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Dietary Patterns and Brain Aging: Enthusiasm Before Evidence? 饮食模式与大脑衰老:证据面前的热情?
IF 13.4 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2025-08-01 DOI: 10.1146/annurev-nutr-013125-030429
Sarah L Booth, Laural K English, Nicole A Reigh, Paul F Jacques, Brent P Forester, M Kyla Shea

Diet quality has been proposed as a determinant of brain aging, which has attracted considerable attention given the current global demographic shift toward older age. Comprehensive global systematic reviews that have explored dietary patterns and brain aging highlight a recurrent theme. Any healthy dietary pattern that includes higher consumption of vegetables, fruits, legumes, nuts, fish and/or seafood, and unsaturated vegetable oils/fats and lower consumption of red and processed meats and sugar-sweetened beverages is associated with lower risk of age-related neurodegenerative disease. The biologic mechanism(s) underlying these cognitive protective effects are unknown. Furthermore, it is unlikely that consumption of a healthy dietary pattern alone will achieve clinically relevant success in reducing risk of cognitive decline and/or dementia given that there is no single risk factor that accounts for the variation in brain aging.

饮食质量被认为是大脑衰老的一个决定因素,鉴于目前全球人口向老年化的转变,这一观点引起了相当大的关注。研究饮食模式和大脑衰老的全面全球系统综述强调了一个反复出现的主题。任何健康的饮食模式,包括多吃蔬菜、水果、豆类、坚果、鱼和/或海鲜,以及不饱和植物油/脂肪,少吃红肉和加工肉类以及含糖饮料,都能降低患与年龄有关的神经退行性疾病的风险。这些认知保护作用的生物学机制尚不清楚。此外,考虑到没有单一的风险因素可以解释大脑衰老的变化,单靠健康的饮食模式不太可能在降低认知能力下降和/或痴呆风险方面取得临床相关的成功。
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引用次数: 0
Regulation of Adipose Tissue Metabolism During Fasting. 禁食期间脂肪组织代谢的调节。
IF 13.4 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2025-08-01 Epub Date: 2025-05-06 DOI: 10.1146/annurev-nutr-120524-013857
Philip M M Ruppert, Sander Kersten

There is widespread interest in fasting as a therapeutic or preventive regimen for improving health. This review provides an overview of the impact of fasting on adipose tissue metabolism, with special attention to sexually dimorphic regulation. During fasting, the storage of triacylglycerols in adipose tissue is inhibited via suppression of the extracellular lipolytic enzyme lipoprotein lipase. By contrast, the breakdown of stored triacylglycerols and subsequent release of fatty acids and glycerol in the blood are enhanced via stimulation of the intracellular lipolytic enzymes adipose triglyceride lipase and hormone-sensitive lipase. These metabolic alterations are driven by changes in humoral factors such as insulin, glucagon, corticosteroids, growth hormone, and catecholamines, as well as by neuronal pathways, and are mediated by transcriptional and posttranscriptional regulation of critical enzymes. Overall, fasting profoundly influences adipose tissue metabolism and leads to mobilization of stored triacylglycerols and the repartitioning of circulating triacylglycerols to nonadipose tissues.

人们对禁食作为一种改善健康的治疗或预防方案有着广泛的兴趣。这篇综述综述了禁食对脂肪组织代谢的影响,特别关注性别二态调节。在禁食期间,通过抑制细胞外脂溶酶脂蛋白脂酶,脂肪组织中三酰基甘油的储存被抑制。相反,通过刺激细胞内脂解酶脂肪甘油三酯脂肪酶和激素敏感脂肪酶,血液中储存的三酰甘油的分解和随后脂肪酸和甘油的释放得到加强。这些代谢改变是由胰岛素、胰高血糖素、皮质类固醇、生长激素和儿茶酚胺等体液因子的变化以及神经元通路驱动的,并由关键酶的转录和转录后调节介导。总的来说,禁食深刻地影响脂肪组织代谢,并导致储存的甘油三酯的动员和循环的甘油三酯向非脂肪组织的重新分配。
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引用次数: 0
New Insights into Folate-Vitamin B12 Interactions. 叶酸-维生素B12相互作用的新见解。
IF 13.4 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2025-08-01 Epub Date: 2025-05-02 DOI: 10.1146/annurev-nutr-120524-043056
Luisa F Castillo, Caitlyn M Pelletier, Katarina E Heyden, Martha S Field

