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Sorghum bicolor polyphenol-rich extract improves insulin sensitivity and protect against chronic stress exacerbated diabetic nephropathy through modulation of Nrf2/NF-κB 富含高粱双色多酚的提取物通过调节 Nrf2/NF-κB 改善胰岛素敏感性并防止慢性应激加剧糖尿病肾病
Q2 Medicine Pub Date : 2024-10-01 DOI: 10.1016/j.obmed.2024.100557
Abayomi M. Ajayi , Tolulope E. Akintelu , Favour O. Igari , Olajuwon Okubena , Solomon Umukoro

Introduction

Sorghum bicolor leaf sheath is known for its rich phytoconstituents 3-in deoxyanthocyanidins with protective and health benefits in targeting oxidative stress, inflammation and apoptosis. This study aimed to investigate Sorghum bicolor polyphenol-rich extract (SBPE) and its combination with metformin on insulin resistance and diabetic nephropathy in high-fat/streptozotocin-induced diabetic rats exposed to chronic stress.

Methods

Antidiabetic and nephroprotective effects of SBPE was investigated in male Wistar rats fed with high-fat diet and injected streptozotocin (35 mg/kg) intraperitoneally. Diabetic rats were exposed to chronic unpredictable mild stress and orally treated with SBPE (200 mg/kg), metformin (250 mg/kg) and SBPE + metformin for 28 days. Kidney function parameters, FBS, insulin, adiponectin, kidney injury marker (KIM-1), triglycerides were determined. Renal tissues inflammatory (TNF-α, IL-1β, IL-10), oxidative stress, apoptotic (caspase-3,-9) and transcriptional factors (Nrf2 and NF-κB) were determined as well as histology.

Results

SBPE significantly reduced FBS, triglycerides insulin and parameters for insulin resistance in diabetic rats exposed to stress. Dysregulated electrolytes, urea, creatinine, adiponectin and KIM-1 were significantly reversed in SBPE and SBPE + metformin groups. SBPE treatment significantly reduced MDA, nitrites, TNF-α, and IL-1β levels, while GSH, catalase, SOD, GST and IL-10 were increased in renal tissues. Increased apoptotic markers (caspase-3, caspase-9) and NF-κB, along with reduced Nrf2 levels, were significantly reversed by SBPE and SBPE + metformin. Distorted kidney histomorphoarchitecture was reversed in SBPE-treated groups.

