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Filbertone Reduces Senescence in C2C12 Myotubes Treated with Doxorubicin or H2O2 through MuRF1 and Myogenin. 丝柏酮通过 MuRF1 和 Myogenin 降低经多柔比星或 H2O2 处理的 C2C12 肌细胞的衰老。
IF 4.8 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-09-19 DOI: 10.3390/nu16183177
Sumin Jung, Byungyong Ahn

It has been demonstrated that filbertone, the principal flavor compound of hazelnuts, exhibits preventive effects against hypothalamic inflammation, obesity, neurodegenerative diseases, and muscle lipid accumulation. However, its influence on muscle aging has yet to be elucidated. The objective of this study was to investigate the effects of filbertone on muscle aging in C2C12 myotubes subjected to senescence induction by either doxorubicin or hydrogen peroxide. To ascertain the mechanisms by which filbertone exerts its effects, we conducted a series of experiments, including Western blot analysis, reverse transcription quantitative polymerase chain reaction (qRT-PCR), and senescence-associated β-galactosidase (SA-β-gal) staining. Filbertone was markedly observed to decrease not only the protein levels of p53 (p < 0.01) in senescence-induced skeletal muscle cells, but also the gene expression levels of p21 (p < 0.05), a direct target of p53. The expression of muscle-related genes, including myogenin and muscle RING-finger protein-1 (MuRF1), was found to be significantly enhanced in senescent muscle cells following treatment with filbertone (p < 0.05). In addition, the number of senescent skeletal muscle cells exhibiting β-galactosidase activity was found to be markedly reduced in the presence of filbertone (p < 0.01). Collectively, these findings suggest that filbertone plays a pivotal role in the regulation of muscle aging.

研究表明,榛子的主要风味化合物丝柏酮具有预防下丘脑炎症、肥胖症、神经退行性疾病和肌肉脂质堆积的作用。然而,它对肌肉衰老的影响还有待阐明。本研究的目的是探讨在多柔比星或过氧化氢诱导衰老的 C2C12 肌细胞中,丝柏酮对肌肉衰老的影响。为了确定丝柏酮的作用机制,我们进行了一系列实验,包括Western印迹分析、逆转录定量聚合酶链反应(qRT-PCR)和衰老相关β-半乳糖苷酶(SA-β-gal)染色。观察发现,在衰老诱导的骨骼肌细胞中,菲尔贝酮不仅能显著降低 p53 蛋白水平(p < 0.01),还能显著降低 p53 的直接靶标 p21 的基因表达水平(p < 0.05)。研究发现,经丝裂霉素处理后,衰老肌肉细胞中肌肉相关基因,包括肌原蛋白和肌肉环指蛋白-1(MuRF1)的表达明显增强(p < 0.05)。此外,还发现表现出β-半乳糖苷酶活性的衰老骨骼肌细胞数量在丝柏酮存在下明显减少(p < 0.01)。总之,这些研究结果表明,丝柏酮在调节肌肉衰老中起着关键作用。
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引用次数: 0
Chronic Use of Artificial Sweeteners: Pros and Cons. 长期使用人造甜味剂:利与弊
IF 4.8 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-09-19 DOI: 10.3390/nu16183162
Lydia Kossiva, Kostas Kakleas, Foteini Christodouli, Alexandra Soldatou, Spyridon Karanasios, Kyriaki Karavanaki

Over the past few decades, the scientific community has been highly concerned about the obesity epidemic. Artificial sweeteners are compounds that mimic the sweet taste of sugar but have no calories or carbohydrates; hence, they are very popular among patients suffering from diabetes or obesity, aiming to achieve glycemic and/or weight control. There are four different types of sweeteners: artificial, natural, rare sugars, and polyols. Artificial and natural sweeteners are characterized as non-nutritional sweeteners (NNSs) since they do not contain calories. The extended use of sweeteners has been reported to have a favorable impact on body weight and glycemic control in patients with type 2 diabetes (T2DM) and on tooth decay prevention. However, there is concern regarding their side effects. Several studies have associated artificial sweeteners' consumption with the development of insulin resistance, nonalcoholic fatty liver disease (NAFLD), gastrointestinal symptoms, and certain types of cancer. The present review focuses on the description of different types of sweeteners and the benefits and possible deleterious effects of the chronic consumption of NNSs on children's health. Additionally, possible underlying mechanisms of the unfavorable effects of NNSs on human health are described.

