肥胖和时间营养

A. Nikkhah
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摘要

这篇文章的目的是描述肥胖的机制和为什么肥胖和膳食特性在昼夜节律阶段是相互关联的。肥胖仍然是全球面临的一大挑战。肥胖和糖尿病发病率的上升表明,目前关于肥胖病因的观点还不能充分解释。关于肥胖的普遍观点是能量平衡模型(EBM),认为能量在过度消耗时以脂肪的形式储存。然而,由于EBM是由物理驱动的,因此忽略了脂肪储存的生化途径。胰岛素是由升高的血糖分泌的,它驱动正能量平衡,从而导致脂肪沉积。这种途径提出了一个创新的概念,即碳水化合物胰岛素模型(CIM)。这个模型可能为肥胖的发展提供一个更机械的认识。考虑到葡萄糖代谢具有昼夜节律性,CIM和时营养可能相互关联。通过限制富含碳水化合物的饮食摄入和注意进餐时间来预防血糖负荷将有利于肥胖和糖尿病的预防策略。综上所述,能量来源和时间营养应被视为影响现代人能量分配和脂肪沉积的关键因素。
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Obesity and Chrono-Nutrition
The objective of this article was to describe obesity mechanisms and why obesity and meal properties during a circadian phase are interrelated. Obesity remains a major challenge globally. The increasing rates of obesity and diabetes indicate that current perspectives on obesity etiology are not adequately explanatory. The common view on obesity is energy balance model (EBM), suggesting that energy is stored as fat when overconsumed. However, since EBM is driven by physics, biochemical pathways of fat storage are overlooked. Insulin is secreted by increased blood glucose which drives positive energy balance and thus fat deposition. Such pathways present an innovative concept known as carbohydrate insulin model (CIM). This model might offer a more mechanistic perception into obesity development. Considering that glucose metabolism possesses circadian rhythmicity, CIM and chrono-nutrition may be interconnected. Preventing glycemic load through limiting carbohydrate-rich diets intake and care of meal timing would benefit obesity and diabetes prevention strategies. In conclusion, energy source and chrono-nutrition should be contemplated together as key factors influencing energy partitioning and fat deposition in the modern human.
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