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Unraveling the therapeutic efficacy of resveratrol in Alzheimer’s disease: an umbrella review of systematic evidence 揭示白藜芦醇对阿尔茨海默病的疗效:系统证据综述
IF 4.5 2区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-03-19 DOI: 10.1186/s12986-024-00792-1
Ali Azargoonjahromi, Fatemeh Abutalebian
Resveratrol (RV), a natural compound found in grapes, berries, and peanuts, has been extensively studied for its potential in treating Alzheimer’s disease (AD). RV has shown promise in inhibiting the formation of beta-amyloid plaques (Aβ) and neurofibrillary tangles (NFTs), protecting against neuronal damage and oxidative stress, reducing inflammation, promoting neuroprotection, and improving the function of the blood–brain barrier (BBB). However, conflicting results have been reported, necessitating a comprehensive umbrella review of systematic reviews to provide an unbiased conclusion on the therapeutic effectiveness of RV in AD. The objective of this study was to systematically synthesize and evaluate systematic and meta-analysis reviews investigating the role of RV in AD using data from both human and animal studies. Of the 34 systematic and meta-analysis reviews examining the association between RV and AD that were collected, six were included in this study based on specific selection criteria. To identify pertinent studies, a comprehensive search was conducted in English-language peer-reviewed journals without any restrictions on the publication date until October 15, 2023. The search was carried out across multiple databases, including Embase, MEDLINE (PubMed), Cochrane Library, Web of Science, and Google Scholar, utilizing appropriate terms relevant to the specific research field. The AMSTAR-2 and ROBIS tools were also used to evaluate the quality and risk of bias of the included systematic reviews, respectively. Two researchers independently extracted and analyzed the data, resolving any discrepancies through consensus. Of note, the study adhered to the PRIOR checklist. This umbrella review presented robust evidence supporting the positive impacts of RV in AD, irrespective of the specific mechanisms involved. It indeed indicated that all six systematic and meta-analysis reviews unanimously concluded that the consumption of RV can be effective in the treatment of AD. RV exhibits promising potential for benefiting individuals with AD through various mechanisms. It has been observed to enhance cognitive function, reduce Aβ accumulation, provide neuroprotection, protect the BBB, support mitochondrial function, facilitate synaptic plasticity, stabilize tau proteins, mitigate oxidative stress, and reduce neuroinflammation commonly associated with AD.
白藜芦醇(RV)是一种存在于葡萄、浆果和花生中的天然化合物,它在治疗阿尔茨海默病(AD)方面的潜力已被广泛研究。RV在抑制β-淀粉样蛋白斑块(Aβ)和神经纤维缠结(NFTs)的形成、防止神经元损伤和氧化应激、减少炎症、促进神经保护和改善血脑屏障(BBB)功能等方面显示出前景。然而,报道的结果相互矛盾,因此有必要对系统综述进行全面的总括性回顾,以便就RV对AD的治疗效果提供一个公正的结论。本研究的目的是利用人类和动物研究数据,系统地综合和评估研究 RV 在 AD 中作用的系统性综述和荟萃分析综述。在收集到的 34 篇研究 RV 与 AD 关联性的系统和荟萃分析综述中,有 6 篇根据特定的选择标准被纳入本研究。为了确定相关研究,研究人员在 2023 年 10 月 15 日之前对英文同行评审期刊进行了全面检索,对发表日期没有任何限制。检索在多个数据库中进行,包括 Embase、MEDLINE (PubMed)、Cochrane Library、Web of Science 和 Google Scholar,并使用了与特定研究领域相关的适当术语。此外,还使用 AMSTAR-2 和 ROBIS 工具分别评估了所纳入系统综述的质量和偏倚风险。两名研究人员独立提取和分析数据,通过协商一致解决任何差异。值得注意的是,该研究遵守了 PRIOR 核对表。这篇综述提供了有力的证据,支持RV对AD的积极影响,无论涉及的具体机制如何。它确实表明,所有六篇系统性和荟萃分析综述都一致认为,服用 RV 可以有效治疗 AD。RV 具有通过各种机制使注意力缺失症患者受益的潜力。据观察,RV 可增强认知功能、减少 Aβ 积累、提供神经保护、保护 BBB、支持线粒体功能、促进突触可塑性、稳定 tau 蛋白、减轻氧化应激以及减少与 AD 常见的神经炎症。
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引用次数: 0
The acute effect of a β-glucan-enriched oat bread on gastric emptying, GLP-1 response, and postprandial glycaemia and insulinemia: a randomised crossover trial in healthy adults 富含β-葡聚糖的燕麦面包对胃排空、GLP-1 反应以及餐后血糖和胰岛素血症的急性影响:一项针对健康成年人的随机交叉试验
IF 4.5 2区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-03-18 DOI: 10.1186/s12986-024-00789-w
Ingrid Revheim, Simon Ballance, Adelheid Fretland Standal, Anne Rieder, Jutta Dierkes, Anette E. Buyken, Odd Helge Gilja, Trygve Hausken, Hanne Rosendahl-Riise
The cereal fibre β-glucan reduces postprandial glycaemia, however, the underlying mechanisms are not fully understood. Thus, the aim of this study was to investigate the acute effect of a β-glucan-enriched oat bread on gastric emptying half-time (T1/2), gastric emptying lag phase (Tlag), and gastric emptying rate (GER), and the secretion of glucagon-like peptide-1 (GLP-1) as potential means to influence postprandial glycaemia. A randomised crossover trial was conducted in 22 healthy adults (age 24.6 ± 3.1 years, BMI 23.1 ± 2.7 kg/m2) receiving 25 g available carbohydrates from a β-glucan-enriched oat bread or a control whole-wheat bread at two non-consecutive days. T1/2, Tlag, and GER were determined based on ultrasound measures of the cross-sectional gastric antrum area in the fasting state and 15, 30, 45, 60, 90, and 120 min postprandially. Capillary glucose, serum insulin, and plasma GLP-1 concentrations were measured at the same time points. A biphasic pattern of gastric emptying with a distinct Tlag before the commencement of emptying was observed in most subjects for both bread types. While no differences in GER were evident (p = 0.562), consumption of the oat bread significantly increased T1/2 by 18 min and Tlag by 14 min compared with the whole-wheat bread (p = 0.005 and p = 0.010, respectively). In addition, the oat bread significantly reduced iAUC2h for glucose and insulin responses compared with the whole-wheat bread (p = 0.001 and p < 0.001, respectively). There were no significant differences in GLP-1 response between the two breads (p = 0.892). The increased T1/2 and Tlag could offer a potential mechanism for the observed attenuation of postprandial glycaemia and insulinemia after consumption of the β-glucan-enriched oat bread compared with the whole-wheat bread. Trial registration: The study is registered at clinicaltrails.gov (NCT04571866).
