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The importance of optimal body condition to maximise reproductive health and perinatal outcomes in pigs. 最佳身体状况对最大限度地提高猪的生殖健康和围产期结局的重要性。
IF 5.7 2区 医学 Q1 Nursing Pub Date : 2023-12-01 Epub Date: 2022-06-24 DOI: 10.1017/S0954422422000129
Bruno Bd Muro, Rafaella F Carnevale, Diego F Leal, Glen W Almond, Matheus S Monteiro, André P Poor, Allan P Schinckel, Cesar Ap Garbossa

Overnutrition or undernutrition during all or part of the reproductive cycle predisposes sows to metabolic consequences and poor reproductive health which contributes to a decrease in sow longevity and an increase in perinatal mortality. This represents not only an economic problem for the pig industry but also results in poor animal welfare. To maximise profitability and increase sustainability in pig production, it is pivotal to provide researchers and practitioners with synthesised information about the repercussions of maternal obesity or malnutrition on reproductive health and perinatal outcomes, and to pinpoint currently available nutritional managements to keep sows' body condition in an optimal range. Thus, the present review summarises recent work on the consequences of maternal malnutrition and highlights new findings.

在整个或部分繁殖周期中营养过剩或营养不良会使母猪容易产生代谢后果和生殖健康不良,从而导致母猪寿命缩短和围产期死亡率增加。这不仅是养猪业的经济问题,也导致了动物福利的低下。为了最大限度地提高生猪生产的盈利能力和可持续性,至关重要的是向研究人员和从业者提供关于母亲肥胖或营养不良对生殖健康和围产期结果影响的综合信息,并确定目前可用的营养管理方法,以使母猪的身体状况保持在最佳范围内。因此,本综述总结了最近关于孕产妇营养不良后果的工作,并强调了新的发现。
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引用次数: 5
Carotenoid metabolites, their tissue and blood concentrations in humans and further bioactivity via retinoid receptor-mediated signalling. 类胡萝卜素代谢物,其在人体组织和血液中的浓度以及通过类视黄受体介导的信号传导进一步的生物活性。
IF 5.7 2区 医学 Q1 Nursing Pub Date : 2023-12-01 Epub Date: 2022-11-16 DOI: 10.1017/S095442242200021X
Torsten Bohn, Angel R de Lera, Jean-Francois Landrier, Ralph Rühl

Many epidemiological studies have emphasised the relation between carotenoid dietary intake and their circulating concentrations and beneficial health effects, such as lower risk of cardiometabolic diseases and cancer. However, there is dispute as to whether the attributed health benefits are due to native carotenoids or whether they are instead induced by their metabolites. Several categories of metabolites have been reported, most notably involving (a) modifications at the cyclohexenyl ring or the polyene chain, such as epoxides and geometric isomers, (b) excentric cleavage metabolites with alcohol-, aldehyde- or carboxylic acid-functional groups or (c) centric cleaved metabolites with additional hydroxyl, aldehyde or carboxyl functionalities, not counting their potential phase-II glucuronidated / sulphated derivatives. Of special interest are the apo-carotenoids, which originate in the intestine and other tissues from carotenoid cleavage by β-carotene oxygenases 1/2 in a symmetrical / non-symmetrical fashion. These are more water soluble and more electrophilic and, therefore, putative candidates for interactions with transcription factors such as NF-kB and Nrf2, as well as ligands for RAR-RXR nuclear receptor interactions. In this review, we discuss in vivo detected apo-carotenoids, their reported tissue concentrations, and potential associated health effects, focusing exclusively on the human situation and based on quantified / semi-quantified carotenoid metabolites proven to be present in humans.