过去几十年来,科学界一直高度关注肥胖症的流行。人工甜味剂是模仿糖的甜味但没有热量或碳水化合物的化合物,因此深受糖尿病或肥胖症患者的欢迎,其目的是控制血糖和/或体重。甜味剂有四种不同类型:人工甜味剂、天然甜味剂、稀有糖和多元糖醇。人工和天然甜味剂被称为非营养甜味剂(NNS),因为它们不含热量。据报道,长期使用甜味剂对 2 型糖尿病(T2DM)患者的体重和血糖控制以及蛀牙预防都有良好的影响。然而,人们也对其副作用表示担忧。一些研究表明,食用人工甜味剂与胰岛素抵抗、非酒精性脂肪肝、胃肠道症状和某些类型癌症的发生有关。本综述重点介绍了不同类型的甜味剂,以及长期食用 NNS 对儿童健康的益处和可能产生的有害影响。此外,还介绍了无营养物质对人体健康产生不利影响的可能潜在机制。
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引用次数: 0
Yoyo Dieting, Post-Obesity Weight Loss, and Their Relationship with Gut Health. 悠悠节食、肥胖后减肥及其与肠道健康的关系。
IF 4.8 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-09-19 DOI: 10.3390/nu16183170
Kate Phuong-Nguyen, Sean L McGee, Kathryn Aston-Mourney, Bryony A Mcneill, Malik Q Mahmood, Leni R Rivera

Excessive body weight is associated with many chronic metabolic diseases and weight loss, so far, remains the gold standard treatment. However, despite tremendous efforts exploring optimal treatments for obesity, many individuals find losing weight and maintaining a healthy body weight difficult. Weight loss is often not sustainable resulting in weight regain and subsequent efforts to lose weight. This cyclic pattern of weight loss and regain is termed "yoyo dieting" and predisposes individuals to obesity and metabolic comorbidities. How yoyo dieting might worsen obesity complications during the weight recurrence phase remains unclear. In particular, there is limited data on the role of the gut microbiome in yoyo dieting. Gut health distress, especially gut inflammation and microbiome perturbation, is strongly associated with metabolic dysfunction and disturbance of energy homeostasis in obesity. In this review, we summarise current evidence of the crosstalk between the gastrointestinal system and energy balance, and the effects of yoyo dieting on gut inflammation and gut microbiota reshaping. Finally, we focus on the potential effects of post-dieting weight loss in improving gut health and identify current knowledge gaps within the field, including gut-derived peptide hormones and their potential suitability as targets to combat weight regain, and how yoyo dieting and associated changes in the microbiome affect the gut barrier and the enteric nervous system, which largely remain to be determined.

体重过重与许多慢性代谢性疾病有关,而减肥至今仍是治疗的金标准。然而,尽管人们在探索肥胖症的最佳治疗方法方面付出了巨大努力,但许多人发现减肥和保持健康体重都很困难。体重减轻往往无法持续,导致体重反弹,然后再努力减肥。这种体重减轻和反弹的循环模式被称为 "悠悠节食",容易导致肥胖和代谢并发症。在体重反弹阶段,悠悠节食会如何加重肥胖并发症仍不清楚。特别是,有关肠道微生物组在悠悠节食中的作用的数据还很有限。肠道健康问题,尤其是肠道炎症和微生物群紊乱,与肥胖症的代谢功能障碍和能量平衡紊乱密切相关。在这篇综述中,我们总结了肠胃系统与能量平衡之间相互影响的现有证据,以及悠悠减肥法对肠道炎症和肠道微生物群重塑的影响。最后,我们重点讨论了节食后减肥对改善肠道健康的潜在影响,并指出了该领域目前存在的知识空白,包括肠道肽类激素及其作为对抗体重反弹目标的潜在适宜性,以及悠悠减肥法和微生物群的相关变化如何影响肠道屏障和肠道神经系统,这些问题在很大程度上仍有待确定。
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引用次数: 0
A Scoping Review of Food Literacy Interventions. 食品扫盲干预措施的范围审查。
IF 4.8 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-09-19 DOI: 10.3390/nu16183171
Keely O'Brien, Lesley MacDonald-Wicks, Susan E Heaney