Folate and vitamin B12 (B12) are essential cofactors in folate-mediated one-carbon metabolism (FOCM). FOCM includes a series of methyl transfer reactions for methionine regeneration and de novo synthesis of nucleotides, including thymidylate. Deficiency in either folate or B12 can result in negative health outcomes including megaloblastic anemia, with additional neurocognitive impairments observed as a result of B12 deficiency. While folate deficiency is not common in the United States due to mandatory folic acid fortification, B12 deficiency is observed more frequently, particularly in certain subpopulations such as vegetarians/vegans and older adults. Fortification of the food supply with folic acid has been effective to increase folate status and reduce the incidence of birth defects. However, consumption of fortified foods and use of dietary supplements containing folic acid have led to an increase in the proportion of individuals exceeding the tolerable upper intake level of folic acid. Although the interaction between folate and B12 has been appreciated for decades in relation to megaloblastic anemia, it has been recently proposed that elevated serum folate may worsen neurocognitive effects and other metabolic impairments (altered glucose homeostasis, type 2 diabetes in offspring) associated with B12 deficiency. This review highlights molecular mechanisms that may explain the biology underlying these associations with a focus on findings from studies in model systems.

叶酸和维生素B12 (B12)是叶酸介导的单碳代谢(FOCM)的重要辅助因子。FOCM包括一系列的甲基转移反应,用于蛋氨酸再生和从头合成核苷酸,包括胸苷酸。叶酸或B12缺乏都可能导致负面的健康结果,包括巨幼细胞性贫血,并因B12缺乏而观察到额外的神经认知障碍。虽然叶酸缺乏症在美国并不常见,但由于强制强化叶酸,B12缺乏症更为常见,特别是在某些亚人群中,如素食者/纯素食者和老年人。用叶酸强化食物供应已有效地提高叶酸水平和减少出生缺陷的发生率。然而,食用强化食品和使用含有叶酸的膳食补充剂导致叶酸摄入量超过可容忍上限的个人比例增加。虽然叶酸和B12之间的相互作用与巨幼细胞性贫血的关系已经被认识了几十年,但最近有人提出,血清叶酸升高可能会加重与B12缺乏相关的神经认知效应和其他代谢损伤(葡萄糖稳态改变,后代2型糖尿病)。这篇综述强调了分子机制,可以解释这些关联的生物学基础,重点是模型系统研究的结果。
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引用次数: 0
How I Became the "Goddess of Vitamin E". 我是如何成为“维生素E女神”的。
IF 13.4 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2025-08-01 Epub Date: 2025-03-28 DOI: 10.1146/annurev-nutr-111324-115034
Maret G Traber

My scientific journey is not traditional; it begins with the career opportunities available for and expectations of young women during the outset of the women's liberation era and how life changed along the way. I've started my story when I was a child in the 1950s, daughter of a milkman and an immigrant fleeing the communists in her home country. My story reaches an apex when I became an internationally recognized vitamin E expert. Overall, I made transformative contributions to our understanding of α-tocopherol function in humans, and, using model systems, I have reported how its absence has a major impact on cellular metabolism. This is the story of my transformation. I have had some excellent mentors. I have a passion about learning why the body needs α-tocopherol. Certainly, when I started out, I had no expectations that I would become a world-renowned scientist, a term I now use to describe myself.

我的科学之旅并不传统;它从妇女解放时代开始时年轻妇女的职业机会和期望开始,以及在此过程中生活的变化。我的故事是从20世纪50年代开始的,那时我还是个孩子,父亲是一名送奶工,父亲是逃离祖国共产党统治的移民。当我成为国际公认的维生素E专家时,我的故事达到了顶峰。总的来说,我对我们对人类α-生育酚功能的理解做出了变革性的贡献,并且,使用模型系统,我报告了α-生育酚的缺失如何对细胞代谢产生重大影响。这是我转变的故事。我有一些优秀的导师。我热衷于了解为什么身体需要α-生育酚。当然,当我开始工作的时候,我没有想到我会成为一个世界知名的科学家,我现在用这个词来形容自己。
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引用次数: 0
Interplay Between Dietary Bioactive Compounds and Gut Microbiota in Modulating Obesity-Associated Inflammation and Metabolic Dysfunction. 膳食生物活性化合物和肠道微生物群在调节肥胖相关炎症和代谢功能障碍中的相互作用。
IF 13.4 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2025-08-01 Epub Date: 2025-05-14 DOI: 10.1146/annurev-nutr-111224-024937
Maryam Seifishahpar, Nishan Sudheera Kalupahana, Jung Han Kim, Naima Moustaid-Moussa

