人工甜味剂对代谢综合征的影响

Filip Czyżewski, Alicja Baranowska, Katarzyna Baranowska, Kinga Filipek, Jakub Kawka, Michał Muciek, Sebastian Mrugała, Waldemar Mrugała, Bartosz Skierkowski, Natalia Zalewska
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摘要

导言代谢综合征是一种广泛存在的疾病,甚至影响到 30% 的波兰人口。代谢综合征包括:葡萄糖不耐受、肥胖、血脂异常和高血压。改变生活方式,尤其是饮食习惯,是治疗这些问题的关键部分。人工甜味剂是一种低热量或无营养的物质,用于降低甜味饮料中的含糖量。使用人工甜味剂的人越来越多,因为他们希望降低体重。人造甜味剂是众所周知的物质,但其对健康的影响仍有待研究。我们希望总结一下目前关于人工甜味剂对代谢综合征及其要素的影响的知识。目标:回顾并介绍有关人工甜味剂对代谢综合征及其组成部分影响的现有知识。材料与方法:对 PubMed、Google Scholar、美国国家医学图书馆和 Coachrane 等开放获取来源的研究进行回顾。结论:目前没有证据表明人工甜味剂对代谢综合征有积极影响。此外,新的研究证明这些物质对肥胖、葡萄糖不耐受、血脂异常和血压有负面影响。不过,还需要进一步研究肠道微生物群的生理学和当前的主题,以加强现有证据的深度。
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The impact of artificial sweeteners on the metabolic syndrome
Introduction: Metabolic syndrome is a wide-spread disease that affects even 30% of Polish population. The mentioned syndrome consists of: glucose intolerance, obesity, dyslipidaemia and high blood pressure. Change of lifestyle, particularly diet, is a crucial part of treatment of those issues. Artificial sweeteners are low-calorie or non-nutritive substances that are made for lowering sugar amounts in sweetened beverages. The use of artificial sweeteners rises among those, who want to lower their weight. Artificial sweeteners are well known substances, but their impact on health is still a matter of studies. We want to summarize the current knowledge about their impact on metabolic syndrome and its elements.   Objectives: The review and presentation of the current state of knowledge on impact of artificial sweeteners on metabolic syndrome and its components.   Material and methods: Review of the studies available on open access sources at PubMed, Google Scholar, National Library of Medicine and Coachrane.   Conclusions: Currently there is no evidence of positive impact of artificial sweeteners on the metabolic syndrome. Moreover, new studies prove a negative impact of those substances at obesity, glucose intolerance, dyslipidaemia and blood pressure. However there is a need of further studies about physiology of gut microbiota and current subject to strengthen current depth of evidence.
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