Conclusion

Sorghum bicolor polyphenol-rich extract and its combination with metformin showed promising antidiabetic effects in stress-exacerbated diabetes in rats through improving insulin sensitivity and nephroprotective mechanisms.
导言高粱双色叶鞘中含有丰富的植物成分3-in脱氧花青素,对氧化应激、炎症和细胞凋亡具有保护和保健作用。本研究旨在探讨富含高粱双色球多酚提取物(SBPE)及其与二甲双胍联用对高脂/链脲佐菌素诱导的糖尿病大鼠胰岛素抵抗和糖尿病肾病的影响。方法以雄性 Wistar 大鼠为研究对象,以高脂饮食喂养,腹腔注射链脲佐菌素(35 毫克/千克)。将糖尿病大鼠置于慢性不可预测的轻度应激中,并口服 SBPE(200 毫克/千克)、二甲双胍(250 毫克/千克)和 SBPE + 二甲双胍治疗 28 天。测定肾功能参数、FBS、胰岛素、脂肪连素、肾损伤标志物(KIM-1)和甘油三酯。结果SBPE显著降低了应激糖尿病大鼠的FBS、甘油三酯胰岛素和胰岛素抵抗参数。SBPE组和SBPE+二甲双胍组的电解质、尿素、肌酐、脂肪生成素和KIM-1失调情况明显逆转。SBPE 治疗明显降低了肾组织中的 MDA、亚硝酸盐、TNF-α 和 IL-1β 水平,而 GSH、过氧化氢酶、SOD、GST 和 IL-10 则有所增加。SBPE和SBPE+二甲双胍可显著逆转凋亡标志物(caspase-3、caspase-9)和NF-κB的增加以及Nrf2水平的降低。结论高粱双色球富含多酚的提取物及其与二甲双胍的组合通过改善胰岛素敏感性和肾脏保护机制,对应激加重型糖尿病大鼠表现出良好的抗糖尿病作用。
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引用次数: 0
Three scientists on GLP-1 based obesity drug development are sharing 2024 Lasker-DeBakey Clinical Research Award 三位研究基于 GLP-1 的肥胖症药物开发的科学家共享 2024 年拉斯克-德贝基临床研究奖
Q2 Medicine Pub Date : 2024-10-01 DOI: 10.1016/j.obmed.2024.100560
Tianru Jin
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引用次数: 0
Swimming exercise regulates indices of skeletal muscle glucose metabolism and attenuates cardiac inflammatory cytokines activity via IL-6/TNF-α pathway in streptozotocin-induced diabetic rats 游泳运动通过 IL-6/TNF-α 途径调节链脲佐菌素诱导的糖尿病大鼠骨骼肌葡萄糖代谢指标并减轻心脏炎症细胞因子的活性
Q2 Medicine Pub Date : 2024-10-01 DOI: 10.1016/j.obmed.2024.100559
Idara Asuquo Okon , David Chukwunyerem Nwachukwu , Favor Akpakpan Udoeyop , Bubaraye Robson Uko , Elizabeth Bassey Umoren , Tolunigba Abisola Kolawole , Ngozi glory Amadi , Deborah melford Owaji-Teleyem , Daniel Udofia Owu
Diabetes mellitus (DM) manifests with impaired glucose metabolism that affects the musculoskeletal and cardiovascular systems. This study investigated the effects of swimming exercise on some indices of muscle glucose metabolism and cardiac inflammatory markers in diabetic rats induced with streptozotocin. Wistar rats of both sexes (150–200 g) were assigned into five groups of seven (7) rats. Group 1: Control (CON), Group 2: Diabetes only (DM), Group 3: Exercise only (EX), Group 4: Diabetes + Exercise (DM + EX), Group 5: Diabetes + Insulin (DM + IN). Type 1 DM was induced via intraperitoneal injection of streptozotocin (60 mg/kg). Insulin (6 IU/g) was administered (IP) to animals in group 5. Swimming exercise test was done for 27 days after which animals were euthanized. Blood samples were collected while hamstring muscles and heart were harvested and homogenized to assess biochemical parameters. The body weight, serum insulin level, muscle glucose metabolic indices (glycogen, Glut-4, CK-MB), and cardiac troponin-T were significantly (P < 0.05) decreased. In contrast, the random blood glucose, cardiac TNF-α, and IL-6 levels were increased (P < 0.05) in diabetic rats when compared with the control group. Swimming exercise regimen significantly (P < 0.05) reversed these anomalies by reducing blood glucose and cardiac inflammatory cytokines (TNF-α and IL-6) levels, improving serum insulin, muscle glycogen, and GLUT-4 expression in diabetic rats when compared to the DM group. The cardiac inflammatory cytokine levels in DM + EX were comparable to the DM + IN group. In conclusion, swimming exercise improves muscle glucose metabolism and protects the heart against cardiac inflammation in diabetic conditions.
糖尿病(DM)表现为葡萄糖代谢受损,影响肌肉骨骼和心血管系统。本研究探讨了游泳运动对链脲佐菌素诱导的糖尿病大鼠肌肉葡萄糖代谢指标和心脏炎症指标的影响。将雌雄 Wistar 大鼠(150-200 克)分为五组,每组七只。第 1 组:对照组 (CON);第 2 组:仅糖尿病组 (DM);第 3 组:糖尿病组 (DM)第 3 组:仅运动(EX),第 4 组:糖尿病 + 运动(DM + EX),第 5 组:糖尿病 + 胰岛素(DM + IN)。通过腹腔注射链脲佐菌素(60 毫克/千克)诱发 1 型糖尿病。游泳运动测试持续 27 天,之后动物被安乐死。采集血液样本,同时收获腿筋肌肉和心脏并匀浆,以评估生化指标。体重、血清胰岛素水平、肌肉葡萄糖代谢指数(糖原、Glut-4、CK-MB)和心肌肌钙蛋白-T显著下降(P< 0.05)。相反,与对照组相比,糖尿病大鼠的随机血糖、心脏 TNF-α 和 IL-6 水平升高(P < 0.05)。与 DM 组相比,游泳运动能降低糖尿病大鼠的血糖和心脏炎症细胞因子(TNF-α 和 IL-6)水平,改善血清胰岛素、肌糖原和 GLUT-4 的表达,从而明显(P < 0.05)逆转这些异常现象。DM + EX组的心脏炎症细胞因子水平与DM + IN组相当。总之,游泳运动能改善糖尿病患者的肌肉葡萄糖代谢,保护心脏免受心脏炎症的影响。