许多流行病学研究强调了类胡萝卜素的饮食摄入与其循环浓度和有益健康影响之间的关系,如降低心脏代谢疾病和癌症的风险。然而,对于归因于健康益处的是天然类胡萝卜素,还是由其代谢产物诱导,存在争议。已经报道了几种类型的代谢物,最显著的涉及(a)环己烯环或多烯链的修饰,如环氧化物和几何异构体,(b)具有醇、醛或羧酸官能团的偏心裂解代谢物,或(c)具有额外羟基、醛或羧基官能团的中心裂解代谢物,不包括它们潜在的II相葡糖醛酸化/硫酸化衍生物。特别令人感兴趣的是apo类胡萝卜素,它起源于肠道和其他组织,由β-胡萝卜素加氧酶1/2以对称/非对称的方式切割类胡萝卜素。它们更水溶性,更亲电,因此是与转录因子如NF-kB和Nrf2以及RAR-RXR核受体相互作用配体相互作用的假定候选者。在这篇综述中,我们讨论了体内检测到的apo类胡萝卜素、其报告的组织浓度和潜在的相关健康影响,专门关注人类情况,并基于已证明存在于人类中的定量/半定量类胡萝卜素代谢产物。
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引用次数: 2
Transfer of polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) and polychlorinated biphenyls (PCBs) from oral exposure into cow's milk - part II: toxicokinetic predictive models for risk assessment. 多氯二苯并对二恶英和二苯并呋喃(PCDD/Fs)和多氯联苯(PCBs)从口服接触转移到牛奶中——第二部分:用于风险评估的毒性动力学预测模型
IF 5.7 2区 医学 Q1 Nursing Pub Date : 2023-12-01 Epub Date: 2022-11-08 DOI: 10.1017/S0954422422000208
Jan-Louis Moenning, Torsten Krause, Julika Lamp, Ronald Maul, Hans Schenkel, Peter Fürst, Robert Pieper, Jorge Numata

Understanding the transfer of polychlorinated dibenzo-p-dioxins (PCDDs) and dibenzofurans (PCDFs) as well as polychlorinated biphenyls (PCBs) from oral exposure into cow's milk is not purely an experimental endeavour, as it has produced a large corpus of theoretical work. This work consists of a variety of predictive toxicokinetic models in the realms of health and environmental risk assessment and risk management. Their purpose is to provide mathematical predictive tools to organise and integrate knowledge on the absorption, distribution, metabolism and excretion processes. Toxicokinetic models are based on more than 50 years of transfer studies summarised in part I of this review series. Here in part II, several of these models are described and systematically classified with a focus on their applicability to risk analysis as well as their limitations. This part of the review highlights the opportunities and challenges along the way towards accurate, congener-specific predictive models applicable to changing animal breeds and husbandry conditions.

了解多氯二苯并对二恶英(PCDDs)和二苯并呋喃(PCDFs)以及多氯联苯(PCBs)从口腔暴露到牛奶中的转移不仅仅是一项实验工作,因为它已经产生了大量的理论工作。这项工作包括健康和环境风险评估和风险管理领域的各种预测毒代动力学模型。他们的目的是提供数学预测工具,以组织和整合有关吸收、分布、代谢和排泄过程的知识。毒代动力学模型基于本综述系列第一部分总结的50多年的转移研究。在第二部分中,对其中几个模型进行了描述和系统分类,重点是它们在风险分析中的适用性及其局限性。这部分综述强调了在建立适用于不断变化的动物品种和畜牧业条件的准确、同类特定预测模型的过程中所面临的机遇和挑战。
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引用次数: 1
Microbiota in anorexia nervosa: potential for treatment. 神经性厌食症的微生物群:治疗的潜力。
IF 5.7 2区 医学 Q1 Nursing Pub Date : 2023-12-01 Epub Date: 2022-07-25 DOI: 10.1017/S0954422422000130
Linda Landini, Prince Dadson, Fabrizio Gallo, Miikka-Juhani Honka, Hellas Cena