Introduction: Food literacy (FL) is a rapidly emerging area of research that provides a framework to explain the interplay of food-related skills, beliefs, knowledge and practises that contribute to nutritional health and wellbeing. This review is the first to scope the current literature for FL interventions, assess their characteristics against the components provided in the most widely cited definition of FL. and describe their characteristics to identify gaps in the literature.

Methods: This review scopes original articles describing FL interventions in the Medline, CINAHL, ProQuest Education, Web of Science and AMED databases up to August 2023.

Results: Despite the heterogeneity between all seven included studies, they all demonstrated some improvements in their FL outcome measures alongside dietary intake (DI), with the greatest improvements seen in studies that employed a FL theoretical framework in intervention design. Populations at high risk of food insecurity, such as university students and people living in disadvantaged areas, were the main targets of FL interventions.

Conclusion: The minimal inclusion of FL theory amongst interventions led to an overall poor coverage of essential FL components, indicating researchers should aim to design future FL interventions with a FL theoretical framework.

导言:食物素养(FL)是一个迅速崛起的研究领域,它提供了一个框架来解释与食物有关的技能、信仰、知识和实践之间的相互作用,从而促进营养健康和幸福。本综述首次对当前有关食物素养干预措施的文献进行了梳理,根据最广泛引用的食物素养定义所提供的内容评估了这些干预措施的特点,并描述了这些干预措施的特点,以找出文献中的不足之处:本综述对截至 2023 年 8 月 Medline、CINAHL、ProQuest Education、Web of Science 和 AMED 数据库中描述 FL 干预方法的原始文章进行了扫描:结果:尽管所有七项纳入研究之间存在异质性,但它们都在膳食摄入量(DI)的同时显示出FL结果指标的一些改善,其中在干预设计中采用FL理论框架的研究改善最大。粮食不安全高风险人群,如大学生和生活在贫困地区的人,是FL干预的主要目标人群:结论:在干预措施中极少纳入FL理论,导致FL基本要素的整体覆盖率较低,这表明研究人员在设计未来的FL干预措施时应以FL理论框架为目标。
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引用次数: 0
Capsaicin Improves Systemic Inflammation, Atherosclerosis, and Macrophage-Derived Foam Cells by Stimulating PPAR Gamma and TRPV1 Receptors. 辣椒素通过刺激 PPAR Gamma 和 TRPV1 受体改善全身炎症、动脉粥样硬化和巨噬细胞衍生的泡沫细胞
IF 4.8 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-09-19 DOI: 10.3390/nu16183167
Danielle Lima Ávila, Weslley Fernandes-Braga, Janayne Luihan Silva, Elandia Aparecida Santos, Gianne Campos, Paola Caroline Lacerda Leocádio, Luciano Santos Aggum Capettini, Edenil Costa Aguilar, Jacqueline Isaura Alvarez-Leite

Background: Capsaicin, a bioactive compound found in peppers, is recognized for its anti-inflammatory, antioxidant, and anti-lipidemic properties. This study aimed to evaluate the effects of capsaicin on atherosclerosis progression.

Methods: Apolipoprotein E knockout mice and their C57BL/6 controls were utilized to assess blood lipid profile, inflammatory status, and atherosclerotic lesions. We also examined the influence of capsaicin on cholesterol influx and efflux, and the role of TRPV1 and PPARγ signaling pathways in bone marrow-derived macrophages.

Results: Capsaicin treatment reduced weight gain, visceral adiposity, blood triglycerides, and total and non-HDL cholesterol. These improvements were associated with a reduction in atherosclerotic lesions in the aorta and carotid. Capsaicin also improved hepatic oxidative and inflammatory status. Systemic inflammation was also reduced, as indicated by reduced leukocyte rolling and adhesion on the mesenteric plexus. Capsaicin decreased foam cell formation by reducing cholesterol influx through scavenger receptor A and increasing cholesterol efflux via ATP-binding cassette transporter A1, an effect primarily linked to TRPV1 activation.