谷物纤维β-葡聚糖可降低餐后糖血症,但其潜在机制尚不完全清楚。因此,本研究旨在调查富含β-葡聚糖的燕麦面包对胃排空半衰期(T1/2)、胃排空滞后期(Tlag)、胃排空率(GER)和胰高血糖素样肽-1(GLP-1)分泌的急性影响,以此作为影响餐后血糖的潜在手段。我们对 22 名健康成年人(年龄为 24.6 ± 3.1 岁,体重指数为 23.1 ± 2.7 kg/m2)进行了随机交叉试验,让他们在非连续的两天内从富含β-葡聚糖的燕麦面包或对照全麦面包中摄入 25 克可用碳水化合物。T1/2、Tlag 和 GER 是根据空腹状态和餐后 15、30、45、60、90 和 120 分钟胃窦横截面积的超声测量结果确定的。毛细血管葡萄糖、血清胰岛素和血浆 GLP-1 浓度也在同一时间点测定。在两种面包中,大多数受试者的胃排空呈双相模式,在开始排空前有一个明显的Tlag。虽然胃排空率没有明显差异(p = 0.562),但与全麦面包相比,燕麦面包的 T1/2 显著增加了 18 分钟,Tlag 显著增加了 14 分钟(分别为 p = 0.005 和 p = 0.010)。此外,与全麦面包相比,燕麦面包明显降低了葡萄糖和胰岛素反应的 iAUC2h(分别为 p = 0.001 和 p < 0.001)。两种面包的 GLP-1 反应无明显差异(p = 0.892)。与全麦面包相比,食用富含β-葡聚糖的燕麦面包后,T1/2和Tlag的增加可能是观察到的餐后血糖和胰岛素血症减轻的潜在机制。试验注册:该研究已在 clinicaltrails.gov 注册(NCT04571866)。
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引用次数: 0
Glutamine prevents high-fat diet-induced hepatic lipid accumulation in mice by modulating lipolysis and oxidative stress. 谷氨酰胺通过调节脂肪分解和氧化应激防止高脂饮食引起的小鼠肝脏脂质积累
IF 4.5 2区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-03-08 DOI: 10.1186/s12986-024-00784-1
Yongjie Zhang, Yangli Wang, Xin Liao, Tong Liu, Fengyuan Yang, Kaiqiang Yang, Zhuohua Zhou, Yinxu Fu, Ting Fu, Aliaksei Sysa, Xiandan Chen, Yao Shen, Jianxin Lyu, Qiongya Zhao

Metabolic-associated fatty liver disease (MAFLD) is related to metabolic dysfunction and is characterized by excess fat storage in the liver. Several studies have indicated that glutamine could be closely associated with lipid metabolism disturbances because of its important role in intermediary metabolism. However, the effect of glutamine supplementation on MAFLD progression remains unclear. Here, we used a high-fat diet (HFD)-induced MAFLD C57BL/6 mouse model, and glutamine was supplied in the drinking water at different time points for MAFLD prevention and reversal studies. A MAFLD prevention study was performed by feeding mice an HFD concomitant with 4% glutamine treatment for 24 weeks, whereas the MAFLD reversal study was performed based on 4% glutamine treatment for 13 weeks after feeding mice an HFD for 10 weeks. In the prevention study, glutamine treatment ameliorated serum lipid storage, hepatic lipid injury, and oxidative stress in HFD-induced obese mice, although glutamine supplementation did not affect body weight, glucose homeostasis, energy expenditure, and mitochondrial function. In the MAFLD reversal study, there were no noticeable changes in the basic physiological phenotype and hepatic lipid metabolism. In summary, glutamine might prevent, but not reverse, HFD-induced MAFLD in mice, suggesting that a cautious attitude is required regarding its use for MAFLD treatment.

