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A gut-focused perinatal dietary intervention is associated with lower alpha diversity of the infant gut microbiota: results from a randomised controlled trial. 以肠道为重点的围产期饮食干预与婴儿肠道微生物群α多样性降低有关:随机对照试验的结果。
IF 3.6 4区 医学 Q2 NEUROSCIENCES Pub Date : 2024-10-18 DOI: 10.1080/1028415X.2024.2413233
Samantha L Dawson, Gerard Clarke, Anne-Louise Ponsonby, Amy Loughman, Mohammadreza Mohebbi, Tiril Cecilie Borge, Adrienne O'Neil, Peter Vuillermin, Mimi L K Tang, Jeffrey M Craig, Felice N Jacka

Objectives: In experimental models, the prenatal diet influences gut microbiota composition in mothers and offspring; however, it is unclear whether this occurs in humans. We investigated the effects of a gut-focused perinatal dietary intervention on maternal and infant gut microbiota composition four weeks after birth.

Methods: This randomised controlled trial randomised pregnant women to receive dietary advice as part of standard care, or additionally receive a dietary intervention focused on the Australian Dietary Guidelines and increasing prebiotic and probiotic/fermented food intakes (ACTRN12616000936426). Study assessments occurred from gestation week 26 (baseline) to four weeks postpartum (follow-up). Faecal samples, collected at baseline for mothers, and follow-up for mothers and infants, underwent 16SrRNA sequencing. The primary outcome was a between-group mean difference in infant faecal Shannon index. Secondary outcomes included between-group differences in other microbiota measures, including maternal change from baseline CLR-transformed Prevotella abundance.

Results: Forty-four women and 45 infants completed the study. The mean Shannon index of infants in the intervention group was -0.35 (95% CI: -0.64, -0.06, SD: 0.52) units lower than control group infants, corresponding to a medium effect size (Cohen's D: -0.74, 95% CI: -1.34, -0.13). The findings were similar using other metrics of α-diversity. There were no between-group differences in β-diversity, nor any differentially abundant taxa in infants. The intervention increased abundances of the genus Prevotella in mothers compared to controls.

Discussion: This gut-focused perinatal dietary intervention was associated with differences in the maternal and infant gut microbiota composition. Larger studies are required to replicate and extend these findings.

目的:在实验模型中,产前饮食会影响母亲和后代的肠道微生物群组成;但这种情况是否会发生在人类身上尚不清楚。我们研究了以肠道为重点的围产期饮食干预对出生四周后母婴肠道微生物群组成的影响:这项随机对照试验让孕妇随机接受作为标准护理一部分的饮食建议,或额外接受以《澳大利亚膳食指南》为重点的饮食干预,并增加益生菌和益生菌/发酵食品的摄入量(ACTRN12616000936426)。研究评估从妊娠第 26 周(基线)开始,到产后四周(随访)结束。在基线期收集的母亲粪便样本以及在随访期收集的母亲和婴儿粪便样本都进行了 16SrRNA 测序。主要结果是婴儿粪便香农指数的组间平均差异。次要结果包括其他微生物群测量的组间差异,包括母体普雷沃特氏菌丰度与基线CLR转换后的变化:结果:44 名妇女和 45 名婴儿完成了研究。干预组婴儿的平均香农指数比对照组婴儿低-0.35(95% CI:-0.64,-0.06,SD:0.52)个单位,相当于中等效应大小(Cohen's D:-0.74,95% CI:-1.34,-0.13)。使用其他α多样性指标也得出了类似的结果。β多样性在组间没有差异,在婴儿中也没有任何不同的丰富分类群。与对照组相比,干预措施增加了母亲体内普雷沃茨菌属的丰度:讨论:这种以肠道为重点的围产期饮食干预与母婴肠道微生物群组成的差异有关。需要进行更大规模的研究来复制和扩展这些发现。
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引用次数: 0
Riboflavin as a potential new therapeutic agent for perinatal encephalopathies caused by cerebral oxygen deprivation. 核黄素是治疗因脑缺氧引起的围产期脑病的一种潜在新药。
IF 3.6 4区 医学 Q2 NEUROSCIENCES Pub Date : 2024-10-15 DOI: 10.1080/1028415X.2024.2415087
Eulália Rebeca Silva-Araújo, Ana Elisa Toscano, Henrique José Cavalcanti Bezerra Gouveia, Raul Manhães-de-Castro