Conclusions: These findings underscore the potential of capsaicin as a promising agent for atherosclerosis prevention, highlighting its comprehensive role in modulating lipid metabolism, foam cell formation, and inflammatory responses.

背景:辣椒素是辣椒中的一种生物活性化合物,具有抗炎、抗氧化和降血脂的作用。本研究旨在评估辣椒素对动脉粥样硬化进展的影响:方法:利用载脂蛋白 E 基因敲除小鼠及其 C57BL/6 对照组评估血脂状况、炎症状态和动脉粥样硬化病变。我们还研究了辣椒素对胆固醇流入和流出的影响,以及TRPV1和PPARγ信号通路在骨髓巨噬细胞中的作用:结果:辣椒素治疗降低了体重增加、内脏脂肪含量、血液甘油三酯以及总胆固醇和非高密度脂蛋白胆固醇。这些改善与主动脉和颈动脉粥样硬化病变的减少有关。辣椒素还能改善肝脏氧化和炎症状态。白细胞在肠系膜神经丛上的滚动和粘附减少,表明全身炎症也有所减轻。辣椒素通过清道夫受体 A 减少胆固醇流入,通过 ATP 结合盒转运体 A1 增加胆固醇流出,从而减少了泡沫细胞的形成:这些发现强调了辣椒素作为预防动脉粥样硬化药物的潜力,突出了它在调节脂质代谢、泡沫细胞形成和炎症反应方面的综合作用。
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引用次数: 0
Plant miR6262 Modulates the Expression of Metabolic and Thermogenic Genes in Human Hepatocytes and Adipocytes. 植物 miR6262 可调节人肝细胞和脂肪细胞中代谢和产热基因的表达
IF 4.8 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-09-18 DOI: 10.3390/nu16183146
Ester Díez-Sainz, Fermín I Milagro, Paula Aranaz, José I Riezu-Boj, Silvia Lorente-Cebrián

Background: Edible plants have been linked to the mitigation of metabolic disturbances in liver and adipose tissue, including the decrease of lipogenesis and the enhancement of lipolysis and adipocyte browning. In this context, plant microRNAs could be key bioactive molecules underlying the cross-kingdom beneficial effects of plants. This study sought to explore the impact of plant-derived microRNAs on the modulation of adipocyte and hepatocyte genes involved in metabolism and thermogenesis.

Methods: Plant miR6262 was selected as a candidate from miRBase for the predicted effect on the regulation of human metabolic genes. Functional validation was conducted after transfection with plant miRNA mimics in HepG2 hepatocytes exposed to free fatty acids to mimic liver steatosis and hMADs cells differentiated into brown-like adipocytes.

Results: miR6262 decreases the expression of the predicted target RXRA in the fatty acids-treated hepatocytes and in brown-like adipocytes and affects the expression profile of critical genes involved in metabolism and thermogenesis, including PPARA, G6PC, SREBF1 (hepatocytes) and CIDEA, CPT1M and PLIN1 (adipocytes). Nevertheless, plant miR6262 mimic transfections did not decrease hepatocyte lipid accumulation or stimulate adipocyte browning.

Conclusions: these findings suggest that plant miR6262 could have a cross-kingdom regulation relevance through the modulation of human genes involved in lipid and glucose metabolism and thermogenesis in adipocytes and hepatocytes.