代谢相关性脂肪肝(MAFLD)与代谢功能障碍有关,其特点是肝脏中脂肪储存过多。一些研究表明,谷氨酰胺可能与脂质代谢紊乱密切相关,因为谷氨酰胺在中间代谢中起着重要作用。然而,谷氨酰胺补充剂对 MAFLD 进展的影响仍不清楚。在此,我们使用高脂饮食(HFD)诱导的 MAFLD C57BL/6 小鼠模型,在不同时间点的饮用水中添加谷氨酰胺,进行 MAFLD 预防和逆转研究。MAFLD预防研究是在给小鼠喂食高密度脂蛋白饲料的同时添加4%的谷氨酰胺,持续24周;而MAFLD逆转研究则是在给小鼠喂食高密度脂蛋白饲料10周后添加4%的谷氨酰胺,持续13周。在预防研究中,谷氨酰胺治疗可改善高纤维食物诱导的肥胖小鼠的血清脂质储存、肝脏脂质损伤和氧化应激,尽管补充谷氨酰胺不会影响体重、葡萄糖稳态、能量消耗和线粒体功能。在 MAFLD 逆转研究中,基本生理表型和肝脏脂质代谢没有发生明显变化。总之,谷氨酰胺可以预防但不能逆转 HFD 诱导的小鼠 MAFLD,这表明在使用谷氨酰胺治疗 MAFLD 时需要持谨慎态度。
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引用次数: 0
Enhancing cardiometabolic health: unveiling the synergistic effects of high-intensity interval training with spirulina supplementation on selected adipokines, insulin resistance, and anthropometric indices in obese males 增强心脏代谢健康:揭示高强度间歇训练与螺旋藻补充剂对肥胖男性特定脂肪因子、胰岛素抵抗和人体测量指数的协同效应
IF 4.5 2区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-03-07 DOI: 10.1186/s12986-024-00785-0
Maryam Delfan, Ayoub Saeidi, Rashmi Supriya, Kurt A Escobar, Ismail Laher, Katie M. Heinrich, Katja Weiss, Beat Knechtle, Hassane Zouhal
This study investigated the combined effects of 12 weeks of high-intensity interval training (HIIT) and spirulina supplementation on adipokine levels, insulin resistance, anthropometric indices, and cardiorespiratory fitness in 44 obese males (aged 25–40 years). The participants were randomly assigned to one of four groups: control (CG), supplement (SG), training (TG), or training plus supplement (TSG). The intervention involved daily administration of either spirulina or a placebo and HIIT three times a week for the training groups. Anthropometric indices, HOMA-IR, VO2peak, and circulating adipokines (asprosin and lipocalin2, omentin-1, irisin, and spexin) were measured before and after the 12-week intervention. Post-intervention analysis indicated differences between the CG and the three interventional groups for body weight, fat-free mass (FFM), percent body fat (%BF), HOMA-IR, and adipokine levels (p < 0.05). TG and SG participants had increased VO2peak (p < 0.05). Spirulina supplementation with HIIT increased VO2peak, omentin-1, irisin, and spexin, while causing decreases in lipocalin-2 and asprosin levels and improvements in body composition (weight, %fat), BMI, and HOMA-IR. Notably, the combination of spirulina and HIIT produced more significant changes in circulating adipokines and cardiometabolic health in obese males compared to either supplementation or HIIT alone (p < 0.05). These findings highlight the synergistic benefits of combining spirulina supplementation with HIIT, showcasing their potential in improving various health parameters and addressing obesity-related concerns in a comprehensive manner.
本研究调查了在 44 名肥胖男性(25-40 岁)中进行为期 12 周的高强度间歇训练(HIIT)和螺旋藻补充剂对脂肪因子水平、胰岛素抵抗、人体测量指数和心肺功能的综合影响。参与者被随机分配到四组中的一组:对照组(CG)、补充剂组(SG)、训练组(TG)或训练加补充剂组(TSG)。干预措施包括每天服用螺旋藻或安慰剂,训练组每周进行三次 HIIT 训练。在为期 12 周的干预前后,对人体测量指数、HOMA-IR、VO2 峰值和循环脂肪因子(asprosin 和 lipocalin2、ommentin-1、irisin 和 spexin)进行了测量。干预后的分析表明,CG 组和三个干预组在体重、无脂肪量(FFM)、体脂百分比(%BF)、HOMA-IR 和脂肪因子水平方面存在差异(P < 0.05)。TG和SG参与者的VO2峰值有所提高(P < 0.05)。在补充螺旋藻的同时进行 HIIT 可提高 VO2 峰、网膜素-1、鸢尾素和沙棘素水平,同时降低脂钙素-2 和天冬氨酸水平,改善身体成分(体重、脂肪百分比)、体重指数和 HOMA-IR。值得注意的是,与单独补充螺旋藻或进行 HIIT 相比,螺旋藻与 HIIT 的结合对肥胖男性的循环脂肪因子和心脏代谢健康产生了更显著的变化(p < 0.05)。这些研究结果凸显了螺旋藻补充剂与 HIIT 的协同作用,展示了它们在改善各种健康指标和全面解决肥胖相关问题方面的潜力。
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引用次数: 0
The difference between 2-hour post-challenge and fasting plasma glucose associates with the risk of cardiovascular disease in a normoglycemic population: the Tehran lipid and glucose study 正常血糖人群挑战后 2 小时血糖与空腹血糖之间的差异与心血管疾病风险的关系:德黑兰血脂和血糖研究
IF 4.5 2区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-02-22 DOI: 10.1186/s12986-024-00782-3
Amir Abdi, Karim Kohansal, Davood Khalili, Fereidoun Azizi, Farzad Hadaegh
Elevated fasting plasma glucose (FPG) and 2-hour post-challenge glucose (2hPG) levels are known to be independent risk factors for cardiovascular disease (CVD). However, there is limited data on the association of the difference between these measures and the risk of CVD. This study aims to investigate this association in normoglycemic Iranian adults, particularly in those with low-normal FPG levels. This prospective cohort study included 4,594 30-65-year-old participants from the Tehran Lipid and Glucose Study. Using multivariable Cox proportional hazards regression models adjusting for age, sex, body mass index, hypertension, hypercholesterolemia, smoking, education level and FPG, hazard ratios (HRs) and 95% confidence intervals (95% CIs) were calculated for the association between 2hPG-FPG, both as continuous and categorical variables, and the CVD risk. Analyses of receiver operating characteristic curves were undertaken to determine the optimal 2hPG-FPG cut-off value. During a median of 17.9 years of follow-up, 459 CVD events occurred. A one-unit increase in 2hPG-FPG was significantly associated with an elevated risk of cardiovascular disease in both normoglycemic (HR 1.10, 95% CI (1.01–1.19)) and low-normal FPG individuals (HR 1.16, 95% CI (1.04–1.30)); this association resisted adjustment for Homeostatic Model Assessment for Insulin Resistance (HOMA-IR) among normoglycemic individuals. However, those with 2hPG levels greater than FPG levels had a non-significant increased risk of incident CVD compared to those with 2hPG levels of less than or equal to FPG, with corresponding HR values of 1.18 (95% CI: 0.95–1.46) in normoglycemic and 1.32 (95% CI: 0.98–1.79) in low-normal FPG, respectively. For incident CVD, the optimal cut-off value for the 2hPG-FPG was found to be 1.06 mmol/L, which was applicable for both normoglycemic and low FPG populations; using this criterion, the corresponding risks for incident CVD were 1.36 (95% CI: 1.12–1.64) and 1.57 (95% CI: 1.22–2.03), respectively. The difference between 2hPG and FPG levels within the normoglycemic range is related to an increased risk of CVD, an issue that was independent of HOMA-IR. A cut-off point for 2hPG-FPG > 1.06 mmol/L may stratify persons at higher risk. These findings were particularly notable in those with low-normal FPG.