Dietary bioactive compounds such as omega-3 polyunsaturated fatty acids and phytochemicals have numerous health benefits, which include alleviating obesity-associated inflammation and metabolic dysfunction. While mechanistic studies have focused thus far on how these compounds or their metabolites affect whole-animal physiology or exert tissue-specific effects, detailed reports are lacking about how these bioactives specifically affect gut microbiota and mitochondrial function, two important processes impacted by metabolic diseases. Gut microbiota, through their composition and metabolites, play a significant role in overall health and mediating the effects of diet. Therefore, understanding how dietary bioactive compounds modulate gut microbiota is crucial for elucidating their contributions to metabolic health. Conversely, gut microbiota may also alter the metabolism of bioactives, especially phytochemicals, and impact their bioavailability and function. Mitochondria, particularly in adipose tissue, play a central role in energy metabolism and are implicated in the development of obesity-associated metabolic dysfunction. Thus, investigating the effects of dietary bioactive compounds on mitochondrial function provides valuable insight into their potential roles in addressing obesity-related diseases. Accordingly, the goal of this review is to discuss key published work on the interplay between dietary bioactives, gut microbiota and their metabolites, and mitochondria function in the context of improving obesity-associated inflammation and metabolic dysfunction.

饮食中的生物活性化合物,如omega-3多不饱和脂肪酸和植物化学物质,对健康有许多好处,包括减轻与肥胖相关的炎症和代谢功能障碍。虽然迄今为止的机制研究主要集中在这些化合物或其代谢物如何影响全动物生理或发挥组织特异性作用,但缺乏关于这些生物活性物质如何特异性影响肠道微生物群和线粒体功能的详细报道,这两个重要过程受到代谢性疾病的影响。肠道微生物群通过其组成和代谢物在整体健康和调节饮食影响中发挥重要作用。因此,了解膳食生物活性化合物如何调节肠道微生物群对于阐明它们对代谢健康的贡献至关重要。相反,肠道微生物群也可能改变生物活性物质的代谢,特别是植物化学物质,并影响它们的生物利用度和功能。线粒体,特别是脂肪组织中的线粒体,在能量代谢中起着核心作用,并与肥胖相关代谢功能障碍的发展有关。因此,研究膳食生物活性化合物对线粒体功能的影响,为了解它们在解决肥胖相关疾病中的潜在作用提供了有价值的见解。因此,本综述的目的是讨论在改善肥胖相关炎症和代谢功能的背景下,饮食生物活性、肠道微生物群及其代谢物和线粒体功能之间相互作用的关键已发表的工作。
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引用次数: 0
Make America Healthy, Again? The Past, Present and Future of Dietary Guidelines. 让美国再次健康?膳食指南的过去、现在和未来。
IF 13.4 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2025-08-01 Epub Date: 2025-05-14 DOI: 10.1146/annurev-nutr-020725-113350
Kevin C Klatt

Dietary guidelines have been placed under unprecedented scrutiny in the past decade, as the "obesity epidemic" enters its fifth decade with limited evidence of public health progress. In the era of successful obesity pharmacotherapy, there is a heightened sense of urgency to make progress on dietary prevention of obesity and related chronic diseases, contributing to both diverse criticism of guidelines and low degrees of trust in nutritional sciences. In this review, I view nutritional guidance through a historical lens, tracking its development from its genesis through the modern focus on obesity and chronic diseases and consider criticisms of past and existing dietary guidance. I reflect on themes that emerge from this history and consider potential paths forward to improve the quality of nutritional guidance and actualize its goals of improving population health.