背景:食用植物与减轻肝脏和脂肪组织的代谢紊乱有关,包括减少脂肪生成、促进脂肪分解和脂肪细胞褐变。在这种情况下,植物 microRNA 可能是植物跨领域有益作用的关键生物活性分子。本研究试图探讨植物源 microRNA 对脂肪细胞和肝细胞参与代谢和产热的基因调控的影响:方法:根据对人类代谢基因调控作用的预测,从 miRBase 中筛选出植物 miR6262 作为候选。在暴露于游离脂肪酸以模拟肝脏脂肪变性的 HepG2 肝细胞和分化成棕色样脂肪细胞的 hMADs 细胞中转染植物 miRNA 模拟物后进行了功能验证。结果:在经脂肪酸处理的肝细胞和棕色样脂肪细胞中,miR6262 会降低预测靶标 RXRA 的表达,并影响参与代谢和产热的关键基因的表达谱,包括 PPARA、G6PC、SREBF1(肝细胞)和 CIDEA、CPT1M 和 PLIN1(脂肪细胞)。结论:这些研究结果表明,植物 miR6262 可通过调节脂肪细胞和肝细胞中参与脂质和葡萄糖代谢及产热的人类基因,实现跨领域调控。
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引用次数: 0
Fueling the Heart: What Are the Optimal Dietary Strategies in Heart Failure? 为心脏加油:心力衰竭患者的最佳饮食策略是什么?
IF 4.8 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-09-18 DOI: 10.3390/nu16183157
Anahita Ataran, Alexander Pompian, Hamidreza Hajirezaei, Rehman Lodhi, Ali Javaheri

Objectives: Heart failure (HF) is a global health concern with rising incidence and poor prognosis. While the essential role of nutritional and dietary strategies in HF patients is acknowledged in the existing scientific guidelines and clinical practice, there are no comprehensive nutritional recommendations for optimal dietary management of HF.

Methods: In this review, we discuss results from recent studies on the obesity paradox and the effects of calorie restriction and weight loss, intermittent fasting, the Western diet, the Mediterranean diet, the ketogenic diet, and the DASH diet on HF progression.

Results: Many of these strategies remain under clinical and basic investigation for their safety and efficacy, and there is considerable heterogeneity in the observed response, presumably because of heterogeneity in the pathogenesis of different types of HF. In addition, while specific aspects of cardiac metabolism, such as changes in ketone body utilization, might underlie the effects of certain dietary strategies on the heart, there is a critical divide between supplement strategies (i.e., with ketones) and dietary strategies that impact ketogenesis.

Conclusion: This review aims to highlight this gap by exploring emerging evidence supporting the importance of personalized dietary strategies in preventing progression and improving outcomes in the context of HF.

目的:心力衰竭(HF)是一个全球关注的健康问题,发病率不断上升,预后不良。虽然现有的科学指南和临床实践都承认营养和饮食策略在心力衰竭患者中的重要作用,但对于心力衰竭的最佳饮食管理,目前还没有全面的营养建议:在这篇综述中,我们讨论了最近关于肥胖悖论的研究结果,以及热量限制和体重减轻、间歇性禁食、西方饮食、地中海饮食、生酮饮食和 DASH 饮食对高血压进展的影响:其中许多策略的安全性和有效性仍在临床和基础研究中,观察到的反应存在相当大的异质性,这可能与不同类型心房颤动的发病机制存在异质性有关。此外,虽然心脏代谢的特定方面(如酮体利用的变化)可能是某些饮食策略对心脏影响的基础,但补充策略(即使用酮体)和影响酮体生成的饮食策略之间存在着关键的鸿沟:本综述旨在通过探讨支持个性化饮食策略在预防高血压进展和改善预后方面重要性的新证据,突出这一差距。
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引用次数: 0
Whole Plant Extracts for Neurocognitive Disorders: A Narrative Review of Neuropsychological and Preclinical Studies. 治疗神经认知障碍的全植物提取物:神经心理学和临床前研究综述》。
IF 4.8 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-09-18 DOI: 10.3390/nu16183156
Alessandro Piva, Giulia Benvegnù, Stefano Negri, Mauro Commisso, Sofia Ceccato, Linda Avesani, Flavia Guzzo, Cristiano Chiamulera