众所周知,空腹血浆葡萄糖(FPG)和挑战后 2 小时血糖(2hPG)水平升高是心血管疾病(CVD)的独立风险因素。然而,有关这些指标之间的差异与心血管疾病风险之间关联的数据却很有限。本研究旨在调查血糖正常的伊朗成年人,尤其是血糖正常值较低的伊朗成年人的血糖与心血管疾病风险之间的关系。这项前瞻性队列研究纳入了德黑兰血脂和血糖研究中 4594 名 30-65 岁的参与者。使用多变量考克斯比例危险回归模型,对年龄、性别、体重指数、高血压、高胆固醇血症、吸烟、教育水平和 FPG 进行调整,计算出连续和分类变量 2hPG-FPG 与心血管疾病风险之间的危险比 (HR) 和 95% 置信区间 (95%CI)。为了确定最佳的 2hPG-FPG 临界值,还对接收者操作特征曲线进行了分析。在中位数为 17.9 年的随访期间,共发生了 459 起心血管疾病事件。在血糖正常者(HR 1.10,95% CI (1.01-1.19))和低正常 FPG 者(HR 1.16,95% CI (1.04-1.30))中,2hPG-FPG 每增加一个单位与心血管疾病风险的升高有显著相关性;在血糖正常者中,这种相关性不受胰岛素抵抗稳态模型评估(HOMA-IR)调整的影响。然而,与 2hPG 水平低于或等于 FPG 的人群相比,2hPG 水平高于 FPG 水平的人群发生心血管疾病的风险增加并不显著,正常血糖人群的相应 HR 值为 1.18(95% CI:0.95-1.46),低正常血糖人群的相应 HR 值为 1.32(95% CI:0.98-1.79)。对于心血管疾病的发生,2hPG-FPG 的最佳临界值为 1.06 mmol/L,适用于血糖正常和 FPG 偏低的人群;根据这一标准,相应的心血管疾病发生风险分别为 1.36(95% CI:1.12-1.64)和 1.57(95% CI:1.22-2.03)。血糖正常范围内 2hPG 和 FPG 水平的差异与心血管疾病风险的增加有关,这一问题与 HOMA-IR 无关。2hPG-FPG>1.06毫摩尔/升的临界点可能会对高危人群进行分层。这些发现在低正常 FPG 的人群中尤为明显。
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引用次数: 0
Effects of a dietary intervention with lacto-ovo-vegetarian and Mediterranean diets on apolipoproteins and inflammatory cytokines: results from the CARDIVEG study 乳清素食和地中海饮食干预对脂蛋白和炎症细胞因子的影响:CARDIVEG 研究的结果
IF 4.5 2区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-02-01 DOI: 10.1186/s12986-023-00773-w
Giuditta Pagliai, Marta Tristan Asensi, Monica Dinu, Francesca Cesari, Alessia Bertelli, Anna Maria Gori, Betti Giusti, Rossella Marcucci, Francesco Sofi, Barbara Colombini
Apolipoproteins have been recently proposed as novel markers of cardiovascular disease (CVD) risk. However, evidence regarding effects of diet on apolipoproteins is limited. To compare the effects of Mediterranean diet (MD) and lacto-ovo vegetarian diet (VD) on apolipoproteins and traditional CVD risk factors in participants with low-to-moderate CVD risk. Fifty-two participants (39 women; 49.1 ± 12.4 years), followed MD and VD for 3 months each. Medical and dietary information was collected at the baseline. Anthropometric parameters and blood samples were obtained at the beginning and the end of interventions. MD and VD resulted in significant improvement in anthropometric and lipid profiles. Both diets led to a reduction in most of the inflammatory parameters. As for apolipoproteins, a significant change was observed for ApoC-I after VD (+ 24.4%; p = 0.020). MD led to a negative correlation between ApoC-III and carbohydrates (R = − 0.29; p = 0.039) whereas VD between ApoD and saturated fats (R = − 0.38; p = 0.006). A positive correlation emerged after VD between HDL and ApoD (R = 0.33; p = 0.017) and after MD between plasma triglycerides and ApoC-I (R = 0.32; p = 0.020) and ApoD (R = 0.30; p = 0.031). IL-17 resulted to be positively correlated with ApoB after MD (R = 0.31; p = 0.028) and with ApoC-III after VD (R = 0.32; p = 0.019). Subgroup analysis revealed positive effects on apolipoproteins from both diets, especially in women, individuals older than 50 years-old or with < 3 CVD risk factors. Both diets seem to improve CVD risk, however, MD showed a greater positive effect on apolipoproteins in some subgroups, thus suggesting how diet may influence new potential markers of CVD risk. Trial registration: registered at clinicaltrials.gov (identifier: NCT02641834) on December 2015.