在过去的十年里,随着“肥胖流行病”进入第五个十年,公众健康进步的证据有限,饮食指南受到了前所未有的审查。在肥胖药物治疗取得成功的时代,在饮食预防肥胖和相关慢性疾病方面取得进展的紧迫感日益增强,这导致了对指南的各种批评和对营养科学的低信任度。在这篇综述中,我通过历史的视角来看待营养指导,从它的起源到现代对肥胖和慢性疾病的关注,跟踪它的发展,并考虑对过去和现有饮食指导的批评。我反思从这段历史中产生的主题,并考虑提高营养指导质量和实现其改善人口健康目标的潜在途径。
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引用次数: 0
Progress in Understanding the Regulation of Glucose and Fructose Metabolism. 葡萄糖和果糖代谢调控的研究进展。
IF 13.4 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2025-04-18 DOI: 10.1146/annurev-nutr-111824-012939
Meng Zhao, Jameel Lone, Saranya Reghupaty, Karen Yasmin Linde-Garelli, Katrin J Svensson

Hexoses, including glucose, fructose, and galactose, are six-carbon monosaccharides that play fundamental roles in mammalian metabolism, with glucose serving as the primary energy source and fructose and galactose metabolized through pathways converging with glucose metabolism. While glucose metabolism has been extensively studied over the past hundred years, the mechanisms of fructose metabolism and uptake, the transporters involved, and its roles in physiology and disease are far less explored. Recent data also suggest that excessive fructose intake can have detrimental effects on metabolic organs, including the liver. Emerging studies have uncovered novel regulatory mechanisms in glucose and fructose metabolism, including the role of posttranslational modifications of transporters and enzymes, and the discovery of regulators of transporters. Here, we highlight new findings on the regulation of glucose and fructose transporters and integrate recent molecular and clinical insights into how glucose and fructose contribute to metabolic diseases.

己糖包括葡萄糖、果糖和半乳糖,是六碳单糖,在哺乳动物的代谢中起着重要作用,葡萄糖是主要的能量来源,果糖和半乳糖的代谢途径与葡萄糖代谢汇合。在过去的一百年里,人们对葡萄糖代谢进行了广泛的研究,但对果糖代谢和摄取的机制、所涉及的转运体及其在生理和疾病中的作用却知之甚少。最近的数据还表明,过量摄入果糖会对包括肝脏在内的代谢器官产生有害影响。新兴研究揭示了葡萄糖和果糖代谢的新调控机制,包括转运蛋白和酶的翻译后修饰的作用,以及转运蛋白调控因子的发现。在这里,我们重点介绍了葡萄糖和果糖转运体调控的新发现,并整合了葡萄糖和果糖如何促进代谢疾病的最新分子和临床见解。
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引用次数: 0
Eating Around the Clock: Circadian Rhythms of Eating and Metabolism. 昼夜饮食:饮食和新陈代谢的昼夜节律。
IF 13.4 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-08-01 Epub Date: 2024-08-12 DOI: 10.1146/annurev-nutr-062122-014528
Andrew W McHill, Matthew P Butler

The time of day that we eat is increasingly recognized as contributing as importantly to overall health as the amount or quality of the food we eat. The endogenous circadian clock has evolved to promote intake at optimal times when an organism is intended to be awake and active, but electric lights and abundant food allow eating around the clock with deleterious health outcomes. In this review, we highlight literature pertaining to the effects of food timing on health, beginning with animal models and then translation into human experiments. We emphasize the pitfalls and opportunities that technological advances bring in bettering understanding of eating behaviors and their association with health and disease. There is great promise for restricting the timing of food intake both in clinical interventions and in public health campaigns for improving health via nonpharmacological therapies.

越来越多的人认识到,一天中进食的时间与食物的数量或质量对整体健康的影响同样重要。内源性昼夜节律钟的进化是为了促进在生物体应该清醒和活跃的最佳时间摄入食物;但电灯和丰富的食物使人们可以全天候进食,从而带来有害健康的结果。在这篇综述中,我们重点介绍了有关食物定时对健康影响的文献,首先是动物模型,然后是人体实验。我们强调了技术进步在更好地了解饮食行为及其与健康和疾病的关系方面所带来的隐患和机遇。在临床干预和公共卫生运动中限制食物摄入时间,通过非药物疗法改善健康状况,是大有可为的。
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引用次数: 0
Helminth Infections and Diabetes: Mechanisms Accounting for Risk Amelioration. 螺旋体感染与糖尿病:风险改善的机制。
IF 13.4 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-08-01 Epub Date: 2024-08-12 DOI: 10.1146/annurev-nutr-061121-100742
Anuradha Rajamanickam, Subash Babu