Anorexia nervosa (AN) is characterised by the restriction of energy intake in relation to energy needs and a significantly lowered body weight than normally expected, coupled with an intense fear of gaining weight. Treatment of AN is currently based on psychological and refeeding approaches, but their efficacy remains limited since 40% of patients after 10 years of medical care still present symptoms of AN. The intestine hosts a large community of microorganisms, called the "microbiota", which live in symbiosis with the human host. The gut microbiota of a healthy human is dominated by bacteria from two phyla: Firmicutes and, majorly, Bacteroidetes. However, the proportion in their representation differs on an individual basis and depends on many external factors including medical treatment, geographical location and hereditary, immunological and lifestyle factors. Drastic changes in dietary intake may profoundly impact the composition of the gut microbiota, and the resulting dysbiosis may play a part in the onset and/or maintenance of comorbidities associated with AN, such as gastrointestinal disorders, anxiety and depression, as well as appetite dysregulation. Furthermore, studies have reported the presence of atypical intestinal microbial composition in patients with AN compared with healthy normal-weight controls. This review addresses the current knowledge about the role of the gut microbiota in the pathogenesis and treatment of AN. The review also focuses on the bidirectional interaction between the gastrointestinal tract and the central nervous system (microbiota-gut-brain axis), considering the potential use of the gut microbiota manipulation in the prevention and treatment of AN.

神经性厌食症(AN)的特点是与能量需求相关的能量摄入受到限制,体重明显低于正常预期,再加上对体重增加的强烈恐惧。AN的治疗目前基于心理和再喂养方法,但其疗效仍然有限,因为经过10年的医疗护理后,40%的患者仍然出现AN症状。肠道中有一个被称为“微生物群”的大型微生物群落,与人类宿主共生。健康人的肠道微生物群主要由两个门的细菌组成:厚壁菌门,主要是拟杆菌门。然而,他们的代表比例因个人而异,取决于许多外部因素,包括医疗、地理位置以及遗传、免疫和生活方式因素。饮食摄入的急剧变化可能会深刻影响肠道微生物群的组成,由此产生的生态失调可能在与AN相关的合并症的发生和/或维持中发挥作用,如胃肠道疾病、焦虑和抑郁以及食欲失调。此外,研究报告称,与健康的正常体重对照组相比,AN患者存在非典型肠道微生物组成。这篇综述阐述了肠道微生物群在AN发病机制和治疗中的作用。这篇综述还关注胃肠道和中枢神经系统(微生物群-肠-脑轴)之间的双向相互作用,考虑到肠道微生物群操作在预防和治疗AN中的潜在用途。
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引用次数: 2
Multi-nutrient interventions and cognitive ageing: are we barking up the right tree? 多种营养干预与认知老化:我们找对了吗?
IF 5.7 2区 医学 Q1 Nursing Pub Date : 2023-12-01 Epub Date: 2022-09-26 DOI: 10.1017/S095442242200018X
Hayley A Young, Lucie Geurts, Nikolaos Scarmeas, David Benton, Lorraine Brennan, Jonathan Farrimond, Amanda J Kiliaan, Amy Pooler, Laura Trovò, John Sijben, David Vauzour

As we continue to elucidate the mechanisms underlying age-related brain diseases, the reductionist strategy in nutrition–brain function research has focused on establishing the impact of individual foods. However, the biological processes connecting diet and cognition are complex. Therefore, consideration of a combination of nutritional compounds may be most efficacious. One barrier to establishing the efficacy of multi-nutrient interventions is that the area lacks an established set of evidence-based guidelines for studying their effect on brain health. This review is an output of the International Life Sciences Institute (ILSI) Europe. A multi-disciplinary expert group was assembled with the aim of developing a set of considerations to guide research into the effects of multi-nutrient combinations on brain functions. Consensus recommendations converged on six key issues that should be considered to advance research in this area: (1) establish working mechanisms of the combination and contributions of each individual compound; (2) validate the relevance of the mechanisms for the targeted human condition; (3) include current nutrient status, intake or dietary pattern as inclusion/exclusion criteria in the study design; (4) select a participant population that is clinically and biologically appropriate for all nutritional components of the combination; (5) consider a range of cognitive outcomes; (6) consider the limits of reductionism and the ‘gold standard’ randomised controlled trial. These guiding principles will enhance our understanding of the interactive/complementary activities of dietary components, thereby strengthening the evidence base for recommendations aimed at delaying cognitive decline.