最近,有人提出将载脂蛋白作为心血管疾病(CVD)风险的新标志物。然而,有关饮食对脂蛋白影响的证据却很有限。目的:比较地中海饮食(MD)和乳制品素食(VD)对低至中度心血管疾病风险参与者的脂蛋白和传统心血管疾病风险因素的影响。52 名参与者(39 名女性;49.1 ± 12.4 岁)分别进行了为期 3 个月的地中海饮食和全素饮食研究。基线时收集了医疗和饮食信息。在干预开始和结束时采集人体测量参数和血液样本。MD 和 VD 可显著改善人体测量和血脂状况。两种饮食都降低了大多数炎症参数。至于脂蛋白,在 VD 后观察到载脂蛋白 C-I 发生了显著变化(+ 24.4%;p = 0.020)。MD导致载脂蛋白C-III与碳水化合物呈负相关(R = - 0.29;p = 0.039),而VD则导致载脂蛋白D与饱和脂肪呈负相关(R = - 0.38;p = 0.006)。VD 后,高密度脂蛋白和载脂蛋白之间呈正相关(R = 0.33;p = 0.017),MD 后,血浆甘油三酯和载脂蛋白 C-I 之间呈正相关(R = 0.32;p = 0.020),载脂蛋白 D 之间呈正相关(R = 0.30;p = 0.031)。IL-17与MD后的载脂蛋白B呈正相关(R = 0.31; p = 0.028),与VD后的载脂蛋白C-III呈正相关(R = 0.32; p = 0.019)。亚组分析显示,两种饮食对脂蛋白都有积极影响,尤其是对女性、50 岁以上或心血管疾病风险因素小于 3 个的人。两种饮食似乎都能改善心血管疾病风险,但在某些亚组中,MD 对脂蛋白的积极影响更大,这表明饮食可能会影响心血管疾病风险的新潜在指标。试验注册:2015 年 12 月在 clinicaltrials.gov 注册(标识符:NCT02641834)。
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引用次数: 0
Association of gestational metabolic syndrome with the Chinese Healthy Eating Index in mid-pregnancy: a cross-sectional study. 妊娠中期代谢综合征与中国健康饮食指数的关系:一项横断面研究。
IF 3.9 2区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-01-26 DOI: 10.1186/s12986-024-00780-5
Hui Wu, Min-Hui Yi, Bing-Gang Liu, Yan Xu, Qin Wu, Yu-Hong Liu, Ling-Peng Lu

Background: This study aims to investigate the relationship between gestational metabolic syndrome (GMS) and the Chinese Healthy Eating Index (CHEI) in mid-pregnancy, and to identify potentially beneficial or high-risk dietary habits. We have developed a mid-pregnancy version of CHEI-2022, adapting the Chinese Healthy Eating Index to align with the food quantity recommendations outlined in the 2022 Dietary Guidelines for Chinese Residents for mid-pregnancy.

Methods: Using the inclusion and exclusion criteria, data from 2411 mid-pregnant individuals were collected through interviews. The Total CHEI score and its component scores were determined through analysis of responses from the food frequency questionnaire. GMS diagnosis involved conducting physical examinations and performing blood biochemical tests. A logistic regression model was employed to analyze the relationship between GMS or related indices and both the total CHEI score and its component scores.

Results: The study identified an overall GMS prevalence of 21.65% (522 out of 2411 participants). During mid-pregnancy, participants diagnosed with GMS exhibited higher BMI, FBG, 1hPBG, 2hPBG, TC, TG, HDL, SBP, as well as higher educational levels and daily activity, compared to those without GMS (P < 0.001). After adjusting for potential confounders, participants with higher total CHEI scores (≥ 80) were found to have lower odds of GMS or related indices (P < 0.05). Increasing dietary intake of potatoes, whole grains, beans, dark green vegetables, and fruits, as per the CHEI recommendations, was associated with reduced odds of GMS or related indices (P < 0.05).

Conclusion: A high-quality diet, as indicated by a total CHEI score of 80 or higher, and increased consumption of specific dietary components, namely potatoes, beans, dark green vegetables, and fruits, were found to effectively reduce the odds of GMS or related indices during mid-pregnancy.

