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Protective effect of the total alkaloid extract from Bulbus Fritillariae Pallidiflorae on cigarette smoke-induced Beas-2B cell injury model and transcriptomic analysis 苍耳子总生物碱提取物对香烟烟雾诱导的 Beas-2B 细胞损伤模型的保护作用及转录组分析
Pub Date : 2024-06-11 DOI: 10.29219/fnr.v68.10689
Xiaoyu Wang, Xiao Liu, Erbu Aga, Wai Ming Tse, Kathy Wai Gaun Tse, Bengui Ye
Background: Bulbus Fritillariae Pallidiflorae (BFP) is a traditional Chinese medicine that has long been used to treat lung diseases, but the active components and mechanism are still unclear. Objective: This study aimed to investigate the effect and mechanism of the total alkaloid extract from BFP (BFP-TA) on cigarette smoke extract (CSE)-induced Beas-2B cells injury. Design: The Beas-2B cells injury model was induced by 2% CSE, then the effect of BFP-TA on the levels of total antioxidant capacity (T-AOC), superoxide dismutase (SOD) and malondialdehyde (MDA) was detected according to the instructions of the T-AOC assay kit, the SOD detection kit and the MDA detection kit, and the production of ROS was detected by fluorescence microscopy. The effect of BFP-TA on Beas-2B cells apoptosis was detected by flow cytometry, and the effect of BFP-TA on related protein expression was detected by western blot. Subsequently, the effect of BFP-TA on differentially expressed genes (DEGs) in CSE-induced Beas-2B cells was studied by transcriptomic sequencing, and the expression of DEGs was verified by quantitative real-time polymerase chain reaction (qPCR). Results: The results showed that BFP-TA could attenuate CSE-induced oxidative damage in Beas-2B cells by elevating T-AOC and SOD levels while inhibiting ROS and MDA levels, and the mechanism was potentially related to the SIRT1/Nrf2/Keap1 signaling pathway. Furthermore, BFP-TA could inhibit CSE-induced apoptosis by inhibiting the protein expression of Bax, MST1 and FOXO3a, and exert anti-inflammatory effect by inhibiting the activation of MAPK signaling pathway. Subsequently, transcriptome analysis and qPCR validation showed that BFP-TA could alleviate inflammation, oxidative stress, apoptosis and lipid metabolism disorders by regulating the expression of DEGs in PPAR and PI3K-Akt signaling pathways, thereby exerting a protective effect against CSE-induced Beas-2B cell injury. Conclusion: This study is the first to demonstrate that BFP-TA could exert a protective effect on CSE-induced Beas-2B cell injury by exerting anti-inflammatory, antioxidant, anti-apoptotic and regulate lipid metabolism disorders.