Objective: This letter to the editor presents suggestions for the therapeutic use of riboflavin in perinatal brain lesions caused by oxygen deprivation.Methods: Clinical and preclinical studies using riboflavin conjugated with other components for the treatment of cerebral oxygen deprivation were included in the discussion.Results: Oxygen deprivation is predisposed by anoxia, hypoxia, or ischemia and causes severe early central damage, including sensorimotor impairment. At the moment, these lesions lack effective and affordable therapies. We present studies demonstrating the neuroprotective effects of riboflavin-containing drugs to treat children affected by hypoxic perinatal injuries.Discussion: This article suggests conducting preclinical studies to elucidate the potential isolated effects of riboflavin on the pathogenesis of perinatal brain injury caused by oxygen deprivation, by presenting routes for future clinical strategies for the prevention or treatment of perinatal encephalopathies.

摘要这封致编辑的信就核黄素治疗围产期缺氧引起的脑损伤提出了建议:方法:讨论包括使用核黄素与其他成分共轭治疗脑缺氧的临床和临床前研究:缺氧、缺氧或缺血均可导致缺氧,并造成严重的早期中枢损伤,包括感觉运动障碍。目前,这些病变缺乏有效且可负担的治疗方法。我们的研究表明,含核黄素的药物对治疗围产期缺氧性损伤的儿童具有神经保护作用:本文建议开展临床前研究,阐明核黄素对缺氧引起的围产期脑损伤发病机制的潜在独立作用,为今后预防或治疗围产期脑病的临床策略提供路线。
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引用次数: 0
Association of omega-3 polyunsaturated fatty acids intake and cognitive function in middle-aged and older adults. 中老年人摄入欧米伽-3 多不饱和脂肪酸与认知功能的关系。
IF 3.6 4区 医学 Q2 NEUROSCIENCES Pub Date : 2024-10-14 DOI: 10.1080/1028415X.2024.2404785
Rouba Khalil Naaman, Shoug Alashmali, Manar Abduljalil Bakhsh, Asma Abdullah Muqaibil, Futooun Mohammed Ghunaim, Albatol Hussein Alattas

Objective: Omega-3 polyunsaturated fatty acids (PUFAs) play a crucial role in maintaining and improving cognitive function and brain health. The aim of this study was to assess the association between omega-3 PUFA intake and cognitive function in middle-aged and older adults in Saudi Arabia.

Methods: Cognitive function was assessed using the Montreal Cognitive Assessment (MoCA). The frequency and quantity of omega-3 PUFA intake were assessed using an omega-3 food frequency questionnaire.

Results: A total of 175 participants were recruited for this study. Participants in the lowest omega-3 PUFA tertile group scored significantly lower in the visuospatial/executive and attention cognitive domains (p < 0.05). After adjusting for confounders, the higher intake of alpha-linolenic acid (ALA) was significantly associated with higher scores in the visuospatial/executive domain (p = 0.02) and the higher intake of docosahexaenoic acid (DHA) was significantly associated with higher scores in the attention domain (p = 0.04). The participants who did not consume walnuts showed a significant lower MoCA score than those who did (p = 0.005). No significant differences were found with other omega-3 PUFA sources.

Conclusion: Higher intake of omega-3 PUFAs was positively associated with visuospatial/executive and attention cognitive functions in middle-aged and older adults.

目的:欧米伽-3 多不饱和脂肪酸(PUFA)在维持和改善认知功能和大脑健康方面发挥着至关重要的作用。本研究旨在评估沙特阿拉伯中老年人摄入欧米伽-3 多不饱和脂肪酸与认知功能之间的关系:认知功能采用蒙特利尔认知评估(MoCA)进行评估。方法:使用蒙特利尔认知评估(MoCA)对认知功能进行评估,并使用欧米伽-3 食品频率问卷对欧米伽-3 PUFA 的摄入频率和数量进行评估:本研究共招募了 175 名参与者。摄入ω-3 PUFA最低三等分组的参与者在视觉空间/执行和注意力认知领域的得分明显较低(p p = 0.02),而摄入较多二十二碳六烯酸(DHA)的参与者在注意力领域的得分明显较高(p = 0.04)。未食用核桃的参与者的 MoCA 得分明显低于食用核桃的参与者(p = 0.005)。其他ω-3 PUFA来源则没有发现明显差异:结论:摄入更多的欧米伽-3 PUFA 与中老年人的视觉空间/执行和注意力认知功能呈正相关。
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引用次数: 0
Total dietary antioxidant capacity and food groups and their relationship with the sleep time of Brazilian graduates (CUME Study). 膳食总抗氧化能力和食物种类及其与巴西毕业生睡眠时间的关系(CUME 研究)。
IF 3.6 4区 医学 Q2 NEUROSCIENCES Pub Date : 2024-10-09 DOI: 10.1080/1028415X.2024.2411556
Gabriela Amorim Pereira Sol, Helen Hermana M Hermsdorff, Adriano Marçal Pimenta, Josefina Bressan, Ana Paula Boroni Moreira, Aline Silva de Aguiar