随着我们继续阐明与年龄相关的大脑疾病的潜在机制,营养-大脑功能研究中的还原论策略侧重于确定单个食物的影响。然而,连接饮食和认知的生物学过程是复杂的。因此,考虑营养化合物的组合可能是最有效的。确定多种营养干预效果的一个障碍是,该地区缺乏一套既定的循证指南来研究其对大脑健康的影响。这篇综述是欧洲国际生命科学研究所(ILSI)的成果。成立了一个多学科专家组,目的是制定一套考虑因素,以指导多种营养组合对大脑功能影响的研究。协商一致的建议集中在六个关键问题上,这些问题应被考虑以推进这一领域的研究:(1)建立每种化合物的组合和贡献的工作机制;(2) 验证这些机制与目标人类状况的相关性;(3) 将当前营养状况、摄入量或饮食模式作为纳入/排除标准纳入研究设计;(4) 选择临床上和生物学上适合于该组合的所有营养成分的参与者群体;(5) 考虑一系列认知结果;(6) 考虑一下还原论和金标准随机对照试验的局限性。这些指导原则将增强我们对饮食成分的互动/互补活动的理解,从而加强旨在延缓认知能力下降的建议的证据基础。
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引用次数: 0
Nutritional considerations in major depressive disorder: current evidence and functional testing for clinical practice. 重度抑郁障碍的营养考虑:临床实践的现有证据和功能测试。
IF 5.7 2区 医学 Q1 Nursing Pub Date : 2023-11-15 DOI: 10.1017/S0954422423000276
Kathryn Khiroya, Eric Sekyere, Bradley McEwen, Jessica Bayes

Depression is a multifaceted condition with diverse underlying causes. Several contributing and inter-related factors such as genetic, nutritional, neurological, physiological, gut-brain-axis, metabolic and psychological stress factors play a role in the pathophysiology of depression. This review aims to highlight the role that nutritional factors play in the aetiology of depression. Secondly, we discuss the biomedical and functional pathology tests which measure these factors, and the current evidence supporting their use. Lastly, we make recommendations on how practitioners can incorporate the latest evidence-based research findings into clinical practice. This review highlights that diet and nutrition greatly affect the pathophysiology of depression. Nutrients influence gene expression, with folate and vitamin B12 playing vital roles in methylation reactions and homocysteine regulation. Nutrients are also involved in the tryptophan/kynurenine pathway and the expression of brain-derived neurotrophic factor (BDNF). Additionally, diet influences the hypothalamic-pituitary-adrenal (HPA) response and the composition and diversity of the gut microbiome, both of which have been implicated in depression. A comprehensive dietary assessment, combined with appropriate evaluation of biochemistry and blood pathology, may help uncover contributing factors to depressive symptoms. By employing such an approach, a more targeted and personalised treatment strategy can be devised, ultimately leading to improved patient outcomes.

抑郁症是一种多方面的疾病,其潜在原因多种多样。遗传、营养、神经、生理、肠-脑-轴、代谢和心理应激等因素在抑郁症的病理生理中起着重要作用。方法:综述营养因素在抑郁症病因学中的作用。其次,我们讨论了测量这些因素的生物医学和功能病理学测试,以及目前支持它们使用的证据。最后,我们就从业者如何将最新的循证研究成果纳入临床实践提出了建议。这篇综述强调饮食和营养对抑郁症的病理生理有很大的影响。营养物质影响基因表达,叶酸和维生素B12在甲基化反应和同型半胱氨酸调节中起重要作用。营养物质还参与色氨酸/犬尿氨酸途径和脑源性神经营养因子(BDNF)的表达。此外,饮食影响下丘脑-垂体-肾上腺(HPA)反应以及肠道微生物组的组成和多样性,这两者都与抑郁症有关。全面的饮食评估,结合适当的生物化学和血液病理学评估,可能有助于发现导致抑郁症状的因素。通过采用这种方法,可以设计出更有针对性和个性化的治疗策略,最终改善患者的治疗效果。
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引用次数: 0
Sleep deprivation in development of obesity, effects on appetite regulation, energy metabolism, and dietary choices. 睡眠不足与肥胖的发展、对食欲调节、能量代谢和饮食选择的影响。
IF 5.7 2区 医学 Q1 Nursing Pub Date : 2023-10-31 DOI: 10.1017/S0954422423000264
Masoumeh Akhlaghi, Ali Kohanmoo