背景:苍耳子(BFP)是一种传统中药,长期以来一直被用于治疗肺部疾病,但其有效成分和机制仍不清楚。研究目的本研究旨在探讨柴胡总生物碱提取物(BFP-TA)对香烟烟雾提取物(CSE)诱导的 Beas-2B 细胞损伤的影响及机制。设计:用2%的CSE诱导Beas-2B细胞损伤模型,按照T-AOC检测试剂盒、SOD检测试剂盒和MDA检测试剂盒的说明检测BFP-TA对总抗氧化能力(T-AOC)、超氧化物歧化酶(SOD)和丙二醛(MDA)水平的影响,并用荧光显微镜检测ROS的产生。流式细胞仪检测 BFP-TA 对 Beas-2B 细胞凋亡的影响,Western 印迹检测 BFP-TA 对相关蛋白表达的影响。随后,通过转录组测序研究了 BFP-TA 对 CSE 诱导的 Beas-2B 细胞中差异表达基因(DEGs)的影响,并通过实时定量聚合酶链反应(qPCR)验证了 DEGs 的表达。结果显示结果表明,BFP-TA能通过提高T-AOC和SOD水平而抑制ROS和MDA水平,从而减轻CSE诱导的Beas-2B细胞氧化损伤,其机制可能与SIRT1/Nrf2/Keap1信号通路有关。此外,BFP-TA还能通过抑制Bax、MST1和FOXO3a的蛋白表达抑制CSE诱导的细胞凋亡,并通过抑制MAPK信号通路的激活发挥抗炎作用。随后的转录组分析和 qPCR 验证表明,BFP-TA 可通过调节 PPAR 和 PI3K-Akt 信号通路中 DEGs 的表达,缓解炎症、氧化应激、细胞凋亡和脂质代谢紊乱,从而对 CSE 诱导的 Beas-2B 细胞损伤起到保护作用。结论本研究首次证明了 BFP-TA 可通过抗炎、抗氧化、抗凋亡和调节脂质代谢紊乱对 CSE 诱导的 Beas-2B 细胞损伤具有保护作用。
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引用次数: 0
Preoperative geriatric nutritional risk index and neutrophil-to-lymphocyte ratio relate to postoperative acute kidney injury in elderly patients undergoing laparoscopic abdominal surgery 腹腔镜腹部手术老年患者术前老年营养风险指数和中性粒细胞与淋巴细胞比率与术后急性肾损伤的关系
Pub Date : 2024-05-15 DOI: 10.29219/fnr.v68.10564
Hengchang Ren, Min Zhu, Hongli Yu, Y. Weng, Wenli Yu
Background: Acute kidney injury (AKI) poses a significant concern in elderly patients undergoing laparoscopic abdominal surgery due to increased vulnerability arising from aging, comorbidities, and surgery-related factors. Early detection and intervention are crucial for mitigating short- and long-term consequences. This study aims to investigate the correlation between preoperative Geriatric Nutritional Risk Index (GNRI), neutrophil-to-lymphocyte ratio (NLR), and the occurrence of postoperative AKI in elderly patients undergoing laparoscopic abdominal surgery, as well as to assess the predictive value of their combined detection for postoperative AKI. Methods: A retrospective study involving 347 elderly patients (aged 60 years or older) undergoing laparoscopic abdominal surgery explored the relationship between preoperative GNRI, NLR, and postoperative AKI. GNRI was calculated based on serum albumin and body weight ratios, while NLR was derived from preoperative blood tests. Results: The combined GNRI and NLR test demonstrated superior predictive value (area under the curve [AUC] = 0.87) compared to individual markers. Multivariate logistic analysis identified age, American Society of Anesthesiologists (ASA) grade, comorbidities, preoperative GNRI, and NLR as independent risk factors for AKI. Correlation analysis affirmed a negative correlation between preoperative GNRI and AKI severity, and a positive correlation between preoperative NLR and AKI severity. Conclusion: The preoperative GNRI and NLR have clinical values in predicting postoperative AKI in elderly patients undergoing laparoscopic abdominal surgery.