To investigate the association between the Dietary Total Antioxidant Capacity (dTAC) and the Total Antioxidant Capacity of food groups (fgTAC) with the sleep time of Brazilian graduates participating in the Cohort of Universities of Minas Gerais (CUME Study). This cross-sectional study analyzed 6,387 graduates (2,052 men, 4,335 women, 35.3 ± 9.3 years old) from the CUME Study. Data was collected online, and dTAC was obtained by the Ferric Reduction Antioxidant Power (FRAP) method. Daily sleep time was classified as short sleep, normal sleep, and long sleep (≤6, 7-8, and ≥9 h, respectively). Multinomial logistic regression models were used to estimate the Odds Ratio (OR) and its 95% Confidence Interval (95% CI) between short sleep and long sleep with quartiles of dTAC and the fgTAC. Lower odds of short sleep was observed for the third quartile of dTAC and for fourth quartile of fgTAC of fruits, beans, and lentils, and for the third quartile of fgTAC of vegetables and oils and fats. Higher odds of short sleep for the fourth quartile of fgTAC of teas and coffees. For long sleep, inverse associations were observed for the fourth quartile of fgTAC of oilseeds and the third quartile of fgTAC of teas and coffees. Higher odds of long sleep were observed for the third quartile of artificial juices and sodas. We cannot independently assert an association between higher dTAC and sleep time. In turn, the associations between sleep time and fgTAC show the importance of the food matrix that antioxidants are inserted, requiring longitudinal studies to observe the direction of associations.

研究巴西米纳斯吉拉斯州大学群组(CUME 研究)毕业生的膳食总抗氧化能力(dTAC)和食物组总抗氧化能力(fgTAC)与睡眠时间之间的关系。这项横断面研究分析了 CUME 研究的 6387 名毕业生(男性 2052 人,女性 4335 人,年龄为 35.3 ± 9.3 岁)。数据通过网络收集,并采用铁还原抗氧化力(FRAP)法获得 dTAC。每日睡眠时间分为短睡眠、正常睡眠和长睡眠(分别为≤6、7-8和≥9小时)。多项式逻辑回归模型用于估算短睡眠和长睡眠与 dTAC 和 fgTAC 四分位数之间的几率比(OR)及其 95% 置信区间(95% CI)。在 dTAC 的第三四分位数和 fgTAC 的第四四分位数中,水果、豆类和扁豆的短睡眠几率较低,而在 fgTAC 的第三四分位数中,蔬菜和油脂的短睡眠几率较高。茶和咖啡的四分位点 fgTAC 值越高,睡眠时间越短。在长时间睡眠方面,油籽的四分位数以及茶和咖啡的四分位数呈反向关系。在人工果汁和苏打水的第三四分位数中,观察到较高的长时间睡眠几率。我们无法独立断定较高的 dTAC 与睡眠时间之间存在关联。反过来,睡眠时间与 fgTAC 之间的关联也表明了加入抗氧化剂的食物基质的重要性,需要进行纵向研究来观察关联的方向。
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引用次数: 0
Antioxidant intake and its relationship with generalized anxiety disorder among adults. 成年人的抗氧化剂摄入量及其与广泛性焦虑症的关系。
IF 3.6 4区 医学 Q2 NEUROSCIENCES Pub Date : 2024-10-08 DOI: 10.1080/1028415X.2024.2408972
Lucie Rizk, Nour Abi Khalil, Rouba Karen Zeidan, Myriam Tabangi, Mehmet Akif Karaman, Roula Barake, Sahar Nakhl