Sleep deprivation, which is a decrease in duration and quality of sleep, is a common problem in today's life. Epidemiological and interventional investigations have suggested a link between sleep deprivation and overweight/obesity. Sleep deprivation affects homeostatic and non-homoeostatic regulation of appetite, with the food reward system playing a dominant role. Factors such as sex and weight status affect this regulation; men and individuals with excess weight seem to be more sensitive to reward-driven and hedonistic regulation of food intake. Sleep deprivation may also affect weight through affecting physical activity and energy expenditure. In addition, sleep deprivation influences food selection and eating behaviours, which are mainly managed by the food reward system. Sleep-deprived individuals mostly crave for palatable energy-dense foods and have low desire for fruit and vegetables. Consumption of meals may not change but energy intake from snacks increases. The individuals have more desire for snacks with high sugar and saturated fat content. The relationship between sleep and the diet is mutual, implying that diet and eating behaviours also affect sleep duration and quality. Consuming healthy diets containing fruit and vegetables and food sources of protein and unsaturated fats and low quantities of saturated fat and sugar may be used as a diet strategy to improve sleep. Since the effects of sleep deficiency differ between animals and humans, only evidence from human subject studies has been included, controversies are discussed and the need for future investigations is highlighted.

睡眠不足是指睡眠时间和质量的下降,是当今生活中的一个常见问题。流行病学和介入调查表明睡眠不足与超重/肥胖之间存在联系。睡眠剥夺影响食欲的稳态和非稳态调节,其中食物奖励系统起主导作用。性别和体重状况等因素会影响这种调节;男性和超重者似乎对奖励驱动和享乐性的食物摄入调节更敏感。睡眠不足也可能通过影响身体活动和能量消耗来影响体重。此外,睡眠不足会影响食物的选择和进食行为,而这些行为主要由食物奖励系统来管理。睡眠不足的人大多渴望美味的高能量食物,对水果和蔬菜的欲望较低。膳食消耗可能不会改变,但零食的能量摄入会增加。个体对高糖和饱和脂肪含量高的零食有更大的欲望。睡眠和饮食之间的关系是相互的,这意味着饮食和饮食行为也会影响睡眠时间和质量。食用含有水果和蔬菜、蛋白质和不饱和脂肪以及少量饱和脂肪和糖的健康饮食可以作为改善睡眠的饮食策略。由于睡眠不足的影响在动物和人类之间有所不同,因此只纳入了人类研究的证据,讨论了争议,并强调了未来研究的必要性。
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引用次数: 0
Who consumes ultra-processed food? A systematic review of sociodemographic determinants of ultra-processed food consumption from nationally representative samples. 谁食用超加工食品?从具有全国代表性的样本中对超加工食品消费的社会人口决定因素进行系统审查。
IF 5.7 2区 医学 Q1 Nursing Pub Date : 2023-10-31 DOI: 10.1017/S0954422423000240
Samuel J Dicken, Sulmaaz Qamar, Rachel L Batterham

Ultra-processed food (UPF) intake is associated with increased non-communicable disease risks. However, systematic reports on sociodemographic predictors of UPF intake are lacking. This review aimed to understand UPF consumption based on sociodemographic factors, using nationally representative cohorts. The systematic review was pre-registered (PROSPERO:CRD42022360199), following PRISMA guidelines. PubMed/MEDLINE searches (‘ultra-processed/ultraprocessed’ and ‘ultra-processing/ultraprocessing’) until 7 September 2022 retrieved 1131 results. Inclusion criteria included: observational, nationally representative adult samples, in English, in peer-reviewed journals, assessing the association between sociodemographics and individual-level UPF intake defined by the NOVA classification. Exclusion criteria included: not nationally representative, no assessment of sociodemographics and individual-level UPF intake defined by NOVA. Risk of bias was assessed using the Newcastle–Ottawa Scale (NOS). Fifty-five papers were included, spanning thirty-two countries. All thirteen sociodemographic variables identified were significantly associated with UPF intake in one or more studies. Significant differences in UPF intake were seen across age, race/ethnicity, rural/urbanisation, food insecurity, income and region, with up to 10–20% differences in UPF intake (% total energy). Higher UPF intakes were associated with younger age, urbanisation and being unmarried, single, separated or divorced. Education, income and socioeconomic status showed varying associations, depending on country. Multivariate analyses indicated that associations were independent of other sociodemographics. Household status and gender were generally not associated with UPF intake. NOS averaged 5·7/10. Several characteristics are independently associated with high UPF intake, indicating large sociodemographic variation in non-communicable disease risk. These findings highlight significant public health inequalities associated with UPF intake, and the urgent need for policy action to minimise social injustice-related health inequalities.