背景:在接受腹腔镜腹部手术的老年患者中,急性肾损伤(AKI)是一个令人严重关切的问题,因为年龄增长、合并症和手术相关因素会增加患者的脆弱性。早期发现和干预对于减轻短期和长期后果至关重要。本研究旨在探讨接受腹腔镜腹部手术的老年患者术前老年营养风险指数(GNRI)、中性粒细胞与淋巴细胞比值(NLR)与术后 AKI 发生率之间的相关性,并评估它们联合检测对术后 AKI 的预测价值。研究方法一项涉及 347 名接受腹腔镜腹部手术的老年患者(60 岁或以上)的回顾性研究探讨了术前 GNRI、NLR 和术后 AKI 之间的关系。GNRI 根据血清白蛋白和体重比率计算,而 NLR 则根据术前血液化验得出。结果:与单个指标相比,GNRI 和 NLR 联合检测具有更高的预测价值(曲线下面积 [AUC] = 0.87)。多变量逻辑分析确定年龄、美国麻醉医师协会(ASA)等级、合并症、术前 GNRI 和 NLR 是导致 AKI 的独立风险因素。相关性分析证实术前 GNRI 与 AKI 严重程度呈负相关,而术前 NLR 与 AKI 严重程度呈正相关。结论:术前 GNRI 和 NLR 在预测接受腹腔镜腹部手术的老年患者术后 AKI 方面具有临床价值。
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引用次数: 0
Ultra-processed foods – a scoping review for Nordic Nutrition Recommendations 2023 超加工食品--《北欧营养建议2023》的范围界定审查
Pub Date : 2024-04-24 DOI: 10.29219/fnr.v68.10616
Filippa Juul, E. Bere
Ultra-processed foods (UPFs) are increasingly consumed worldwide and have been linked to several chronic diseases. This paper aims to describe the totality of the available evidence regarding UPFs in relation to health-related outcomes as a basis for setting food-based dietary guidelines for the Nordic Nutrition Recommendations 2023. Systematic literature searches were conducted to identify systematic reviews, meta-analyses, randomized controlled trials (RCTs), and prospective cohort studies examining the association between UPF intake and non-communicable diseases or mortality. A total of 12 systematic reviews (including five meta-analyses) and 44 original research studies (43 prospective cohort studies and one RCT) were included. All original research studies were deemed to be of good methodological quality. The current evidence supports that greater consumption of UPFs is associated with weight gain and increased risk of obesity, cardiovascular disease, type 2 diabetes, and all-cause mortality. The available literature also supports an association between UPFs and hypertension, cancer, and depression; however, the limited number of studies and subjects investigated preclude strong conclusions. Due to the highly diverse nature of UPFs, additional studies are warranted, with special emphasis on disentangling mediating mechanisms, whether nutritional or non-nutrient based. Nevertheless, the available evidence regarding UPFs in relation to weight gain, CVD, type 2 diabetes, and all-cause mortality is considered strong enough to support dietary recommendations to limit their consumption.
超加工食品(UPFs)在全球的消费量越来越大,并与多种慢性疾病相关。本文旨在描述有关超高加工食品与健康相关结果的全部现有证据,为《北欧营养建议2023》制定以食品为基础的膳食指南提供依据。我们进行了系统的文献检索,以确定系统综述、荟萃分析、随机对照试验 (RCT) 和前瞻性队列研究,这些研究探讨了 UPF 摄入量与非传染性疾病或死亡率之间的关系。共纳入了 12 篇系统综述(包括 5 篇荟萃分析)和 44 项原创研究(43 项前瞻性队列研究和 1 项随机对照试验)。所有原创性研究均被认为方法质量良好。目前的证据表明,摄入更多的 UPFs 与体重增加、肥胖风险增加、心血管疾病、2 型糖尿病和全因死亡率有关。现有文献还支持 UPFs 与高血压、癌症和抑郁症之间存在关联;不过,由于研究和调查对象的数量有限,因此无法得出有力的结论。由于 UPFs 的性质多种多样,因此有必要进行更多的研究,并特别强调要弄清营养或非营养的中介机制。尽管如此,关于 UPFs 与体重增加、心血管疾病、2 型糖尿病和全因死亡率的关系,现有证据足以支持限制其摄入量的膳食建议。
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引用次数: 0
Effects of ketogenic diet on weight loss parameters among obese or overweight patients with polycystic ovary syndrome: a systematic review and meta-analysis of randomized controlled trails 生酮饮食对多囊卵巢综合征肥胖或超重患者减肥指标的影响:随机对照试验的系统回顾和荟萃分析