Antioxidant intake may contribute to the prevention of numerous diseases, particularly those related to stress-induced psychiatric and stress disorders. The current study aimed to assess the relationship between daily antioxidant intake (DAI) and Generalized Anxiety Disorder (GAD) in adults. It also sought to investigate the correlation between the type of diet in conjunction with DAI and the scores on GAD 7-Item Scale in adults. A cross-sectional design was used to examine if DAI was lower in individuals with GAD; followed by an interventional study of 40 adults with severe GAD, who were exposed to higher DAI for a period of 6 weeks. The results indicated that participants with severe GAD had significantly lower levels of DAI compared to healthy controls (p < 0.001). After 6 weeks of antioxidant supplementation, a significant decrease in GAD-7 scores of participants was observed (p < 0.001). The study found a significant negative relationship between DAI and GAD.

抗氧化剂的摄入量可能有助于预防多种疾病,尤其是与压力引起的精神疾病和应激障碍有关的疾病。本研究旨在评估成人每日抗氧化剂摄入量(DAI)与广泛性焦虑症(GAD)之间的关系。研究还试图调查饮食类型与 DAI 和成人 GAD 7 项量表得分之间的相关性。研究采用了横断面设计来考察 GAD 患者的 DAI 是否较低;随后对 40 名患有严重 GAD 的成人进行了为期 6 周的干预性研究,让他们接受较高的 DAI。结果表明,与健康对照组相比,严重 GAD 患者的 DAI 水平明显较低(P P
{"title":"Antioxidant intake and its relationship with generalized anxiety disorder among adults.","authors":"Lucie Rizk, Nour Abi Khalil, Rouba Karen Zeidan, Myriam Tabangi, Mehmet Akif Karaman, Roula Barake, Sahar Nakhl","doi":"10.1080/1028415X.2024.2408972","DOIUrl":"10.1080/1028415X.2024.2408972","url":null,"abstract":"<p><p>Antioxidant intake may contribute to the prevention of numerous diseases, particularly those related to stress-induced psychiatric and stress disorders. The current study aimed to assess the relationship between daily antioxidant intake (DAI) and Generalized Anxiety Disorder (GAD) in adults. It also sought to investigate the correlation between the type of diet in conjunction with DAI and the scores on GAD 7-Item Scale in adults. A cross-sectional design was used to examine if DAI was lower in individuals with GAD; followed by an interventional study of 40 adults with severe GAD, who were exposed to higher DAI for a period of 6 weeks. The results indicated that participants with severe GAD had significantly lower levels of DAI compared to healthy controls (<i>p</i> < 0.001). After 6 weeks of antioxidant supplementation, a significant decrease in GAD-7 scores of participants was observed (<i>p</i> < 0.001). The study found a significant negative relationship between DAI and GAD.</p>","PeriodicalId":19423,"journal":{"name":"Nutritional Neuroscience","volume":" ","pages":"1-11"},"PeriodicalIF":3.6,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Dietary factors and the incidence of intracranial aneurysms: a Mendelian randomization research. 饮食因素与颅内动脉瘤发病率:孟德尔随机研究。
IF 3.6 4区 医学 Q2 NEUROSCIENCES Pub Date : 2024-10-02 DOI: 10.1080/1028415X.2024.2403894
Gu Linazi, Aierpati Maimaiti, Zulihuma Abulaiti, Niyaziaili Adili, Jiaoqiong Guan, Aimitaji Abulaiti

Background: Intracranial aneurysms (IAs) pose a significant threat to morbidity and mortality, yet their etiology remains inadequately comprehended. The present study employs Mendelian randomization (MR) to investigate the relationship among dietary elements with IAs, encompassing unruptured intracranial aneurysms (uIA) as well as aneurysmal subarachnoid hemorrhage (aSAH).

Methods: The current study employed a double-sample MR test utilizing genome-wide association study (GWAS) summary data from the IEU and IAs' meta-analysis to investigate the genetically predicted consumption levels of various dietary factors using GWAS data. Causation was assessed by techniques of MR-Egger, weighted mode, and median, as well as IVW. To guarantee the accuracy of the results, pleiotropy and heterogeneity evaluations were also carried out.

Results: The findings of the study indicate a positive correlation between the intake of alcohol, lamb/mutton, and pork with the risk of IAs (IVW all p < 0.05). Conversely, a negative correlation was observed regarding dried fruit consumption and the risk of aSAH (IVW p < 0.05). There was only scant evidence supporting the association between alcohol intake frequency and an elevated risk of uIA (IVW method p < 0.05). The MR analysis outcomes were authenticated by the MR-PRESSO method and were deemed reliable. Furthermore, sensitivity calculations, such as pleiotropy and homogeneity test, leave-one-out evaluation, and funnel charts, validated the robustness of the results.