研究背景本研究旨在调查妊娠中期妊娠代谢综合征(GMS)与中国人健康饮食指数(CHEI)之间的关系,并找出潜在的有益或高风险饮食习惯。我们根据《中国居民膳食指南(2022年)》中关于孕中期食物量的建议,对中国人健康饮食指数进行了调整,开发了孕中期版本的CHEI-2022:方法:根据纳入和排除标准,通过访谈收集了 2411 名孕中期个体的数据。通过对食物频率调查问卷的回答进行分析,确定了CHEI总分及其组成分数。GMS诊断包括体格检查和血液生化检验。采用逻辑回归模型分析 GMS 或相关指数与 CHEI 总分及其组成部分得分之间的关系:研究发现,GMS 的总患病率为 21.65%(2411 名参与者中有 522 人)。在孕中期,被诊断为 GMS 的参与者与未患 GMS 的参与者相比,BMI、FBG、1hPBG、2hPBG、TC、TG、HDL、SBP 均较高,受教育程度和日常活动量也较高(P 结论:与未患 GMS 的参与者相比,被诊断为 GMS 的参与者BMI、FBG、1hPBG、2hPBG、TC、TG、HDL、SBP 均较高:研究发现,CHEI 总分达到 80 分或以上的优质饮食,以及增加特定饮食成分(即土豆、豆类、深绿色蔬菜和水果)的摄入量,可有效降低孕中期发生 GMS 或相关指数的几率。
{"title":"Association of gestational metabolic syndrome with the Chinese Healthy Eating Index in mid-pregnancy: a cross-sectional study.","authors":"Hui Wu, Min-Hui Yi, Bing-Gang Liu, Yan Xu, Qin Wu, Yu-Hong Liu, Ling-Peng Lu","doi":"10.1186/s12986-024-00780-5","DOIUrl":"10.1186/s12986-024-00780-5","url":null,"abstract":"<p><strong>Background: </strong>This study aims to investigate the relationship between gestational metabolic syndrome (GMS) and the Chinese Healthy Eating Index (CHEI) in mid-pregnancy, and to identify potentially beneficial or high-risk dietary habits. We have developed a mid-pregnancy version of CHEI-2022, adapting the Chinese Healthy Eating Index to align with the food quantity recommendations outlined in the 2022 Dietary Guidelines for Chinese Residents for mid-pregnancy.</p><p><strong>Methods: </strong>Using the inclusion and exclusion criteria, data from 2411 mid-pregnant individuals were collected through interviews. The Total CHEI score and its component scores were determined through analysis of responses from the food frequency questionnaire. GMS diagnosis involved conducting physical examinations and performing blood biochemical tests. A logistic regression model was employed to analyze the relationship between GMS or related indices and both the total CHEI score and its component scores.</p><p><strong>Results: </strong>The study identified an overall GMS prevalence of 21.65% (522 out of 2411 participants). During mid-pregnancy, participants diagnosed with GMS exhibited higher BMI, FBG, 1hPBG, 2hPBG, TC, TG, HDL, SBP, as well as higher educational levels and daily activity, compared to those without GMS (P < 0.001). After adjusting for potential confounders, participants with higher total CHEI scores (≥ 80) were found to have lower odds of GMS or related indices (P < 0.05). Increasing dietary intake of potatoes, whole grains, beans, dark green vegetables, and fruits, as per the CHEI recommendations, was associated with reduced odds of GMS or related indices (P < 0.05).</p><p><strong>Conclusion: </strong>A high-quality diet, as indicated by a total CHEI score of 80 or higher, and increased consumption of specific dietary components, namely potatoes, beans, dark green vegetables, and fruits, were found to effectively reduce the odds of GMS or related indices during mid-pregnancy.</p>","PeriodicalId":19196,"journal":{"name":"Nutrition & Metabolism","volume":"21 1","pages":"8"},"PeriodicalIF":3.9,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10811910/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139566790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Oxyresveratrol attenuates bone resorption by inhibiting the mitogen-activated protein kinase pathway in ovariectomized rats 氧白藜芦醇通过抑制卵巢切除大鼠的丝裂原活化蛋白激酶通路来减轻骨吸收
IF 4.5 2区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-01-19 DOI: 10.1186/s12986-024-00781-4
Yea-Jin Lee, Jin-Chul Ahn, Chung-Hun Oh
Bone is continuously produced by osteoblasts and resorbed by osteoclasts to maintain homeostasis. Impaired bone resorption by osteoclasts causes bone diseases such as osteoporosis and arthritis. Most pharmacological treatment of osteoporosis focuses on inhibiting osteoclast differentiation, often to restore osteoclast/osteoclast balance. However, recent osteoporosis treatments have various side effects. According to a recent study, resveratrol, known as a stilbenoid family, is known to increase bone density, and the osteoclast inhibitory effect was confirmed using oxyresveratrol, a stilbenoid family. Here, we investigated the effect of oxyresveratrol on osteoclast differentiation and an ovariectomized mouse model. Mouse leukemia monocyte/macrophage cell line RAW 264.7 was treated with oxyresveratrol, and cell cytotoxicity was confirmed by measuring MTT assay. Tartrate-resistant acid phosphatase (TRAP), an enzyme marker for osteoclasts, was confirmed by staining. In addition, osteoclast differentiation markers and MAPK-related markers were confirmed at the mRNA level and protein expression. The effect of oxyresveratrol was confirmed using ovariectomized mice. Deoxypyridinoline (DPD) was measured using mouse urine and TRAP activity was observed using serum. Bone mineral density was also measured using Micro-CT. The polyphenol oxyresveratrol inhibited receptor activator of nuclear factor kappa-Β ligand (RANKL)-induced osteoclast differentiation of RAW 264.7 cells. Furthermore, oxyresveratrol inhibited TRAP activity and actin-ring formation. Moreover, oxyresveratrol suppressed the phosphorylation of the RANKL-induced mitogen-activated protein kinases (MAPKs) p38, JNK, and ERK and significantly reduced the expression of bone differentiation markers (NFATc1, cathepsin K, and TRAP). Oxyresveratrol inhibits osteoclast differentiation via MAPK and increases bone density in ovariectomized rats, suggesting it has therapeutic potential for bone diseases such as osteoporosis. We confirmed the osteoporosis prevention effect of OR in Raw 264.7 cells, and future studies should confirm the effect of OR using rat bone marrow-derived cells.