Pub Date : 2024-03-12 DOI: 10.29219/fnr.v68.9835
Nan-nan Xing, Fang Ren, Hui Yang
Aim: To evaluate how effective a low carbohydrate ketogenic diet (KD) is for changing key physical measurements such as weight, waist circumference (WC), body mass index (BMI), and fat mass (FM) in women with polycystic ovary syndrome (PCOS) who were obese or overweight. Methods: Several online databases, including PubMed, Scopus, EMBASE, Cochrane Library, and Web of Science (WOS), were searched systematically to find relevant randomized controlled trials (RCTs) up until June 2023. The Q-test and I2 statistics were used to assess the level of heterogeneity among the included studies. The data were then combined using either a fixed or random effects model and presented as a weighted mean difference (WMD) along with a 95% confidence interval (CI). Results: Of the 682 citations, 11 RCTs were included. The pooled results showed a significant decrease in the WMD of weight levels [WMD = −9.13 kg; 95% CI, −11.88, −6.39, P < 0.001; I2 = 87.23%] following KD. Moreover, KD significantly reduced BMI levels [WMD = −2.93 kg/m2; 95% CI, −3.65, −2.21, P < 0.001; I2 = 78.81%] compared to the controls. Patients with PCOS received KD demonstrated significant decrease in WC [WMD = −7.62 cm; 95% CI, −10.73, −4.50, P < 0.001; I2 = 89.17%] and FM [WMD = −5.32 kg; 95% CI, −7.29, −3.36, P < 0.001; I2 = 83.97%]. Conclusion: KD was associated with lower weight loss (WL) parameters, including weight, BMI, WC, and FM, in obese or overweight women with PCOS, highlighting the significance of physicians and nurses in taking care of the nutritional needs of overweight/obese patients with PCOS.
目的:评估低碳水化合物生酮饮食(KD)对改变肥胖或超重的多囊卵巢综合征(PCOS)女性的体重、腰围(WC)、体重指数(BMI)和脂肪量(FM)等主要身体指标的效果。研究方法系统检索了多个在线数据库,包括 PubMed、Scopus、EMBASE、Cochrane Library 和 Web of Science (WOS),以查找截至 2023 年 6 月的相关随机对照试验 (RCT)。采用 Q 检验和 I2 统计量评估所收录研究的异质性水平。然后使用固定效应或随机效应模型合并数据,并以加权平均差 (WMD) 和 95% 置信区间 (CI) 的形式显示。结果:在 682 项引用中,有 11 项研究被纳入。汇总结果显示,在进行 KD 后,体重水平的 WMD 显著下降[WMD = -9.13 kg; 95% CI, -11.88, -6.39, P < 0.001; I2 = 87.23%]。此外,与对照组相比,KD明显降低了BMI水平[WMD = -2.93 kg/m2;95% CI,-3.65,-2.21,P < 0.001;I2 = 78.81%]。接受KD治疗的多囊卵巢综合征患者的WC[WMD = -7.62 cm; 95% CI, -10.73, -4.50, P < 0.001; I2 = 89.17%]和FM[WMD = -5.32 kg; 95% CI, -7.29, -3.36, P < 0.001; I2 = 83.97%]显著下降。结论KD与多囊卵巢综合征肥胖或超重妇女较低的体重减轻(WL)参数(包括体重、体重指数(BMI)、腹围和容积)有关,这突出了医生和护士在照顾多囊卵巢综合征超重/肥胖患者的营养需求方面的重要性。
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引用次数: 0
Fat and fatty acids – a scoping review for Nordic Nutrition Recommendations 2023 脂肪和脂肪酸--《北欧营养建议2023》的范围界定审查
Pub Date : 2024-01-12 DOI: 10.29219/fnr.v68.9980
K. Retterstøl, F. Rosqvist