Conclusions: The findings suggest that reducing alcohol, lamb/mutton, and pork intake, and increasing dried fruit intake may be potential strategies for the prevention of IAs and aSAH. Additional research is necessary to validate these outcomes and elucidate the underlying mechanisms.

背景:颅内动脉瘤(IAs)对发病率和死亡率构成重大威胁,但其病因仍未得到充分了解。本研究采用孟德尔随机法(Mendelian randomization,MR)研究饮食元素与颅内动脉瘤(包括未破裂颅内动脉瘤(uIA)和动脉瘤性蛛网膜下腔出血(aSAH))之间的关系:本研究采用双样本MR检验,利用来自IEU和IAs荟萃分析的全基因组关联研究(GWAS)汇总数据,利用GWAS数据调查基因预测的各种饮食因素的消耗水平。因果关系通过 MR-Egger、加权模式和中位数以及 IVW 等技术进行评估。为保证结果的准确性,还进行了多向性和异质性评估:研究结果表明,酒精、羊肉/牛羊肉和猪肉的摄入量与 IAs 风险呈正相关(IVW 均为 p p p 结论:研究结果表明,减少酒精、羊肉/牛羊肉和猪肉的摄入量可降低 IAs 风险:研究结果表明,减少酒精、羊肉/羊羔肉和猪肉的摄入量以及增加干果的摄入量可能是预防IAs和aSAH的潜在策略。有必要开展更多的研究来验证这些结果并阐明其潜在机制。
{"title":"Dietary factors and the incidence of intracranial aneurysms: a Mendelian randomization research.","authors":"Gu Linazi, Aierpati Maimaiti, Zulihuma Abulaiti, Niyaziaili Adili, Jiaoqiong Guan, Aimitaji Abulaiti","doi":"10.1080/1028415X.2024.2403894","DOIUrl":"10.1080/1028415X.2024.2403894","url":null,"abstract":"<p><strong>Background: </strong>Intracranial aneurysms (IAs) pose a significant threat to morbidity and mortality, yet their etiology remains inadequately comprehended. The present study employs Mendelian randomization (MR) to investigate the relationship among dietary elements with IAs, encompassing unruptured intracranial aneurysms (uIA) as well as aneurysmal subarachnoid hemorrhage (aSAH).</p><p><strong>Methods: </strong>The current study employed a double-sample MR test utilizing genome-wide association study (GWAS) summary data from the IEU and IAs' meta-analysis to investigate the genetically predicted consumption levels of various dietary factors using GWAS data. Causation was assessed by techniques of MR-Egger, weighted mode, and median, as well as IVW. To guarantee the accuracy of the results, pleiotropy and heterogeneity evaluations were also carried out.</p><p><strong>Results: </strong>The findings of the study indicate a positive correlation between the intake of alcohol, lamb/mutton, and pork with the risk of IAs (IVW all <i>p</i> < 0.05). Conversely, a negative correlation was observed regarding dried fruit consumption and the risk of aSAH (IVW <i>p</i> < 0.05). There was only scant evidence supporting the association between alcohol intake frequency and an elevated risk of uIA (IVW method <i>p</i> < 0.05). The MR analysis outcomes were authenticated by the MR-PRESSO method and were deemed reliable. Furthermore, sensitivity calculations, such as pleiotropy and homogeneity test, leave-one-out evaluation, and funnel charts, validated the robustness of the results.</p><p><strong>Conclusions: </strong>The findings suggest that reducing alcohol, lamb/mutton, and pork intake, and increasing dried fruit intake may be potential strategies for the prevention of IAs and aSAH. Additional research is necessary to validate these outcomes and elucidate the underlying mechanisms.</p>","PeriodicalId":19423,"journal":{"name":"Nutritional Neuroscience","volume":" ","pages":"1-9"},"PeriodicalIF":3.6,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142361795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Nutrient intake and food selectivity in children with Tourette syndrome. 妥瑞症儿童的营养摄入和食物选择性。
IF 3.6 4区 医学 Q2 NEUROSCIENCES Pub Date : 2024-10-02 DOI: 10.1080/1028415X.2024.2408978
Bobbie L Smith, Katerina Vafeiadou, Amanda K Ludlow