骨骼不断由成骨细胞生成,并由破骨细胞吸收,以维持体内平衡。破骨细胞的骨吸收功能受损会导致骨质疏松症和关节炎等骨病。大多数骨质疏松症的药物治疗都侧重于抑制破骨细胞的分化,通常是为了恢复破骨细胞/破骨细胞的平衡。然而,最近的骨质疏松症治疗方法有各种副作用。根据最近的一项研究,白藜芦醇(被称为白藜芦醇家族)具有增加骨密度的作用,而使用白藜芦醇家族中的氧白藜芦醇则证实了其抑制破骨细胞的作用。在此,我们研究了氧白藜芦醇对破骨细胞分化和卵巢切除小鼠模型的影响。用氧白藜芦醇处理小鼠白血病单核/巨噬细胞系 RAW 264.7,并通过 MTT 试验确认细胞毒性。抗酒石酸磷酸酶(TRAP)是破骨细胞的酶标记物,通过染色得到了证实。此外,破骨细胞分化标志物和 MAPK 相关标志物的 mRNA 水平和蛋白表达也得到了证实。使用卵巢切除的小鼠证实了氧白藜芦醇的作用。利用小鼠尿液测定了脱氧吡啶啉(DPD),利用血清观察了 TRAP 活性。此外,还使用 Micro-CT 测量了骨矿密度。多酚氧白藜芦醇可抑制核因子卡帕Β配体受体激活剂(RANKL)诱导的 RAW 264.7 细胞破骨细胞分化。此外,氧白藜芦醇还能抑制 TRAP 活性和肌动蛋白环的形成。此外,氧白藜芦醇还抑制了 RANKL 诱导的丝裂原活化蛋白激酶(MAPKs)p38、JNK 和 ERK 的磷酸化,并显著降低了骨分化标志物(NFATc1、cathepsin K 和 TRAP)的表达。氧白藜芦醇可通过 MAPK 抑制破骨细胞分化,增加卵巢切除大鼠的骨密度,这表明它对骨质疏松症等骨科疾病具有治疗潜力。我们在 Raw 264.7 细胞中证实了氧白藜芦醇预防骨质疏松症的作用,未来的研究应使用大鼠骨髓衍生细胞证实氧白藜芦醇的作用。
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引用次数: 0
Revisiting the interconnection between lipids and vitamin K metabolism: insights from recent research and potential therapeutic implications: a review 重新审视血脂与维生素 K 代谢之间的相互联系:最新研究的启示和潜在的治疗意义:综述
IF 4.5 2区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-01-03 DOI: 10.1186/s12986-023-00779-4
Jing Tan, Ying Li
Vitamin K is a lipophilic vitamin, whose absorption, transportation, and distribution are influenced by lipids. The plasma vitamin K level after supplementation is predominantly a lipid-driven effect and independent of existing vitamin K status. However, previous studies examining the efficacy of vitamin K supplementation often overlooked the influence of lipid levels on vitamin K absorption, resulting in inconsistent outcomes. Recent research discovered that impaired transportation of vitamin K2 within uremic high-density lipoproteins (HDL) in individuals with uremia might elucidate the lack of beneficial effects in preventing calcification observed in multiple trials involving menaquinone-7 (MK-7) supplementation among patients with chronic kidney disease. Clinical findings have shown that drugs used to regulate hyperlipidemia interact with the vitamin K antagonist warfarin, because cholesterol and vitamin K share common transport receptors, such as Niemann-Pick C1-like 1 (NPC1L1) and ATP-binding cassette protein G5/G8 (ABCG5/ABCG8), in enterocytes and hepatocytes. Additionally, cholesterol and vitamin K share a common biosynthetic intermediate called geranylgeranyl pyrophosphate (GGPP). It is important to note that statins, which hinder cholesterol synthesis, can also impede vitamin K conversion, ultimately impacting the functionality of vitamin K-dependent proteins. Furthermore, certain studies have indicated that vitamin K supplementation holds potential in managing hyperlipidemia, potentially opening a novel avenue for controlling hyperlipidemia using dietary vitamin K supplements. Therefore, attaining a more comprehensive understanding of the intricate interplay between vitamin K and lipids will yield valuable insights concerning the utilization of vitamin K and lipid regulation.
维生素 K 是一种亲脂性维生素,其吸收、运输和分布都受到脂质的影响。补充维生素 K 后的血浆维生素 K 水平主要受血脂影响,与现有的维生素 K 状态无关。然而,以往有关维生素 K 补充剂疗效的研究往往忽略了血脂水平对维生素 K 吸收的影响,导致结果不一致。最近的研究发现,尿毒症患者体内维生素 K2 在尿毒症高密度脂蛋白(HDL)中的运输功能受损,这可能解释了在慢性肾病患者中补充月桂醌-7(MK-7)的多项试验中观察到的维生素 K2 对预防钙化无益的现象。临床研究结果表明,用于调节高脂血症的药物会与维生素 K 拮抗剂华法林相互作用,因为胆固醇和维生素 K 在肠细胞和肝细胞中具有共同的转运受体,如 Niemann-Pick C1-like 1 (NPC1L1) 和 ATP 结合盒蛋白 G5/G8 (ABCG5/ABCG8)。此外,胆固醇和维生素 K 有一个共同的生物合成中间体,称为儿茶酚羟基焦磷酸(GGPP)。值得注意的是,他汀类药物会阻碍胆固醇的合成,也会阻碍维生素 K 的转化,最终影响依赖维生素 K 的蛋白质的功能。此外,一些研究表明,补充维生素 K 有助于控制高脂血症,这为利用膳食维生素 K 补充剂控制高脂血症开辟了一条新途径。因此,更全面地了解维生素 K 与血脂之间错综复杂的相互作用,将对维生素 K 的利用和血脂调节产生宝贵的启示。
{"title":"Revisiting the interconnection between lipids and vitamin K metabolism: insights from recent research and potential therapeutic implications: a review","authors":"Jing Tan, Ying Li","doi":"10.1186/s12986-023-00779-4","DOIUrl":"https://doi.org/10.1186/s12986-023-00779-4","url":null,"abstract":"Vitamin K is a lipophilic vitamin, whose absorption, transportation, and distribution are influenced by lipids. The plasma vitamin K level after supplementation is predominantly a lipid-driven effect and independent of existing vitamin K status. However, previous studies examining the efficacy of vitamin K supplementation often overlooked the influence of lipid levels on vitamin K absorption, resulting in inconsistent outcomes. Recent research discovered that impaired