Two de novo NNR2022 systematic reviews (SRs) as well as 21 qualified SRs (qSRs) were available. A literature search yielded an additional ~70 SRs, meta-analyses and biomarker papers. Diets lower in total fat are associated with reductions in body weight and blood pressure compared with diets higher in total fat in adults. Partial replacement of saturated fatty acid (SFA) with n-6 polyunsaturated fatty acid (PUFA) improves blood lipid profile, decreases the risk of cardiovascular disease (CVD), improves glucose-insulin homeostasis and may decrease the risk of total mortality. Long-chain n-3 PUFAs (eicosapentaenoic acid [EPA] and docosahexaenoic acid [DHA]) decrease triglycerides and are associated with lower risk of CVD. Dietary PUFAs, both n-3 and n-6, may be associated with reduced risk of type 2 diabetes (T2D). There is inconclusive evidence to suggest that the type of dietary fat is associated with blood pressure, risk of hypertension or musculoskeletal health. Higher intake of total PUFA is associated with lower mortality from any cancer. Long-chain n-3 PUFA is associated with reduced risk of breast cancer, whereas biomarker levels of n-6 PUFA are associated with lower risk of any cancer. Intake of long-chain n-3 PUFA during pregnancy increases length of gestation and child birth weight and reduces the risk of preterm delivery, but there is inconclusive evidence to suggest that it may influence child neurodevelopment, growth or development of allergic disease. In studies with higher versus lower dietary cholesterol intake levels, total blood cholesterol increased or were unaffected by the dietary cholesterol, resulting in inconclusive results. Trans fatty acid (TFA), regardless of source, impairs blood lipid profile compared to unsaturated fat. In observational studies, TFA is positively associated with CVD and total mortality but whether associations differ by source is inconclusive. Ruminant TFA, as well as biomarker levels of odd-chain fatty acids, might be associated with lower risk of T2D.
有两篇全新的 NNR2022 系统综述(SR)和 21 篇合格的 SR(qSR)。通过文献检索,还获得了约 70 篇系统综述、荟萃分析和生物标志物论文。与总脂肪含量较高的膳食相比,总脂肪含量较低的膳食可降低成年人的体重和血压。用 n-6 多不饱和脂肪酸(PUFA)部分替代饱和脂肪酸(SFA)可改善血脂状况,降低心血管疾病(CVD)风险,改善葡萄糖-胰岛素稳态,并可降低总死亡率风险。长链 n-3 PUFA(二十碳五烯酸 [EPA] 和二十二碳六烯酸 [DHA])可降低甘油三酯,并与降低心血管疾病风险相关。膳食中的 n-3 和 n-6 脂肪酸可能与降低 2 型糖尿病(T2D)风险有关。目前尚无确凿证据表明膳食脂肪的类型与血压、高血压风险或肌肉骨骼健康有关。摄入较多的总 PUFA 与较低的癌症死亡率有关。长链 n-3 PUFA 与降低罹患乳腺癌的风险有关,而 n-6 PUFA 的生物标志物水平与降低罹患任何癌症的风险有关。怀孕期间摄入长链 n-3 PUFA 可增加妊娠时间和婴儿出生体重,降低早产风险,但目前尚无确切证据表明长链 n-3 PUFA 可能会影响儿童的神经发育、生长或过敏性疾病的发生。在膳食胆固醇摄入水平较高与较低的研究中,血液总胆固醇增加或不受膳食胆固醇的影响,结果尚无定论。与不饱和脂肪相比,反式脂肪酸(TFA)无论来源如何,都会损害血脂状况。在观察性研究中,反式脂肪酸与心血管疾病和总死亡率呈正相关,但不同来源的反式脂肪酸与心血管疾病和总死亡率的关系是否不同尚无定论。反刍动物的反式脂肪酸以及奇链脂肪酸的生物标志物水平可能与较低的 T2D 风险有关。
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引用次数: 0
The effect of extra virgin olive oil on HSP27 expression in the cerebral cortex of male Rattus norvegicus middle cerebral artery occlusion model 特级初榨橄榄油对雄性鼠脑中动脉闭塞模型大脑皮层中 HSP27 表达的影响
Pub Date : 2024-01-08 DOI: 10.29219/fnr.v68.9500
A. Machin, V. Kalanjati, Anisa Nur’aini Abidah, Paulus Sugianto, Joni Susanto, A. Firdha