Objectives: Children with Tourette syndrome (TS) have been shown to exhibit high levels of food selectivity; however, its association with nutritional status has yet to be explored. The current study explored macro and micronutrient intake and food selectivity among children with and without TS, using 24-hour dietary recall and the Child Eating Behaviour Questionnaire.Method: Parents of 43 children diagnosed with TS and 38 age-matched children without a clinical diagnosis completed an online 24-hour food diary.Results: Fifty-eight per cent of children with TS were identified as falling outside of the healthy BMI range (underweight = 24.2%; overweight = 27.3%; obese = 6.1%). Children with TS also consumed fewer portions of fruit and vegetables along with meeting the daily reference nutrient intake guidelines significantly less often for vitamins B3, B6 and C, selenium and phosphorus compared to children without TS.Conclusions: Understanding the nutritional risk of children with TS relative to other children is important to clinicians and health care professionals who oversee nutritional inspection in primary care, and caregivers who are worried about the impact of limited or restricted diets.

目的:图雷特综合征(TS)患儿表现出较高的食物选择性,但其与营养状况的关系尚有待探讨。本研究采用 24 小时饮食回忆和儿童饮食行为问卷调查法,对患有和未患有 TS 的儿童的宏量和微量营养素摄入量以及食物选择性进行了调查:43名被诊断患有TS的儿童和38名未被临床诊断的年龄匹配儿童的家长完成了在线24小时食物日记:结果:58%的TS患儿的体重超出了健康体重指数范围(体重不足=24.2%;超重=27.3%;肥胖=6.1%)。与非TS儿童相比,TS儿童摄入的水果和蔬菜份量较少,维生素B3、B6和C、硒和磷的每日参考营养素摄入量达标率也明显较低:了解TS儿童相对于其他儿童的营养风险,对于在初级保健中监督营养检查的临床医生和医护人员以及担心有限或受限饮食影响的护理人员来说非常重要。
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引用次数: 0
Low-carbohydrate diet as a nutritional intervention in a major depression disorder: focus on relapse prevention. 将低碳水化合物饮食作为重度抑郁症的营养干预措施:关注预防复发。
IF 3.6 4区 医学 Q2 NEUROSCIENCES Pub Date : 2024-10-01 Epub Date: 2024-01-21 DOI: 10.1080/1028415X.2024.2303218
Michał Walaszek, Zofia Kachlik, Wiesław Jerzy Cubała

Objectives: Mood disorders are trending to be among the leading causes of years lived with disability. Despite multiple treatment options, around 30% patients with major depressive disorder (MDD) develop treatment resistant depression (TRD) and fail to respond to current pharmacological therapies. This study aimed to explore the potential benefits of nutritional treatment strategies, along with their molecular mechanisms of action, focusing especially on low-carbohydrate diet (LCHD), ketogenic diet (KD) and other strategies based on carbohydrates intake reduction.

Methods: A comprehensive literature review was conducted to determine the impact of LCHD on alleviating depressive symptoms in patients with MDD, along with an explanation of its mode of action.

Results: The study revealed significant impact of nutritional interventions based on restriction in carbohydrate intake such as LCHD, KD or sugar-sweetened beverages (SSB) exclusion on anxiety or depression symptoms reduction, mood improvement and lower risk of cognitive impairment or depression. The efficacy of these approaches is further substantiated by their underlying molecular mechanisms, mainly brain-derived neurotrophic factor (BDNF) which is a potential key target of sugar restriction diets in terms of neuroplasticity.

Discussion: Healthcare professionals may consider implementing LCHD strategies for MDD and TRD patients to modify the disease process, maintain euthymia, and prevent depressive episode relapses. Ranging from the exclusion of SSB to the adherence to rigorous LCHD regimens, these nutritional approaches are safe, straightforward to implement, and may confer benefits for well-being and relapse prevention in this specific patient population.