The incidence of neurodegenerative disorders like Alzheimer's or Parkinson's Disease, characterized by a progressive cognitive decline, is rising worldwide. Despite the considerable efforts to unveil the neuropsychological bases of these diseases, there is still an unmet medical need for effective therapies against cognitive deficits. In recent years, increasing laboratory evidence indicates the potential of phytotherapy as an integrative aid to improve cognitive functions. In this review, we describe the data of plant whole extracts or single compounds' efficacy on validated preclinical models and neuropsychological tests, aiming to correlate brain mechanisms underlying rodent behavioral responses to human findings. After a search of the literature, the overview was limited to the following plants: Dioscorea batatas, Ginkgo biloba, Melissa officinalis, Nigella sativa, Olea europaea, Panax ginseng, Punica granatum, and Vitis vinifera. Results showed significant improvements in different cognitive functions, such as learning and memory or visuospatial abilities, in both humans and rodents. However, despite promising laboratory evidence, clinical translation has been dampened by a limited pharmacological characterization of the single bioactive components of the herbal products. Depicting the contribution of the single phytochemicals to the phytocomplex's pharmacological efficacy could enable the comprehension of their potential synergistic activity, leading to phytotherapy inclusion in the existing therapeutic package against cognitive decline.

阿尔茨海默氏症或帕金森氏症等神经退行性疾病的发病率在全球范围内呈上升趋势,这些疾病的特点是认知能力逐渐下降。尽管人们在揭示这些疾病的神经心理学基础方面做出了巨大努力,但针对认知障碍的有效疗法仍未满足医疗需求。近年来,越来越多的实验室证据表明,植物疗法作为一种综合辅助手段,具有改善认知功能的潜力。在这篇综述中,我们描述了植物全提取物或单一化合物对已验证的临床前模型和神经心理学测试的疗效数据,旨在将啮齿动物行为反应的大脑机制与人类研究结果联系起来。在对文献进行检索后,概述仅限于以下植物:薯蓣、银杏、香薷、油橄榄、人参、石榴和葡萄。结果显示,人类和啮齿类动物的不同认知功能(如学习和记忆或视觉空间能力)均有明显改善。然而,尽管实验室证据令人鼓舞,但由于对草药产品中单一生物活性成分的药理学特征描述有限,临床转化受到了抑制。描述单一植物化学成分对植物复合物药效的贡献,可以理解其潜在的协同活性,从而将植物疗法纳入现有的认知功能衰退治疗方案中。
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引用次数: 0
Disparities in the Cardiometabolic Impact of Adiposity among African American and Hispanic Adolescents. 非裔美国人和西班牙裔青少年中肥胖对心脏代谢影响的差异。
IF 4.8 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-09-18 DOI: 10.3390/nu16183143
Pedro A Velásquez-Mieyer, Ramfis Nieto-Martinez, Andres E Velasquez, Xichen Mou, Stephanie Young-Moss, Jeffrey I Mechanick, Cori Cohen Grant, Claudia P Neira

As adiposity increases in youth, so does the prevalence of cardiometabolic risk factors (CMRFs). The etiology of adiposity-based chronic disease and CMRFs includes ethnoracial disparities that are rarely considered in current treatment approaches. Precision interventions require further characterization of these disparities among high-risk youth. The objective of this study was to characterize differences in CMRF among African American (AA) and Hispanic (H) adolescents with varying levels of adiposity. A cross-sectional analysis of 2284 adolescents aged 12-17 was conducted using 3-year clinical data from Lifedoc Health. CMRF prevalence were compared using χ2, with logistic regression models (LRM) applied to explore the relationships between exposures (age, sex, ethnoracial group, adiposity) and CMRF outcomes. Prevalence of CMRF rose with increasing adiposity, which was the strongest determinant of risk overall. However, individual risk profiles differed between the two groups, with H having higher prevalence of metabolic syndrome (MetS), higher triglycerides and liver enzymes, and low high-density lipoprotein cholesterol (HDL-c). Meanwhile, AA had higher prevalence of elevated blood pressure (BP) in the overweight category, prediabetes in overweight to severe obesity, and type 2 diabetes in obesity. LRM showed 3.0-fold greater chance of impaired glucose metabolism in AA than H, who were 1.7, 5.9, and 8.3 times more likely to have low HDL-c, high liver enzymes, and high triglycerides, respectively. Overweight/obesity prevalence was very high among AA and H adolescents. Excess adiposity was associated with an increased prevalence of CMRF, with individual risk factors differing between groups as adiposity increased. Research within routine clinical settings is required to better characterize these discrepancies and ameliorate their adverse impact on health in the transition to adulthood.