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引用次数: 0
Sestrin2 at the crossroads of cardiovascular disease and diabetes: A comprehensive review 处于心血管疾病和糖尿病十字路口的 Sestrin2:全面回顾
Q2 Medicine Pub Date : 2024-10-01 DOI: 10.1016/j.obmed.2024.100558
S. Rooban , K.A. Arul Senghor , V.M. Vinodhini , J.S. Kumar
Cardiovascular diseases and Diabetes Mellitus are major global burdens, ranked at the highest in mortality rates; hence, there is an immediate need for new therapeutic targets. This review focuses on Sestrins and, in particular, SESN2, since it has a dual role in modulating oxidative stress and regulating cardiovascular health. Sestrins are stress-responsive proteins of great importance in cellular defense from oxidative damage, which is a key contributor to cardiovascular pathologies such as heart failure, atherosclerosis, and myocardial infarction. The last advances have shown that Sestrins participate in defense mechanisms against oxidative insults and mismanagement of metabolic and immune responses. These features place Sestrins among the valuable biomarkers and possible therapeutic targets in cardiovascular medicine. We synthesize current research relating molecular mechanisms to clinical application with a focus on the potential of Sestrins to shift treatment paradigms. In this article, we capture the translation of Sestrins for clinical use and their role in the management and disease prevention. We also outline the need for future research for the validation of this therapeutic efficacy of Sestrins across diverse populations and further characterization of their interactions within the complex network of cardiovascular pathology. Such research may, therefore, unlock novel treatment options and strategies toward managing and preventing CVD and DM in line with the urgent need for more effective intervention in the face of the rising prevalence of cardiovascular disease globally.
心血管疾病和糖尿病是全球的主要负担,死亡率最高;因此,迫切需要新的治疗靶点。本综述将重点关注胰岛素,尤其是 SESN2,因为它在调节氧化应激和心血管健康方面具有双重作用。Sestrins 是一种应激反应蛋白,在细胞防御氧化损伤方面具有重要作用,而氧化损伤是心衰、动脉粥样硬化和心肌梗塞等心血管疾病的主要诱因。最近的研究进展表明,胰岛素参与了氧化损伤的防御机制以及代谢和免疫反应的管理失误。这些特点使胰岛素成为心血管医学领域有价值的生物标志物和可能的治疗靶点。我们综述了当前有关分子机制和临床应用的研究,重点关注胰岛素在改变治疗模式方面的潜力。在这篇文章中,我们介绍了 Sestrins 的临床应用及其在疾病管理和预防中的作用。我们还概述了未来研究的必要性,以验证 Sestrins 在不同人群中的疗效,并进一步描述它们在复杂的心血管病理网络中的相互作用。因此,面对全球心血管疾病发病率的不断上升,我们迫切需要更有效的干预措施,而这些研究可能会为管理和预防心血管疾病和糖尿病提供新的治疗方案和策略。
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引用次数: 0
Erratum to “Effect of low-calorie ketogenic vs low-carbohydrate diets on body composition and other biomarkers of overweight/obese women: An 8 weeks randomised controlled trial” [Obes. Med. 41C (2023) 100496] 对 "低热量生酮饮食与低碳水化合物饮食对超重/肥胖女性身体成分和其他生物标志物的影响:一项为期 8 周的随机对照试验" [Obes.
Q2 Medicine Pub Date : 2024-10-01 DOI: 10.1016/j.obmed.2024.100556
Nour Amin Elsahoryi , Refat A. Alkurd , Hadil Subih , Ruba Musharbash
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引用次数: 0
Neurologic complications after bariatric surgery: An integrative review of the literature with case report 减肥手术后的神经并发症:文献综述与病例报告
Q2 Medicine Pub Date : 2024-09-13 DOI: 10.1016/j.obmed.2024.100553
Ingrid Brandão Cardoso Paz , Wallyson Pablo de Oliveira Souza , Carlos Antônio Soares de Sousa Filho , Antonione Santos Bezerra Pinto , Giuliano da Paz Oliveira
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引用次数: 0
Effects of black mulberry leaf extract on liver health and metabolic parameters in rats with high-fat diet-induced liver changes 黑桑叶提取物对高脂饮食引起肝脏变化的大鼠肝脏健康和代谢参数的影响
Q2 Medicine Pub Date : 2024-09-01 DOI: 10.1016/j.obmed.2024.100554
Leyli Zahra Bahreini Boroujeni , Mohammad Mehdi Haghighat_Lari , Abolfazl Ghandi , Seyed Mahmood Hashemian , Rana Shafabakhsh , Zarrin Banikazemi , Mohsen Taghizadeh