Background: Ischemic stroke produces oxidative stress in neurons and neuroglial, triggering a cellular response with HSP27 as one of the markers. Extra virgin olive oil (EVOO) is reported to act as a neuroprotection by inhibiting reactive oxygen species, which can modulate HSP27. Objective: To analyze the potential neuroprotection of EVOO containing 7-g MUFA on the expression of HSP27 in the cerebral cortex of Rattus norvegicus Wistar strain middle cerebral artery occlusion (MCAO) model. Design: MCAO-Rattus norvegicus Wistar male rodents (n = 32), randomly divided into negative control (sham), positive control (P0), MCAO added EVOO 0.5 mL/kg body weight (P1), and MCAO added EVOO 2 mL/kg body weight (P2); the experiment was conducted 14 days. The nuclei of neurons, glial, and expression of HSP27 on the cerebral cortex were analyzed using Image J software, data were compared between groups with a significance level of P < 0.05. Results: There were significant differences in the neuron and glia nuclei numbers between groups (P = 0.01). There was also a significant difference in cerebral cortex HSP27 expression between groups (P = 0.006). Conclusion: There was a significant down-regulated of HSP27 in the cerebral cortex of the male Rattus norvegicus Wistar strain MCAO model given EVOO with 7 g of MUFA content at a dose of 0.5–2 mL/kgBW.
背景:缺血性中风会在神经元和神经胶质细胞中产生氧化应激,引发以 HSP27 为标志物之一的细胞反应。据报道,特级初榨橄榄油(EVOO)可抑制活性氧,从而起到保护神经的作用,而活性氧可调节 HSP27。研究目的分析特级初榨橄榄油(EVOO)(含 7 克 MUFA)对诺维格犬 Wistar 株大脑中动脉闭塞(MCAO)模型大脑皮层 HSP27 表达的潜在神经保护作用。设计MCAO-Rattus norvegicus Wistar雄性啮齿动物(n = 32),随机分为阴性对照(假)、阳性对照(P0)、MCAO添加EVOO 0.5 mL/kg体重(P1)和MCAO添加EVOO 2 mL/kg体重(P2);实验进行14天。使用 Image J 软件分析大脑皮层的神经元核、胶质细胞核和 HSP27 的表达,组间数据比较,显著性水平为 P <0.05。结果神经元和胶质细胞核数量在组间存在显著差异(P = 0.01)。组间大脑皮层 HSP27 表达也有显著差异(P = 0.006)。结论以 0.5-2 mL/kgBW 的剂量给予含有 7 g MUFA 的 EVOO,雄性鼠 Wistar 株 MCAO 模型大脑皮层中的 HSP27 表达明显下调。
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引用次数: 0
Folate – a scoping review for Nordic Nutrition Recommendations 2023 叶酸--《北欧营养建议 2023》的范围界定审查
Pub Date : 2023-12-26 DOI: 10.29219/fnr.v67.10258
Anne-Lise Bjørke Monsen, P. M. Ueland
Folate is an essential micronutrient for normal development and metabolic function, and folate deficiency is associated with an increased risk of cancer, cardiovascular disease, mental dysfuntion and negative pregnancy outcomes. When estimating folate requirements, one must consider different bioavailability and functionality between synthetic folic acid and dietary folate, together with increased needs of folate in women of fertile age, pregnant and lactating women, preterm and small for gestational age weight infants and individuals who are homozygote for the 5,10-methylenetetrahydrofolate reductase (MTHFR) gene polymorphism. In order to achieve an adequate metabolic status based on the metabolic marker total homocysteine, and not merely the absence of clinical signs of folate deficiency, the recommended intake of folate differs according to age, pregnancy and lactation. According to the World Health Organization, a decision limit for folate deficiency in adults is serum folate level below 10 nmol/L, and in women of fertile age a red blood cell folate level below 906 nmol/L in order to prevent neural tube defects. Qualified systematic reviews along with identified relevant literature have been used for this scoping review prepared for the Nordic Nutrition Recommendations 2023.