The global prevalence of type 2 diabetes mellitus (T2D) is increasing rapidly, with an anticipated 600 million cases by 2035. While infectious diseases such as helminth infections have decreased due to improved sanitation and health care, recent research suggests a link between helminth infections and T2D, with helminths such as Schistosoma, Nippostrongylus, Strongyloides, and Heligmosomoides potentially mitigating or slowing down T2D progression in human and animal models. Helminth infections enhance host immunity by promoting interactions between innate and adaptive immune systems. In T2D, type 1 immune responses are suppressed and type 2 responses are augmented, expanding regulatory T cells and innate immune cells, particularly type 2 immune cells and macrophages. This article reviews recent research shedding light on the favorable effects of helminth infections on T2D. The potential defense mechanisms identified include heightened insulin sensitivity and reduced inflammation. The synthesis of findings from studies investigating parasitic helminths and their derivatives underscores promising avenues for defense against T2D.

全球 2 型糖尿病的发病率正在迅速上升,预计到 2035 年将有 6 亿病例。由于卫生条件和医疗保健的改善,蠕虫感染等传染病有所减少,但最近的研究表明,蠕虫感染与 2 型糖尿病(T2D)之间存在联系,在人类和动物模型中,血吸虫、日本圆线虫、弓形虫和螺旋体等蠕虫有可能减轻或减缓 2 型糖尿病的发展。螺旋体感染通过促进先天性免疫系统和适应性免疫系统之间的相互作用来增强宿主免疫力。在 T2D 中,1 型免疫反应受到抑制,2 型免疫反应得到增强,调节性 T 细胞和先天性免疫细胞,尤其是 2 型免疫细胞和巨噬细胞得到扩增。本文回顾了最近的研究,揭示了螺旋体感染对 T2D 的有利影响。已确定的潜在防御机制包括提高胰岛素敏感性和减少炎症反应。对寄生蠕虫及其衍生物研究结果的综述强调了预防 T2D 的前景广阔的途径。
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引用次数: 0
Does Maternal Diet Influence Future Infant Taste and Odor Preferences? A Critical Analysis. 母亲的饮食会影响婴儿未来对味道和气味的偏好吗?批判性分析。
IF 13.4 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-08-01 Epub Date: 2024-08-12 DOI: 10.1146/annurev-nutr-121222-101404
Catherine A Forestell

The dietary choices a mother makes during pregnancy offer her developing fetus its earliest exposure to the family's culinary preferences. This comprehensive literature review synthesizes five decades of research, which has provided valuable insights into fetal flavor learning. Converging evidence across various species supports the functionality of fetal chemoreceptive systems by the end of gestation, enabling the detection of an extensive array of chemosensory cues derived from the maternal diet and transmitted to the amniotic fluid. The fetus effectively encodes these flavors, resulting in their enhanced acceptance after birth. While existing studies predominantly concentrate on fetal learning about odor volatiles, limited evidence suggests a capacity for learning about gustatory (i.e., taste) properties. Examining whether these prenatal odor, taste, and flavor experiences translate into enduring shifts in dietary behaviors beyond weaning remains a crucial avenue for further investigation.

母亲在怀孕期间所做的饮食选择,为发育中的胎儿提供了最早接触家庭烹饪偏好的机会。这篇全面的文献综述综合了五十年来的研究成果,为胎儿口味学习提供了宝贵的见解。不同物种的证据都支持胎儿的化学感知系统在妊娠末期就已开始发挥作用,能够检测到从母体饮食中提取并传递到羊水中的大量化学感知线索。胎儿能有效地编码这些味道,从而提高出生后的接受能力。现有的研究主要集中于胎儿对气味挥发物的学习,但有限的证据表明胎儿对味觉(即味道)特性也有学习能力。研究这些出生前的气味、味道和风味经验是否会转化为断奶后饮食行为的持久转变,仍然是一个需要进一步研究的重要途径。
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引用次数: 0
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Annual review of nutrition
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