Aim

Non-alcoholic fatty liver disease (NAFLD) lacks a definitive treatment. Previous research indicates that fruits and vegetables may alleviate inflammatory markers and improve NAFLD outcomes. This study investigates the effects of black mulberry leaf extract on NAFLD induced by a high-fat diet in rats.

Methods

Male rats were randomized into control and high-fat diet groups. After four months on a high-fat diet, rats received black mulberry leaf extract at doses of 150, 300, and 600 mg/kg for eight weeks. Evaluations included weight, blood sugar, total cholesterol, triglycerides, and liver enzyme activities (AST, ALT).

Results

The high-fat diet resulted in increased weight (P < 0.0001), fasting plasma glucose (FPG) (P < 0.0001), triglycerides (P = 0.031), and total cholesterol (P < 0.0001), along with elevated serum levels of AST (P < 0.0001) and ALT (P = 0.009). Administration of black mulberry leaf extract significantly reduced weight (P = 0.008), FPG (P < 0.0001), total cholesterol (P = 0.0001), and ALT (P = 0.0001) and AST (P = 0.0001) levels in a dose-dependent manner at doses of 600 mg, 300 mg, and 150 mg per day.

Conclusion

Black mulberry leaf extract exhibits therapeutic potential in managing NAFLD. Further studies are warranted to comprehensively assess its impacts.

目的非酒精性脂肪肝(NAFLD)缺乏明确的治疗方法。以往的研究表明,水果和蔬菜可减轻炎症指标,改善非酒精性脂肪肝的治疗效果。本研究探讨了黑桑叶提取物对高脂饮食诱导的大鼠非酒精性脂肪肝的影响。方法将雄性大鼠随机分为对照组和高脂饮食组。雄性大鼠随机分为对照组和高脂饮食组,在高脂饮食四个月后,按 150、300 和 600 毫克/千克的剂量连续八周服用黑桑叶提取物。评估包括体重、血糖、总胆固醇、甘油三酯和肝酶活性(AST、ALT)。0001)、空腹血浆葡萄糖 (FPG) (P < 0.0001)、甘油三酯 (P = 0.031) 和总胆固醇 (P < 0.0001),以及血清中谷草转氨酶 (AST) (P < 0.0001) 和谷丙转氨酶 (ALT) (P = 0.009) 水平升高。服用黑桑叶提取物可明显降低体重(P = 0.008)、FPG(P < 0.0001)、总胆固醇(P = 0.0001)、谷丙转氨酶(P = 0.0001)和谷草转氨酶(P = 0.0001)水平,且呈剂量依赖性,剂量分别为每天 600 毫克、300 毫克和 150 毫克。黑桑叶提取物在控制非酒精性脂肪肝方面具有治疗潜力,需要进一步研究以全面评估其影响。
{"title":"Effects of black mulberry leaf extract on liver health and metabolic parameters in rats with high-fat diet-induced liver changes","authors":"Leyli Zahra Bahreini Boroujeni ,&nbsp;Mohammad Mehdi Haghighat_Lari ,&nbsp;Abolfazl Ghandi ,&nbsp;Seyed Mahmood Hashemian ,&nbsp;Rana Shafabakhsh ,&nbsp;Zarrin Banikazemi ,&nbsp;Mohsen Taghizadeh","doi":"10.1016/j.obmed.2024.100554","DOIUrl":"10.1016/j.obmed.2024.100554","url":null,"abstract":"<div><h3>Aim</h3><p>Non-alcoholic fatty liver disease (NAFLD) lacks a definitive treatment. Previous research indicates that fruits and vegetables may alleviate inflammatory markers and improve NAFLD outcomes. This study investigates the effects of black mulberry leaf extract on NAFLD induced by a high-fat diet in rats.</p></div><div><h3>Methods</h3><p>Male rats were randomized into control and high-fat diet groups. After four months on a high-fat diet, rats received black mulberry leaf extract at doses of 150, 300, and 600 mg/kg for eight weeks. Evaluations included weight, blood sugar, total cholesterol, triglycerides, and liver enzyme activities (AST, ALT).</p></div><div><h3>Results</h3><p>The high-fat diet resulted in increased weight (P &lt; 0.0001), fasting plasma glucose (FPG) (P &lt; 0.0001), triglycerides (P = 0.031), and total cholesterol (P &lt; 0.0001), along with elevated serum levels of AST (P &lt; 0.0001) and ALT (P = 0.009). Administration of black mulberry leaf extract significantly reduced weight (P = 0.008), FPG (P &lt; 0.0001), total cholesterol (P = 0.0001), and ALT (P = 0.0001) and AST (P = 0.0001) levels in a dose-dependent manner at doses of 600 mg, 300 mg, and 150 mg per day.</p></div><div><h3>Conclusion</h3><p>Black mulberry leaf extract exhibits therapeutic potential in managing NAFLD. Further studies are warranted to comprehensively assess its impacts.</p></div>","PeriodicalId":37876,"journal":{"name":"Obesity Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142230207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Vanillin, ferulic acid and their 1:1 combination inhibit lipid accumulation in 3T3 L1 adipocytes and 3D spheroids 香兰素、阿魏酸及其 1:1 组合可抑制 3T3 L1 脂肪细胞和三维球状体中的脂质积累
Q2 Medicine Pub Date : 2024-09-01 DOI: 10.1016/j.obmed.2024.100552
Sruthi N. Kumar, Prakash Kumar B., Harikumaran R. Nair