叶酸是人体正常发育和代谢功能所必需的微量营养素,叶酸缺乏会增加患癌症、心血管疾病、精神障碍和不良妊娠结局的风险。在估算叶酸需求量时,必须考虑到合成叶酸和膳食叶酸之间不同的生物利用率和功能性,以及育龄妇女、孕妇和哺乳期妇女、早产儿和胎龄体重小的婴儿以及 5,10-亚甲基四氢叶酸还原酶(MTHFR)基因多态性同型个体对叶酸的需求量增加。为了达到以代谢标志物总同型半胱氨酸为基础的适当代谢状态,而不仅仅是没有叶酸缺乏的临床症状,叶酸的推荐摄入量因年龄、妊娠和哺乳而异。根据世界卫生组织的规定,成人叶酸缺乏的判定标准是血清叶酸水平低于 10 nmol/L,育龄妇女红细胞叶酸水平低于 906 nmol/L,以预防神经管缺陷。为《2023 年北欧营养建议》编写的本范围界定审查采用了合格的系统审查和已确定的相关文献。
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引用次数: 0
Choline – a scoping review for Nordic Nutrition Recommendations 2023 胆碱--《北欧营养建议 2023》的范围界定审查
Pub Date : 2023-12-21 DOI: 10.29219/fnr.v67.10359
Rima Obeid, Therese Karlsson
Choline is an essential nutrient with metabolic roles as a methyl donor in one carbon metabolism and as a precursor for membrane phospholipids and the neurotransmitter acetylcholine. Choline content is particularly high in liver, eggs, and wheat germ, although it is present in a variety of foods. The main dietary sources of choline in the Nordic and Baltic countries are meat, dairy, eggs, and grain. A diet that is devoid of choline causes liver and muscle dysfunction within 3 weeks. Choline requirements are higher during pregnancy and lactation than in non-pregnant women. Although no randomized controlled trials are available, observational studies in human, supported by coherence from interventional studies with neurodevelopmental outcomes and experimental studies in animals, strongly suggest that sufficient intake of choline during pregnancy is necessary for normal brain development and function in the child. Observational studies suggested that adequate intake of choline could have positive effects on cognitive function in older people. However, prospective data are lacking, and no intervention studies are available in the elderly.
胆碱是一种人体必需的营养物质,在单碳代谢中作为甲基供体,也是膜磷脂和神经递质乙酰胆碱的前体。肝脏、鸡蛋和小麦胚芽中的胆碱含量特别高,但它也存在于各种食物中。在北欧和波罗的海国家,胆碱的主要膳食来源是肉类、奶制品、鸡蛋和谷物。缺乏胆碱的饮食会在 3 周内导致肝脏和肌肉功能障碍。孕期和哺乳期妇女对胆碱的需求量高于非孕期妇女。虽然目前还没有随机对照试验,但人类的观察性研究以及神经发育结果干预研究和动物实验研究的一致性有力地表明,孕期摄入充足的胆碱对儿童大脑的正常发育和功能是必要的。观察性研究表明,摄入充足的胆碱可对老年人的认知功能产生积极影响。然而,目前还缺乏前瞻性数据,也没有针对老年人的干预研究。
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引用次数: 0
Vitamin E – a scoping review for Nordic Nutrition Recommendations 2023 维生素 E--《北欧营养建议 2023》的范围界定审查
Pub Date : 2023-12-12 DOI: 10.29219/fnr.v67.10238
Essi Hantikainen, Y. Trolle Lagerros
Current evidence suggests that dietary vitamin E (as α-tocopherol) intake has a beneficial role in preventing certain chronic diseases. In contrast, there is no clear evidence for the benefit of α-tocopherol supplements in a generally healthy population. Deficiency symptoms are rare and mainly occur due to genetic or other factors affecting α-tocopherol absorption and/or metabolism, rather than a low α-tocopherol intake. No qualified systematic review was identified by the NNR2023 project for updating the dietary reference values (DRV).
