizophrenia and bipolar affective disorder.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;to investigate the effects of nutritional ketosis via a modified ketogenic diet (MKD) over 14 weeks in stable community patients with bipolar disorder, schizoaffective disorder, or schizophrenia.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;A randomized placebo-controlled clinical trial of 100 non-hospitalized adult participants with a diagnosis of bipolar disorder, schizoaffective disorder, or schizophrenia who are capable of consenting and willing to change their diets.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Intervention: &lt;/strong&gt;Dietitian-led and medically supervised ketogenic diet compared to a diet following the Australian Guide to Healthy Eating for 14 weeks.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Outcomes: &lt;/strong&gt;The primary outcomes include psychiatric and cognitive measures, reported as symptom improvement and functional changes in the Positive and Negative Symptoms Scale (PANSS), Young Mania Rating Scale (YMS), Beck Depression Inventory (BDI), WHO Disability Schedule, Affect Lability Scale and the Cambridge Cognitive Battery. The secondary metabolic outcomes include changes in body weight, blood pressure, liver and kidney function tests, lipid profiles, and markers of insulin resistance. Ketone and glucose levels will be used to study the correlation between primary and secondary outcomes. Optional hair cortisol analysis will assess long-term stress and variations in fecal microbiome composition. Autonomic nervous system activity will be measured via wearable devices (OURA ring and EMBRACE wristband) in the form of skin conductance, oximetry, continuous pulse monitoring, respiratory rate, movement tracking, and sleep quality. Based on the encouraging results from established preclinical research, clinical data from other neurodevelopment disorders, and open trials in bipolar disorder and schizophrenia, we predict that the ketogenic metabolic therapy will be well tolerated and result in improved psychiatric and metabolic outcomes as well as global measures of social and community functioning. We additionally predict that a correl","PeriodicalId":12473,"journal":{"name":"Frontiers in Nutrition","volume":null,"pages":null},"PeriodicalIF":4.0,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11371693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142132353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Plant but not animal sourced nitrate intake is associated with lower dementia-related mortality in the Australian Diabetes, Obesity, and Lifestyle Study. 在澳大利亚糖尿病、肥胖症和生活方式研究中,植物而非动物来源的硝酸盐摄入量与痴呆症相关死亡率的降低有关。
IF 4 2区 农林科学 Q2 NUTRITION & DIETETICS Pub Date : 2024-08-21 eCollection Date: 2024-01-01 DOI: 10.3389/fnut.2024.1327042
Anjana Rajendra, Nicola P Bondonno, Liezhou Zhong, Simone Radavelli-Bagatini, Kevin Murray, Stephanie R Rainey-Smith, Samantha L Gardener, Lauren C Blekkenhorst, Dianna J Magliano, Jonathan E Shaw, Robin M Daly, Kaarin J Anstey, Joshua R Lewis, Jonathan M Hodgson, Catherine P Bondonno

Introduction: Dietary nitrate is potentially beneficial for cardiovascular, cerebrovascular, and nervous systems due to its role as a nitric oxide (NO) precursor. Increased nitrate intake improves cardiovascular health and therefore could protect against dementia, given the cardiovascular-dementia link.

Objective: To investigate the association between source-dependent nitrate intake and dementia-related mortality. As individuals with diabetes are at higher risk of dementia, a secondary aim was to investigate if the associations between nitrate and dementia varied by diabetes mellitus (DM) and pre-diabetes status.

Methods: This study involved 9,149 participants aged ≥25 years from the well-characterised Australian Diabetes, Obesity, and Lifestyle (AusDiab) Study followed over a period of 17 years. Intakes of plant-sourced, vegetable-sourced, naturally occurring animal-sourced nitrate, and processed meat (where nitrate is an allowed additive)-sourced nitrate were assessed from a 74-item food frequency questionnaire completed by participants at baseline and nitrate databases were used to estimate nitrate from these different dietary sources. Associations between source-dependent nitrate intake and dementia-related mortality were assessed using multivariable-adjusted Cox proportional hazards models adjusted for demographics, lifestyle, and dietary factors.