随着青少年肥胖程度的增加,心脏代谢风险因素(CMRFs)的发病率也在增加。基于肥胖的慢性疾病和 CMRFs 的病因包括人种差异,而目前的治疗方法很少考虑这些差异。精准干预需要进一步了解高危青少年中的这些差异。本研究的目的是描述非裔美国人(AA)和西班牙裔美国人(H)青少年之间不同程度脂肪过多导致的 CMRF 差异。研究使用 Lifedoc Health 公司提供的 3 年临床数据,对 2284 名 12-17 岁青少年进行了横断面分析。使用χ2比较了CMRF的患病率,并使用逻辑回归模型(LRM)探讨了暴露因素(年龄、性别、人种、脂肪含量)与CMRF结果之间的关系。CMRF的患病率随着脂肪率的增加而上升,而脂肪率是总体风险的最强决定因素。不过,两组人的个体风险特征有所不同,H 族人的代谢综合征(MetS)发病率较高,甘油三酯和肝酶较高,高密度脂蛋白胆固醇(HDL-c)较低。同时,在超重类别中,AA 的血压(BP)升高率较高;在超重至严重肥胖中,AA 的糖尿病前期患病率较高;在肥胖中,AA 的 2 型糖尿病患病率较高。低密度脂蛋白胆固醇 (HDL-c)、肝酶和甘油三酯偏高的几率分别是高密度脂蛋白胆固醇 (HDL-c)、肝酶和甘油三酯偏高的 1.7 倍、5.9 倍和 8.3 倍。在 AA 族和 H 族青少年中,超重/肥胖的发生率非常高。过度肥胖与 CMRF 患病率的增加有关,随着肥胖程度的增加,各组别的风险因素也有所不同。需要在常规临床环境中进行研究,以更好地确定这些差异的特征,并减轻其对成年过渡期健康的不利影响。
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引用次数: 0
An Oral Botanical Supplement Improves Small Intestinal Bacterial Overgrowth (SIBO) and Facial Redness: Results of an Open-Label Clinical Study. 口服植物补充剂可改善小肠细菌过度生长(SIBO)和面部发红:一项开放标签临床研究的结果。
IF 4.8 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-09-18 DOI: 10.3390/nu16183149
Mildred Min, Dawnica Nadora, Mincy Chakkalakal, Nasima Afzal, Chaitra Subramanyam, Nimrit Gahoonia, Adrianne Pan, Shivani Thacker, Yvonne Nong, Cindy J Chambers, Raja K Sivamani
<p><strong>Background: </strong>Small intestinal bacterial overgrowth (SIBO) is a common, yet underdiagnosed, gut condition caused by gut dysbiosis. A previous study has shown the potential of herbal therapy, providing equivalent results to rifaximin.</p><p><strong>Objectives: </strong>The objective of this study was to assess how the use of an oral botanical regimen may modulate the gut microbiome, facial erythema, and intestinal permeability in those with SIBO.</p><p><strong>Methods: </strong>This was an open-label prospective study of adults that had lactulose breath test-confirmed SIBO. Participants received a 10-week oral supplementation of a Biocidin liquid tincture and GI Detox+. If participants were found to be non-responsive to treatment after 10 weeks with a persistently positive lactulose breath test, a third oral supplement, Olivirex, was administered for an additional 4 weeks. Lactulose breath tests were administered at baseline, weeks 6, 10, and 14 to assess for SIBO status. A high-resolution photographic analysis system was utilized to analyze changes in facial erythema. Stool sample collections and venipuncture were performed to analyze the gut microbiome and intestinal permeability.