超加工食品(UPF)的摄入与非传染性疾病风险的增加有关。然而,缺乏关于UPF摄入的社会人口学预测因素的系统报告。这篇综述旨在利用具有全国代表性的队列,了解基于社会人口因素的UPF消费。系统审查是按照PRISMA指南预先注册的(PROSPERO:CDR42022360199)。PubMed/MEDLINE搜索(“超处理/超处理”和“超处理”)至2022年9月7日检索到1131个结果。纳入标准包括:观察性的、具有全国代表性的成人样本,英文,发表在同行评审期刊上,评估社会人口统计学与NOVA分类定义的个人UPF摄入量之间的关系。排除标准包括:没有全国代表性,没有对NOVA定义的社会人口统计和个人水平UPF摄入量进行评估。使用纽卡斯尔-渥太华量表(NOS)评估偏倚风险。收录了55篇论文,涉及32个国家。在≥1项研究中,所有13个社会人口学变量均与UPF摄入量显著相关。UPF摄入量在年龄、种族/民族、农村/城市化、粮食不安全、收入和地区之间存在显著差异,UPF摄入量(%总能量)差异高达10-20%。UPF摄入量较高与年龄较小、城市化以及未婚、单身、分居或离婚有关。教育、收入和社会经济地位之间的关系因国家而异。多变量分析表明,这些关联与其他社会人口统计数据无关。家庭状况和性别通常与UPF的摄入无关。NOS平均5.7/10。几个特征与高UPF摄入量独立相关,表明非传染性疾病风险的社会人口统计学差异很大。这些发现突出了与UPF摄入相关的重大公共卫生不平等,以及迫切需要采取政策行动,最大限度地减少与社会不公正相关的健康不平等。
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引用次数: 0
The impact of botanical fermented foods on metabolic syndrome and type 2 diabetes: a systematic review of randomised controlled trials. 植物发酵食品对代谢综合征和2型糖尿病的影响:随机对照试验的系统综述。
IF 5.7 2区 医学 Q1 Nursing Pub Date : 2023-10-26 DOI: 10.1017/S0954422423000252
Miin Chan, Nadja Larsen, Helen Baxter, Lene Jespersen, Elif I Ekinci, Kate Howell

Our systematic review assessed the impact of botanical fermented food (BFF) consumption on glucose, lipid, anthropometric, inflammatory and gut microbiota parameters, in adults with metabolic syndrome (MetS), MetS components or type 2 diabetes mellitus (T2DM). Embase, MEDLINE, Cochrane CENTRAL and Google Scholar were searched with no language limits, from inception to 31 August 2022, for eligible randomised controlled trials (RCTs). Two independent reviewers screened 6873 abstracts and extracted relevant data. Risk of bias (ROB) was assessed using the Cochrane Collaboration's ROB2 tool. The final review included twenty-six RCTs, with thirty-one reports published between 2001 and 2022. Significant (p < 0·05) within-group and between-group changes in cardiometabolic outcome means were reported in twenty-three and nineteen studies, respectively. Gut microbiota composition was assessed in four studies, with two finding significant between-group differences. No significant difference between groups of any measured outcomes was observed in five studies. There were fourteen studies at low ROB; ten were of some concern; and two were at high ROB. In 73% of included studies, BFF consumption by participants with obesity, MetS or T2DM led to significant between-group improvements in discrete cardiometabolic outcomes, including fasting blood glucose, lipid profile, blood pressure, waist circumference, body fat percentage and C-reactive protein. BFF consumption increased the abundance of beneficial gut bacteria, such as Bifidobacterium and LAB, whilst reducing potential pathogens such as Bacteroides. To determine the clinical significance of BFFs as therapeutic dietary adjuncts, their safety, tolerability and affordability must be balanced with the limited power and magnitude of these preliminary findings.