Results: Over 17 years of follow-up, 93 (1.0%) dementia-related deaths occurred of 1,237 (13.5%) total deaths. In multivariable-adjusted models, participants with the highest intakes of plant-sourced nitrate (median intake 98 mg/day) had a 57% lower risk of dementia-related mortality [HR (95% CI): 0.43 (0.22, 0.87)] compared to participants with lowest intakes of plant-sourced nitrate (median intake 35 mg/day). A 66% lower risk was also seen for higher intakes of vegetable-sourced nitrate [HR (95% CI): 0.34 (0.17, 0.66)]. No association was observed for animal-sourced nitrate, but the risk was two times higher amongst those who consumed the most processed meat-sourced nitrate intake [HR (95%): 2.10 (1.07, 4.12)]. The highest intake of vegetable-sourced nitrate was associated with a lower risk of dementia-related mortality for those with and without DM and pre-diabetes.

Conclusion: Encouraging the intake of nitrate-rich vegetables, such as green leafy vegetables and beetroot, may lower the risk of dementia-related mortality, particularly in individuals with (pre-) diabetes who are at a higher dementia risk.

导言:膳食中的硝酸盐作为一氧化氮(NO)的前体,可能对心血管、脑血管和神经系统有益。考虑到心血管与痴呆症之间的联系,增加硝酸盐的摄入量可改善心血管健康,从而预防痴呆症:目的:研究硝酸盐摄入量与痴呆症相关死亡率之间的关系。由于糖尿病患者患痴呆症的风险较高,研究的另一个目的是调查硝酸盐与痴呆症之间的关系是否因糖尿病(DM)和糖尿病前期状态而异:这项研究涉及 9,149 名年龄≥25 岁的参与者,他们来自特征明显的澳大利亚糖尿病、肥胖症和生活方式(AusDiab)研究,该研究历时 17 年。根据参与者在基线期填写的 74 项食物频率问卷,评估了植物来源、蔬菜来源、天然动物来源硝酸盐和加工肉类(硝酸盐是允许的添加剂)来源硝酸盐的摄入量,并利用硝酸盐数据库估算了这些不同膳食来源的硝酸盐摄入量。使用经多变量调整的考克斯比例危险模型评估了与人口统计学、生活方式和饮食因素有关的硝酸盐摄入量与痴呆症相关死亡率之间的关系:在 17 年的随访中,在 1,237 例(13.5%)死亡病例中,有 93 例(1.0%)与痴呆相关。在多变量调整模型中,植物源硝酸盐摄入量最高的参与者(摄入量中位数为 98 毫克/天)与植物源硝酸盐摄入量最低的参与者(摄入量中位数为 35 毫克/天)相比,痴呆症相关死亡风险降低了 57% [HR (95% CI): 0.43 (0.22, 0.87)]。植物源硝酸盐摄入量较高的参与者的风险也降低了 66%[HR(95% CI):0.34 (0.17, 0.66)]。在动物源硝酸盐方面没有观察到相关性,但在肉类加工源硝酸盐摄入量最高的人群中,风险要高出两倍[HR (95%):2.10 (1.07, 4.12)]。无论是否患有糖尿病和糖尿病前期,蔬菜来源的硝酸盐摄入量最高的人群与痴呆症相关的死亡风险较低:结论:鼓励摄入富含硝酸盐的蔬菜,如绿叶蔬菜和甜菜根,可降低痴呆症相关死亡风险,尤其是痴呆症风险较高的(前期)糖尿病患者。
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引用次数: 0
Research progress on predictive models for malnutrition in cancer patients. 癌症患者营养不良预测模型的研究进展。
IF 4 2区 农林科学 Q2 NUTRITION & DIETETICS Pub Date : 2024-08-21 eCollection Date: 2024-01-01 DOI: 10.3389/fnut.2024.1438941
Pengcheng Zheng, Bo Wang, Yan Luo, Ran Duan, Tong Feng

Disease-related malnutrition is a prevalent issue among cancer patients, affecting approximately 40-80% of those undergoing treatment. This condition is associated with numerous adverse outcomes, including extended hospitalization, increased morbidity and mortality, delayed wound healing, compromised muscle function and reduced overall quality of life. Moreover, malnutrition significantly impedes patients' tolerance of various cancer therapies, such as surgery, chemotherapy, and radiotherapy, resulting in increased adverse effects, treatment delays, postoperative complications, and higher referral rates. At present, numerous countries and regions have developed objective assessment models to predict the risk of malnutrition in cancer patients. As advanced technologies like artificial intelligence emerge, new modeling techniques offer potential advantages in accuracy over traditional methods. This article aims to provide an exhaustive overview of recently developed models for predicting malnutrition risk in cancer patients, offering valuable guidance for healthcare professionals during clinical decision-making and serving as a reference for the development of more efficient risk prediction models in the future.