transportation of vitamin K2 within uremic high-density lipoproteins (HDL) in individuals with uremia might elucidate the lack of beneficial effects in preventing calcification observed in multiple trials involving menaquinone-7 (MK-7) supplementation among patients with chronic kidney disease. Clinical findings have shown that drugs used to regulate hyperlipidemia interact with the vitamin K antagonist warfarin, because cholesterol and vitamin K share common transport receptors, such as Niemann-Pick C1-like 1 (NPC1L1) and ATP-binding cassette protein G5/G8 (ABCG5/ABCG8), in enterocytes and hepatocytes. Additionally, cholesterol and vitamin K share a common biosynthetic intermediate called geranylgeranyl pyrophosphate (GGPP). It is important to note that statins, which hinder cholesterol synthesis, can also impede vitamin K conversion, ultimately impacting the functionality of vitamin K-dependent proteins. Furthermore, certain studies have indicated that vitamin K supplementation holds potential in managing hyperlipidemia, potentially opening a novel avenue for controlling hyperlipidemia using dietary vitamin K supplements. Therefore, attaining a more comprehensive understanding of the intricate interplay between vitamin K and lipids will yield valuable insights concerning the utilization of vitamin K and lipid regulation.","PeriodicalId":19196,"journal":{"name":"Nutrition & Metabolism","volume":"15 1","pages":""},"PeriodicalIF":4.5,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139084569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dysregulation of mitochondrial dynamics mediated aortic perivascular adipose tissue-associated vascular reactivity impairment under excessive fructose intake 摄入过量果糖时线粒体动力学失调介导的主动脉血管周围脂肪组织相关血管反应性损伤
IF 4.5 2区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-01-02 DOI: 10.1186/s12986-023-00776-7
Kay L. H. Wu, Chih-Wei Wu, Lee-Wei Chen, Hsiao-Huang Chang, Ching-Li Cheng, Cai-Yi Wu, Yu-Chi Lee, I-Chun Chen, Chun-Ying Hung, Wen-Chung Liu
Excessive fructose intake presents the major risk factor for metabolic cardiovascular disease. Perivascular adipose tissue (PVAT) is a metabolic tissue and possesses a paracrine function in regulating aortic reactivity. However, whether and how PVAT alters vascular function under fructose overconsumption remains largely unknown. In this study, male Sprague-Dawley rats (8 weeks old) were fed a 60% high fructose diet (HFD) for 12 weeks. Fasting blood sugar, insulin, and triglycerides were significantly increased by HFD intake. Plasma adiponectin was significantly enhanced in the HFD group. The expression of uncoupling protein 1 (UCP1) and mitochondrial mass were reduced in the aortic PVAT of the HFD group. Concurrently, the expression of peroxisome proliferator-activated receptor-γ coactivator 1α (PGC-1α) and mitochondrial transcription factor A (TFAM) were suppressed. Furthermore, decreased fusion proteins (OPA1, MFN1, and MFN2) were accompanied by increased fission proteins (FIS1 and phospho-DRP1). Notably, the upregulated α-smooth muscle actin (α-SMA) and osteocalcin in the PVAT were concurrent with the impaired reactivity of aortic contraction and relaxation. Coenzyme Q10 (Q, 10 mg/100 mL, 4 weeks) effectively reversed the aforementioned events induced by HFD. Together, these results suggested that the dysregulation of mitochondrial dynamics mediated HFD-triggered PVAT whitening to impair aortic reactivity. Fortunately, coenzyme Q10 treatment reversed HFD-induced PVAT whitening and aortic reactivity.
果糖摄入过多是代谢性心血管疾病的主要风险因素。血管周围脂肪组织(PVAT)是一种代谢组织,在调节主动脉反应性方面具有旁分泌功能。然而,在果糖摄入过量的情况下,血管周围脂肪组织是否以及如何改变血管功能仍是一个未知数。在这项研究中,雄性 Sprague-Dawley 大鼠(8 周大)连续 12 周摄入 60% 的高果糖饮食(HFD)。摄入高果糖饮食会显著增加空腹血糖、胰岛素和甘油三酯。高果糖组的血浆脂肪连素明显增加。高脂蛋白胆固醇酯组的主动脉皮下脂肪变性细胞中解偶联蛋白1(UCP1)的表达和线粒体质量均有所下降。同时,过氧化物酶体增殖激活受体-γ辅助激活因子1α(PGC-1α)和线粒体转录因子A(TFAM)的表达受到抑制。此外,融合蛋白(OPA1、MFN1 和 MFN2)减少的同时,裂变蛋白(FIS1 和 phospho-DRP1)增加。值得注意的是,PVAT中α-平滑肌肌动蛋白(α-SMA)和骨钙素的上调与主动脉收缩和松弛的反应性受损同时存在。辅酶Q10(Q,10毫克/100毫升,4周)可有效逆转高密度脂蛋白胆固醇诱导的上述事件。这些结果表明,线粒体动力学失调介导了高密度脂蛋白胆固醇诱发的主动脉瓣白化,从而损害了主动脉反应性。幸运的是,辅酶Q10治疗逆转了HFD诱导的PVAT变白和主动脉反应性。
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引用次数: 0
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Nutrition & Metabolism
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