Background

Obesity is poised to be a major healthcare crisis worldwide. Genetic predisposition, inadequate activity, changing lifestyle and dietary patterns are cited as major causes for obesity. Even as a number of anti-obesity medications hit the market, there is still an ongoing quest to explore natural compounds, which are perceived as safer alternatives, for their anti-obesity activity. This study explores the anti-obesity potential of dietary polyphenols vanillin, ferulic acid and their combination using 3T3 L1 adipocytes and their 3D spheroids.

Methods

Studies were conducted on differentiated 3T3 L1 adipocytes and their 3D spheroids. Assays conducted on 3T3 L1 adipocytes include Oil red O, fluorescent Nile Red staining and triglyceride quantification to assess effect on lipid droplet accumulation. 2 NBDG was used to assess glucose uptake following drug treatment. 3D spheroid cultures were generated and triglyceride content was quantified. Effect of drug treatment on gene expression was analysed using qRT-PCR. Results of monolayer culture were compared with 3D spheroid models.

Results

Vanillin, ferulic acid and their combination lower intracellular triglyceride content and lipid droplet accumulation, inhibiting glucose uptake and conversion to triglycerides in 3T3 L1 adipocytes and their 3D spheroids. Compounds and their combination downregulated mRNA expression of C/EBP α and PPAR ɣ, FAS, ACC1, GLUT4, LPL, aP2. Vanillin treatment upregulated leptin mRNA expression.

Conclusion

Vanillin, ferulic acid and their combination lower lipid accumulation and glucose uptake in 3T3 L1 adipocytes and 3D spheroids.

背景肥胖症即将成为全球范围内的主要医疗危机。遗传易感性、活动不足、生活方式和饮食模式的改变被认为是导致肥胖的主要原因。尽管市场上出现了许多抗肥胖药物,但人们仍在不断探索天然化合物的抗肥胖活性,因为天然化合物被认为是更安全的替代品。本研究利用 3T3 L1 脂肪细胞及其三维球形体探讨了膳食多酚香兰素、阿魏酸及其组合的抗肥胖潜力。对 3T3 L1 脂肪细胞进行的检测包括油红 O、荧光尼罗河红染色和甘油三酯定量,以评估其对脂滴积累的影响。2 NBDG 用于评估药物处理后的葡萄糖摄取。生成三维球状培养物并对甘油三酯含量进行定量。使用 qRT-PCR 分析药物处理对基因表达的影响。结果香兰素、阿魏酸及其复方制剂降低了细胞内甘油三酯含量和脂滴积累,抑制了 3T3 L1 脂肪细胞及其三维球形细胞的葡萄糖摄取和甘油三酯转化。化合物及其组合可下调 C/EBP α 和 PPAR ɣ、FAS、ACC1、GLUT4、LPL、aP2 的 mRNA 表达。结论香兰素、阿魏酸及其复方制剂可降低 3T3 L1 脂肪细胞和三维球形细胞的脂质积累和葡萄糖摄取。
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引用次数: 0
The role of gut microbiota in non-alcoholic fatty liver disease pathogenesis 肠道微生物群在非酒精性脂肪肝发病机制中的作用
Q2 Medicine Pub Date : 2024-09-01 DOI: 10.1016/j.obmed.2024.100551
Hessam Yaghmaei , Seyed Ali Nojoumi , Masood Soltanipur , Hossein Yarmohammadi , Seyed Mohsen Mirhosseini , Mahdi Rezaei , Mohammadreza Jalali Nadoushan , Seyed Davar Siadat