我们的系统综述评估了食用植物发酵食品(BFF)对患有代谢综合征(MetS)、代谢综合征成分或2型糖尿病(T2DM)的成年人的葡萄糖、脂质、人体测量、炎症和肠道微生物群参数的影响。从开始到2022年8月31日,Embase、MEDLINE、Cochrane CENTRAL和Google Scholar在没有语言限制的情况下进行了搜索,以获得符合条件的随机对照试验(RCT)。两位独立评审员筛选了6873篇摘要,并提取了相关数据。使用Cochrane Collaboration的ROB2工具评估偏倚风险(ROB)。最终审查包括26项随机对照试验,2001年至2022年间发表了31份报告。显著(pBifidobacterium和LAB,同时减少拟杆菌等潜在病原体。为了确定BFFs作为治疗性膳食辅料的临床意义,必须将其安全性、耐受性和可负担性与这些初步发现的有限力量和规模相平衡。
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引用次数: 0
Factors associated with eating rate: a systematic review and narrative synthesis informed by socio-ecological model. 与进食率相关的因素:社会生态学模型的系统综述和叙述综合。
IF 5.7 2区 医学 Q1 Nursing Pub Date : 2023-09-26 DOI: 10.1017/S0954422423000239
Yang Chen, Anna Fogel, Yue Bi, Ching Chiuan Yen

Accumulating evidence shows associations between rapid eating and overweight. Modifying eating rate might be a potential weight management strategy without imposing additional dietary restrictions. A comprehensive understanding of factors associated with eating speed will help with designing effective interventions. The aim of this review was to synthesise the current state of knowledge on the factors associated with eating rate. The socio-ecological model (SEM) was utilised to scaffold the identified factors. A comprehensive literature search of eleven databases was conducted to identify factors associated with eating rate. The 104 studies that met the inclusion criteria were heterogeneous in design and methods of eating rate measurement. We identified thirty-nine factors that were independently linked to eating speed and mapped them onto the individual, social and environmental levels of the SEM. The majority of the reported factors pertained to the individual characteristics (n = 20) including demographics, cognitive/psychological factors and habitual food oral processing behaviours. Social factors (n = 11) included eating companions, social and cultural norms, and family structure. Environmental factors (n = 8) included food texture and presentation, methods of consumption or background sounds. Measures of body weight, food form and characteristics, food oral processing behaviours and gender, age and ethnicity were the most researched and consistent factors associated with eating rate. A number of other novel and underresearched factors emerged, but these require replication and further research. We highlight directions for further research in this space and potential evidence-based candidates for interventions targeting eating rate.

越来越多的证据表明快速饮食和超重之间存在关联。在不施加额外饮食限制的情况下,改变进食率可能是一种潜在的体重管理策略。全面了解与进食速度相关的因素将有助于设计有效的干预措施。这篇综述的目的是综合目前与进食率相关因素的知识状况。社会生态模型(SEM)用于支架确定的因素。对11个数据库进行了全面的文献检索,以确定与进食率相关的因素。符合纳入标准的104项研究在设计和进食率测量方法方面存在异质性。我们确定了39个与进食速度独立相关的因素,并将其映射到SEM的个人、社会和环境水平上。大多数报告的因素与个人特征(n=20)有关,包括人口统计学、认知/心理因素和习惯性食物口腔加工行为。社会因素(n=11)包括同伴、社会和文化规范以及家庭结构。环境因素(n=8)包括食物质地和呈现、食用方法或背景声音。体重、食物形态和特征、食物口腔加工行为以及性别、年龄和种族是与进食率相关的最受研究和一致的因素。出现了许多其他新颖且研究不足的因素,但这些因素需要复制和进一步研究。我们强调了在这一领域进一步研究的方向,以及针对进食率的干预措施的潜在循证候选者。
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Nutrition Research Reviews
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