目标:情绪障碍正逐渐成为导致残疾的主要原因之一。尽管有多种治疗方法可供选择,但仍有约 30% 的重度抑郁障碍(MDD)患者会发展成对治疗有抵抗力的抑郁症(TRD),并且对目前的药物疗法无效。本研究旨在探索营养治疗策略的潜在益处及其分子作用机制,尤其关注低碳水化合物饮食(LCHD)、生酮饮食(KD)和其他基于减少碳水化合物摄入量的策略:方法:进行了全面的文献综述,以确定低碳水化合物饮食对缓解 MDD 患者抑郁症状的影响,并解释其作用模式:结果:研究显示,限制碳水化合物摄入量的营养干预措施,如LCHD、KD或排除含糖饮料(SSB),对减轻焦虑或抑郁症状、改善情绪、降低认知障碍或抑郁风险具有重要影响。这些方法的功效通过其潜在的分子机制得到进一步证实,主要是脑源性神经营养因子(BDNF),它是限糖饮食在神经可塑性方面的潜在关键目标:医护人员可考虑对 MDD 和 TRD 患者实施 LCHD 策略,以改变疾病进程、维持健康状态并预防抑郁复发。从排除SSB到坚持严格的LCHD方案,这些营养方法安全、简单易行,可为这一特殊患者群体带来健康和预防复发的益处。
{"title":"Low-carbohydrate diet as a nutritional intervention in a major depression disorder: focus on relapse prevention.","authors":"Michał Walaszek, Zofia Kachlik, Wiesław Jerzy Cubała","doi":"10.1080/1028415X.2024.2303218","DOIUrl":"10.1080/1028415X.2024.2303218","url":null,"abstract":"<p><strong>Objectives: </strong>Mood disorders are trending to be among the leading causes of years lived with disability. Despite multiple treatment options, around 30% patients with major depressive disorder (MDD) develop treatment resistant depression (TRD) and fail to respond to current pharmacological therapies. This study aimed to explore the potential benefits of nutritional treatment strategies, along with their molecular mechanisms of action, focusing especially on low-carbohydrate diet (LCHD), ketogenic diet (KD) and other strategies based on carbohydrates intake reduction.</p><p><strong>Methods: </strong>A comprehensive literature review was conducted to determine the impact of LCHD on alleviating depressive symptoms in patients with MDD, along with an explanation of its mode of action.</p><p><strong>Results: </strong>The study revealed significant impact of nutritional interventions based on restriction in carbohydrate intake such as LCHD, KD or sugar-sweetened beverages (SSB) exclusion on anxiety or depression symptoms reduction, mood improvement and lower risk of cognitive impairment or depression. The efficacy of these approaches is further substantiated by their underlying molecular mechanisms, mainly brain-derived neurotrophic factor (BDNF) which is a potential key target of sugar restriction diets in terms of neuroplasticity.</p><p><strong>Discussion: </strong>Healthcare professionals may consider implementing LCHD strategies for MDD and TRD patients to modify the disease process, maintain euthymia, and prevent depressive episode relapses. Ranging from the exclusion of SSB to the adherence to rigorous LCHD regimens, these nutritional approaches are safe, straightforward to implement, and may confer benefits for well-being and relapse prevention in this specific patient population.</p>","PeriodicalId":19423,"journal":{"name":"Nutritional Neuroscience","volume":" ","pages":"1185-1198"},"PeriodicalIF":3.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139513119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
An extract of Hibiscus sabdariffa improves short-term memory in rats with experimental diabetic hyperglycemia. 木槿提取物可改善实验性糖尿病高血糖大鼠的短期记忆。
IF 3.6 4区 医学 Q2 NEUROSCIENCES Pub Date : 2024-10-01 Epub Date: 2024-01-09 DOI: 10.1080/1028415X.2023.2301166
Silvia J López-Pérez, Mónica E Ureña-Guerrero, Jacinto Bañuelos-Pineda

Background: Calyxes of Hibiscus sabdariffa (Hs) contain anthocyanins, that normalize blood glucose levels (BGL) in diabetic patients. Diabetes also causes memory alterations, which could hypothetically decrease with the consumption of Hs.

Objectives: To investigate the effect of dietary supplementation with a Hs extract on working memory and BGL in rats.

Methods: Diabetic hyperglycemia (DHG) was induced with streptozotocin (STZ, 55 mg/kg i.p.) in Wistar rats. After 72 h DHG was confirmed, and the consumption of Hs extract began (50 mg/Kg/day). BGL and body weight (BW) were measured at 10, 20 and 30 days after DHG induction in controls and treated animals. Learning and short-term memory were evaluated after 30 days with Novel Object Recognition Test (NOR) and Barnes Maze (BM). The gross hippocampal structure was histologically analyzed.