与疾病相关的营养不良是癌症患者中普遍存在的问题,约有 40%-80% 的患者在接受治疗时会出现营养不良。这种情况与许多不良后果相关,包括住院时间延长、发病率和死亡率增加、伤口愈合延迟、肌肉功能受损以及整体生活质量下降。此外,营养不良严重影响患者对手术、化疗和放疗等各种癌症疗法的耐受性,导致不良反应增加、治疗延迟、术后并发症和转诊率升高。目前,许多国家和地区已开发出客观的评估模型,用于预测癌症患者营养不良的风险。随着人工智能等先进技术的出现,与传统方法相比,新的建模技术在准确性方面具有潜在优势。本文旨在详尽概述近期开发的癌症患者营养不良风险预测模型,为医护人员在临床决策过程中提供有价值的指导,并为未来开发更高效的风险预测模型提供参考。
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引用次数: 0
Prevalence and determinants of overweight or obesity among medical students over a 2-year observation. 医科学生中超重或肥胖的流行率和决定因素,为期两年的观察。
IF 4 2区 农林科学 Q2 NUTRITION & DIETETICS Pub Date : 2024-08-21 eCollection Date: 2024-01-01 DOI: 10.3389/fnut.2024.1437292
Szymon Szemik, Iwona Zieleń-Zynek, Ewa Szklarek, Małgorzata Kowalska

Introduction: University students are a special population group characterized by changes in BMI values over the subsequent years of education, with an upward tendency to BMI. The presented study aims to evaluate the prevalence of overweight and obesity and their determinants in medical students during the 2-year follow-up observation.

Materials and methods: We analyzed data collected from the first follow-up of the cohort study named "POLLEK" conducted among medical students at the Medical University of Silesia in Katowice. Students were followed at two points of time: in their inaugural year of studies (the academic year 2021/2022, T1, N = 427), and subsequently in their second year (the academic year 2022/2023, T2, N = 335).

Results: In the initial year of evaluation, 371 individuals (86.9%) exhibited normal body weight, 47 (11.0%) were overweight, and 9 (2.1%) were classified as obese. Subsequent assessments during the second year revealed the following distribution: 277 students (84.2%) with normal body weight, 40 (12.2%) classified as overweight, and 12 (3.6%) identified as obese. In summary, regardless of the academic year, an increased risk of being overweight or obese was significantly associated with dissatisfaction with personal health, financial strain, and a diet abundant in animal products.

Conclusion: The results of our study confirmed an increase in the prevalence of overweight or obesity among medical students during the 2-year follow-up observation. Significant determinants of overweight or obesity among medical students were: dissatisfaction with individual health status, male sex, financial deficiencies, and a diet abundant in meat consumption.

导言:大学生是一个特殊人群,其特点是在随后几年的教育中体重指数值发生变化,体重指数呈上升趋势。本研究旨在评估医学生在两年跟踪观察期间超重和肥胖的发生率及其决定因素:我们分析了在卡托维兹西里西亚医科大学医学生中开展的名为 "POLLEK "的队列研究的首次随访数据。我们在两个时间点对学生进行了跟踪调查:第一学年(2021/2022 学年,T1,N = 427)和第二学年(2022/2023 学年,T2,N = 335):在最初一年的评估中,371 人(86.9%)体重正常,47 人(11.0%)超重,9 人(2.1%)肥胖。第二年的后续评估显示了以下分布情况:277 名学生(84.2%)体重正常,40 名学生(12.2%)超重,12 名学生(3.6%)肥胖。总之,无论在哪个学年,超重或肥胖的风险增加与对个人健康的不满意、经济压力和多吃动物性食品有显著关联:结论:我们的研究结果证实,在两年的跟踪观察期间,医学生超重或肥胖的发生率有所增加。医学生超重或肥胖的重要决定因素是:对个人健康状况不满意、男性、经济拮据和多吃肉类。
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引用次数: 0
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Frontiers in Nutrition
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