目前的证据表明,从膳食中摄入维生素 E(α-生育酚)对预防某些慢性疾病有益。相比之下,没有明确的证据表明α-生育酚补充剂对一般健康人群有益。缺乏症状很少出现,主要是由于遗传或其他因素影响了α-生育酚的吸收和/或代谢,而不是α-生育酚摄入量过低。NNR2023 项目没有为更新膳食参考值(DRV)确定合格的系统综述。
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引用次数: 0
Evaluation and prioritization of food environment policies in Norway using the Healthy Food Environment Policy Index (Food-EPI) 利用健康食品环境政策指数(food - epi)评估挪威的食品环境政策并确定优先次序
Pub Date : 2023-04-17 DOI: 10.29219/fnr.v67.9117
L. Torheim, A. L. Løvhaug, Camilla Sanne Huseby, S. Henjum, L. Terragni, M. Poelman, J. Harrington, S. Vandevijvere, G. Roos
Background: Government policies promoting healthier food environments can contribute to healthier diets and prevent obesity and diet-related non-communicable diseases. Objective: To assess the level of implementation of internationally recommended food environment policies in Norway and establish prioritised actions to create healthier food environments. Design: The Healthy Food Environment Policy Index (Food-EPI) was adapted to the Norwegian context. It comprised 45 good practice indicators of government food environment policy and infrastructure support. Systematically compiled evidence of relevant policies was verified by government officials and formed the basis for assessing the level of implementation of these policies compared against international best practice benchmarks. The assessment was done by a national non-government expert panel (n = 35). The experts thereafter proposed and prioritized policy actions for government implementation. Results: Most indicators were rated at a medium or high degree of implementation in both the policy action (69%) and the infrastructure support (77%) components. No indicators were rated as having ‘none or very little implementation’. Among the 14 recommended policy actions, active use of price regulation to increase the price of unhealthy foods and decrease the price of healthy foods was the highest priority. Other top priorities were ensuring healthy food environments in public settings and introducing free school meals. Demonstrating knowledge-based and coherent political leadership in public health nutrition policies was the highest priority among the 11 recommended infrastructure support actions. Conclusion: The overall policies in Norway to promote a healthy diet show a medium to high level of implementation. This study highlights that there is still room for additional improvements in Norwegian policies and infrastructure support to promote healthy food environments.
背景:促进更健康食品环境的政府政策可以促进更健康的饮食,预防肥胖和与饮食有关的非传染性疾病。目标:评估国际建议的食品环境政策在挪威的执行情况,并确定优先行动,以创造更健康的食品环境。设计:健康食品环境政策指数(Food- epi)根据挪威的情况进行了调整。它包括政府粮食环境政策和基础设施支持的45个良好做法指标。有关政策的系统汇编证据由政府官员核实,并形成了与国际最佳做法基准比较评估这些政策实施水平的基础。评估由一个国家非政府专家小组(n = 35)完成。专家们随后提出并确定了供政府执行的政策行动的优先次序。结果:大多数指标在政策行动(69%)和基础设施支持(77%)两方面的执行程度都被评为中等或高度。没有指标被评为“没有或很少执行”。在14项建议的政策行动中,积极利用价格调控提高不健康食品的价格,降低健康食品的价格是最优先考虑的。其他最优先事项是确保公共场所的健康食品环境和实行免费校餐。在11项建议的基础设施支助行动中,在公共卫生营养政策方面展示基于知识和一致的政治领导是最优先的。结论:挪威促进健康饮食的总体政策执行水平为中高水平。这项研究强调,挪威在促进健康食品环境的政策和基础设施支持方面仍有进一步改进的余地。
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引用次数: 1
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Food &amp; Nutrition Research
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