植物性饮食预防和治疗帕金森病

A. Strombom
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摘要

帕金森病(PD)是第二大最常见的人类神经退行性疾病,但目前还没有治疗方法被证明是疾病改善。流行病学和干预性研究表明,植物性饮食具有预防和治疗帕金森病的潜力。有病理生理原因使这可能是正确的。西方饮食是导致帕金森病等神经退行性疾病的最大危险因素之一。大量食用动物饱和脂肪已被广泛报道与患帕金森病的风险增加有关。在一些流行病学研究中,通过食用肉类接触杀虫剂、除草剂和重金属与帕金森病的风险增加有关。植物性饮食的介入研究已经取得了积极的成果。越来越多的证据表明,氧化损伤和线粒体功能障碍有助于导致多巴胺能神经元退化的级联事件。此外,肠道菌群失调可能参与PD的发病机制,诱导免疫细胞活化和中枢神经系统的神经炎症。植物性饮食的好处是植物营养素水平的提高和纤维的摄入,这支持了有益的肠道微生物群,减少了便秘的发生率,便秘是一个独立的风险因素。植物性饮食也可以促进蛋白质再分配饮食的使用,以提高左旋多巴治疗的有效性。3-激酶(PI3K)/蛋白激酶B (AKT)
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Preventing and Treating of Parkinson’s Disease with a Plant-Based Diet
Parkinson’s Disease (PD) is the second most common human neurodegenerative disorder, but no current therapy has been proven to be disease-modifying. Epidemiological as well as interventional studies indicate that the plant-based diet has the potential to prevent and treat PD. There are pathophysiological reasons that make this likely to be true. The Western diet is among the greatest risk factors for developing neurodegenerative diseases such as PD. Consumption of high quantities of animal saturated fat has been widely reported to be associated with increased risk of developing Parkinson’s disease. Pesticide, herbicide, and heavy metal exposures through the consumption of meat are linked to an increased risk of Parkinson disease in some epidemiologic studies. Interventional studies with a plant-based diet have achieved positive results. Accumulating evidence indicates that oxidative damage and mitochondrial dysfunction contribute to the cascade of events leading to degeneration of dopaminergic neurons. In addition, dysbiosis of the gut microbiota may be involved in the pathogenesis of PD, inducing immune cell activation and neuroinflammation of the central nervous system. The benefits of a plant-based diet result from the increased levels of phytonutrients and the intake of fiber, which supports a beneficial gut microbiota and decreases the incidence of constipation, an independent risk factor. A plant-based diet can also facilitate the use of a protein-redistribution diet to improve the effectiveness of treatment with L-dopa. 3-kinase (PI3K)/protein kinase B (AKT)
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