</p><p><strong>Results: </strong>A total of 33 subjects were screened with breath testing, and 19 subjects were found to have SIBO. Three of the subjects withdrew during the screening period prior to baseline, and sixteen subjects enrolled. Four subjects dropped out after baseline. Hydrogen-dominant SIBO was the most common subtype of SIBO, followed by methane and hydrogen sulfide. The botanical regimen was most effective for hydrogen- and hydrogen sulfide-dominant SIBO, leading to negative breath test results at week 10 in 42.8% and 66.7% of participants, respectively. Compared to baseline, supplementation with the botanical regimen led to positive shifts in short-chain fatty acid-producing bacteria such as <i>A. muciniphila</i>, <i>F. prausnitzii</i>, <i>C. eutectus</i>, and <i>R. faecis</i> by 31.4%, 35.4%, 24.8%, and 48.7% percent at week 10, respectively. The mean abundance of <i>Firmicutes</i> decreased by 20.2%, <i>Bacteroides</i> increased by 30%, and the F/B ratio decreased by 25.4% at week 10 compared to baseline. At week 10, there was a trending 116% increase in plasma LPS/IgG (<i>p</i> = 0.08). There were no significant changes in plasma zonulin, DAO, histamine, DAO/histamine, LPS/IgG, LPS/IgA, or LPS/IgM. Facial erythema was not statistically different at week 6, but at week 10, there was a 20% decrease (<i>p</i> = 0.001) in redness intensity. Among the patients that extended to week 14, there was no statistical change in erythema.</p><p><strong>Conclusions: </strong>Supplementation with an antimicrobial botanical supplemental regimen may have therapeutic potential in hydrogen and hydrogen-sulfide subtypes of SIBO. Furthermore, the botanical supplemental regimen may reduce facial erythema, increase SCFA-producing bacteria, decrease the F/B
背景:小肠细菌过度生长(SIBO)是一种常见的肠道疾病,但由于肠道菌群失调而未得到充分诊断。之前的一项研究显示了草药疗法的潜力,其效果与利福昔明相当:本研究旨在评估口服植物疗法如何调节 SIBO 患者的肠道微生物群、面部红斑和肠道通透性:这是一项开放标签前瞻性研究,研究对象是经乳果糖呼气试验证实患有SIBO的成年人。参与者将接受为期10周的Biocidin液体酊剂和GI Detox+口服补充剂治疗。如果10周后发现参与者对治疗无反应,乳糖呼气试验持续呈阳性,则再口服4周第三种补充剂Olivirex。在基线、第 6 周、第 10 周和第 14 周进行乳糖呼气测试,以评估 SIBO 状态。利用高分辨率照片分析系统分析面部红斑的变化。采集粪便样本并进行静脉穿刺,以分析肠道微生物组和肠道通透性:共有 33 名受试者接受了呼气试验筛查,其中 19 名受试者被发现患有 SIBO。其中三名受试者在基线前的筛查期间退出,16 名受试者加入。四名受试者在基线后退出。以氢为主的 SIBO 是最常见的 SIBO 亚型,其次是甲烷和硫化氢。植物疗法对以氢气和硫化氢为主的 SIBO 最有效,分别有 42.8% 和 66.7% 的受试者在第 10 周的呼气试验结果呈阴性。与基线相比,在第 10 周时,补充植物疗法导致短链脂肪酸产生菌(如 A. muciniphila、F. prausnitzii、C. eutectus 和 R. faecis)发生了积极变化,分别增加了 31.4%、35.4%、24.8% 和 48.7%。与基线相比,第 10 周时固醇菌的平均丰度降低了 20.2%,乳酸菌增加了 30%,F/B 比率降低了 25.4%。第 10 周时,血浆 LPS/IgG 呈 116% 的增长趋势(p = 0.08)。血浆zonulin、DAO、组胺、DAO/组胺、LPS/IgG、LPS/IgA 或 LPS/IgM 均无明显变化。面部红斑在第 6 周时没有统计学差异,但在第 10 周时,红斑强度降低了 20% (p = 0.001)。在延长至第 14 周的患者中,红斑没有统计学变化:结论:补充抗菌植物补充疗法可能对氢亚型和硫化氢亚型 SIBO 有治疗潜力。此外,植物补充疗法可减少面部红斑、增加 SCFA 产菌、降低 F/B 比率并调节肠道通透性指标。
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Nutrients
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