Results: STZ-treated animals presented low BW and persistent DHG (BGL <300 mg/dL). Diabetic animals consuming the Hs extract had a dual response: some showed BGL comparable to controls, while others had levels comparable to diabetic animals not consuming extract. Diabetic animals that consumed the Hs extract had a better performance in NOR and BM than the diabetic animals not consuming the extract. At the histological level, hippocampal morphological differences were observed between diabetic animals that consumed the extract and those that did not.

Discussion: The Hs extract used here could be a good co-adjuvant in the treatment of DHG, aimed at mitigating memory deficits and high BGL. These beneficial effects could be attributed to the anthocyanin content in the extract.

背景:木槿(Hs)的花萼含有花青素,可使糖尿病患者的血糖水平(BGL)恢复正常。糖尿病也会导致记忆力改变,而食用花青素可能会降低记忆力:研究膳食补充 Hs 提取物对大鼠工作记忆和血糖水平的影响:方法:用链脲佐菌素(STZ,55 mg/kg i.p.)诱导 Wistar 大鼠发生糖尿病性高血糖(DHG)。72 小时后,DHG 得到确认,并开始服用 Hs 提取物(50 毫克/千克/天)。在 DHG 诱导后 10 天、20 天和 30 天测量对照组和治疗组大鼠的血糖和体重(BW)。30 天后,用新物体识别测试(NOR)和巴恩斯迷宫(BM)对动物的学习能力和短期记忆进行评估。对海马结构进行了组织学分析:结果:STZ处理的动物表现出低体重和持续的DHG(BGL讨论):这里使用的 Hs 提取物可作为治疗 DHG 的良好辅助药物,旨在减轻记忆缺陷和高 BGL。这些有益效果可能归功于提取物中的花青素含量。
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引用次数: 0
Brain energetics and glucose transport in metabolic diseases: role in neurodegeneration. 代谢性疾病中的脑能量和葡萄糖转运:在神经变性中的作用。
IF 3.6 4区 医学 Q2 NEUROSCIENCES Pub Date : 2024-10-01 Epub Date: 2024-01-31 DOI: 10.1080/1028415X.2024.2306427
Orquídea G Méndez-Flores, Luisa C Hernández-Kelly, Tatiana N Olivares-Bañuelos, Gabriel López-Ramírez, Arturo Ortega

Objectives: Neurons and glial cells are the main functional and structural elements of the brain, and the former depends on the latter for their nutritional, functional and structural organization, as well as for their energy maintenance.

Methods: Glucose is the main metabolic source that fulfills energetic demands, either by direct anaplerosis or through its conversion to metabolic intermediates. Development of some neurodegenerative diseases have been related with modifications in the expression and/or function of glial glucose transporters, which might cause physiological and/or pathological disturbances of brain metabolism. In the present contribution, we summarized the experimental findings that describe the exquisite adjustment in expression and function of glial glucose transporters from physiologic to pathologic metabolism, and its relevance to neurodegenerative diseases.

Results: A exhaustive literature review was done in order to gain insight into the role of brain energetics in neurodegenerative disease. This study made evident a critical involvement of glucose transporters and thus brain energetics in the development of neurodegenerative diseases.

Discussion: An exquisite adjustment in the expression and function of glial glucose transporters from physiologic to pathologic metabolism is a biochemical signature of neurodegenerative diseases.

目的:神经元和神经胶质细胞是大脑的主要功能和结构元素:神经元和神经胶质细胞是大脑的主要功能和结构元素,前者的营养、功能和结构组织以及能量维持都依赖于后者:方法:葡萄糖是满足能量需求的主要代谢源,可通过直接合成或转化为代谢中间产物来实现。一些神经退行性疾病的发生与神经胶质葡萄糖转运体的表达和/或功能改变有关,这可能会导致大脑新陈代谢的生理和/或病理紊乱。在本论文中,我们总结了描述神经胶质葡萄糖转运体的表达和功能从生理代谢到病理代谢微妙调整的实验结果,以及其与神经退行性疾病的相关性:为了深入了解脑能量在神经退行性疾病中的作用,我们进行了详尽的文献综述。这项研究表明,葡萄糖转运体以及脑能量学在神经退行性疾病的发病过程中起着至关重要的作用:讨论:神经胶质葡萄糖转运体的表达和功能从生理代谢到病理代谢的微妙调整是神经退行性疾病的生化特征。
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Nutritional Neuroscience
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