Non-alcoholic fatty liver disease (NAFLD) is on the rise globally, both in adults and children. The "multiple-hits" hypothesis presents that various factors simultaneously impact the formation of NAFLD, one of which is gut microbiota (GM). Following damage to the intestinal barrier by dysbiosis, which increases permeability, the liver is constantly exposed to bacteria and related products. There is growing evidence that microbial metabolites may contribute to the pathogenicity of NAFLD. The pathogenic mechanisms of GM in NAFLD are not precisely known but gut dysbiosis appears to be associated with the development of NAFLD. In this article, we intend to review the probable mechanisms of GM pathogenesis in NAFLD.

非酒精性脂肪肝(NAFLD)在全球范围内呈上升趋势,无论是成人还是儿童。多重打击 "假说认为,多种因素同时影响非酒精性脂肪肝的形成,其中之一是肠道微生物群(GM)。肠道屏障因菌群失调而受到破坏,渗透性增加,肝脏就会不断接触到细菌和相关产物。越来越多的证据表明,微生物代谢产物可能是非酒精性脂肪肝的致病因素。非酒精性脂肪肝中转基因的致病机制尚不确切,但肠道菌群失调似乎与非酒精性脂肪肝的发生有关。在本文中,我们将回顾非酒精性脂肪肝中转基因致病的可能机制。
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引用次数: 0
Efficacy of low carbohydrate ketogenic diet in weight management: A narrative review 低碳水化合物生酮饮食对控制体重的功效:叙述性综述
Q2 Medicine Pub Date : 2024-07-15 DOI: 10.1016/j.obmed.2024.100550
Sabrina Zaman, Tamsel Ahammed

Obesity is a condition when the BMI (Body Mass Index) is 30 or higher. This body condition has become a serious health issue all over the world as it is the potential risk factor of many non-communicable diseases such as diabetes, hypertension, cardiovascular disease etc. Ketogenic diet has gained immense popularity as a means of weight loss. Ketogenic diet or low carbohydrate diet with high-fat content has turned out to be effective in weight management and reduce the potential risk factor of non-communicable diseases. However, the aim of this review is to understand the mechanism of production of ketone bodies which mainly act as the source of energy, and the impact of a ketogenic diet on reducing body weight. Extensive literature review was conducted to find out the related original research papers and review papers. This study revealed that timeframe of a ketogenic diet is an important factor in the weight management program. Studies with 6 months time periods were found to be significantly reduce weight than those with more than 6 months study duration. It was also observed that ketogenic diet-based studies with more than 6 months time period are not superior to a normal diet whereas within 6 months of ketogenic diet initiation program, a drastic change in weight can be experienced. Moreover, health practitioners are not fully convinced about this popular weight-reducing diet. Adherence to a ketogenic diet for longer periods is difficult, and the associated risk factors such as increased risk of heart disease, fatty liver, and insulin resistance are also a matter of health concern.

肥胖是指 BMI(身体质量指数)达到或超过 30。这种身体状况已成为全世界严重的健康问题,因为它是许多非传染性疾病(如糖尿病、高血压、心血管疾病等)的潜在风险因素。生酮饮食作为一种减肥方法,已受到广泛欢迎。生酮饮食或含高脂肪的低碳水化合物饮食已被证明能有效控制体重,减少非传染性疾病的潜在风险因素。然而,本综述旨在了解主要作为能量来源的酮体的产生机制,以及生酮饮食对减轻体重的影响。研究人员进行了广泛的文献综述,以找出相关的原始研究论文和综述论文。研究发现,生酮饮食的时间框架是体重管理计划的一个重要因素。研究发现,为期 6 个月的研究比为期 6 个月以上的研究能明显减轻体重。研究还发现,6 个月以上的生酮饮食研究并不比普通饮食更有优势,而在开始生酮饮食计划的 6 个月内,体重会发生急剧变化。此外,保健医生也不完全相信这种流行的减重饮食。长期坚持生酮饮食很困难,而且相关的风险因素,如心脏病、脂肪肝和胰岛素抵抗的风险增加,也是一个值得关注的健康问题。
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引用次数: 0
期刊
Obesity Medicine
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