DIET

饮食
  • 文章类型: Journal Article
    背景:饮食相关疾病,比如2型糖尿病,要求严格的饮食管理以减缓疾病进展,并呼吁创新的管理策略。传统的饮食监测给患者带来了巨大的记忆负担,他们可能不准确地记住他们的饮食细节,因此经常在预防疾病进展方面做得不够。传感器和计算技术的最新进展引起了人们对开发饮食检测平台的兴趣。
    目的:这篇综述研究了中枢血流动力学和体温调节反应作为进食检测的潜在生物标志物。
    方法:我们搜索了PubMed索引的同行评审文献,WebofScience,和Scopus在2022年6月20日,没有日期限制。我们还在同一数据库中进行了手动搜索,直到2024年4月21日。我们纳入了英文论文,证明了饮食对健康个体中枢血液动力学和体温调节的影响。评估整体研究质量,评估偏倚风险,我们设计了一个受Cochrane评估框架启发的定制工具。这个工具有4个类别:高,中等,低,而且很低。共有2名独立审稿人进行了标题和摘要筛选,全文回顾,并研究偏倚分析的质量和风险。在两位审稿人意见不一致的情况下,第三位审稿人担任评委。
    结果:我们的搜索检索了11,450项研究,和25符合我们的纳入标准。在纳入的25项研究中,32%(8/25)被归类为高质量,52%(13/25)为中等质量,16%(4/25)为低质量。此外,我们在纳入的任何研究中均未发现发表偏倚的证据.餐后心率持续增加,心输出量,在调查这些变量对进食的反应的研究中,至少有95%(心率:19/19,心输出量:18/19,每搏输出量:11/11)观察到每搏输出量。具体来说,心输出量增加9%-100%,每搏输出量减少18%-41%,在这些研究中,心率下降了6%-21%。这些变化具有统计学意义(P<0.05)。相比之下,调查餐后体温调节效应的8项研究显示出严重不一致的结果,反应差异很大,没有明确的变化模式,表明这些研究之间存在高度的变异性。
    结论:我们的研究结果表明,中枢血流动力学反应,尤其是心率,为可穿戴式饮食检测提供了希望,因为心输出量和每搏输出量无法通过任何当前可用的非侵入性医疗或消费级可穿戴设备进行测量。
    背景:PROSPEROCRD42022360600;https://www.crd.约克。AC.uk/prospro/display_record.php?RecordID=360600。
    BACKGROUND: Diet-related diseases, such as type 2 diabetes, require strict dietary management to slow down disease progression and call for innovative management strategies. Conventional diet monitoring places a significant memory burden on patients, who may not accurately remember details of their meals and thus frequently falls short in preventing disease progression. Recent advances in sensor and computational technologies have sparked interest in developing eating detection platforms.
    OBJECTIVE: This review investigates central hemodynamic and thermoregulatory responses as potential biomarkers for eating detection.
    METHODS: We searched peer-reviewed literature indexed in PubMed, Web of Science, and Scopus on June 20, 2022, with no date limits. We also conducted manual searches in the same databases until April 21, 2024. We included English-language papers demonstrating the impact of eating on central hemodynamics and thermoregulation in healthy individuals. To evaluate the overall study quality and assess the risk of bias, we designed a customized tool inspired by the Cochrane assessment framework. This tool has 4 categories: high, medium, low, and very low. A total of 2 independent reviewers conducted title and abstract screening, full-text review, and study quality and risk of bias analysis. In instances of disagreement between the 2 reviewers, a third reviewer served as an adjudicator.
    RESULTS: Our search retrieved 11,450 studies, and 25 met our inclusion criteria. Among the 25 included studies, 32% (8/25) were classified as high quality, 52% (13/25) as medium quality, and 16% (4/25) as low quality. Furthermore, we found no evidence of publication bias in any of the included studies. A consistent postprandial increase in heart rate, cardiac output, and stroke volume was observed in at least 95% (heart rate: 19/19, cardiac output: 18/19, stroke volume: 11/11) of the studies that investigated these variables\' responses to eating. Specifically, cardiac output increased by 9%-100%, stroke volume by 18%-41%, and heart rate by 6%-21% across these studies. These changes were statistically significant (P<.05). In contrast, the 8 studies that investigated postprandial thermoregulatory effects displayed grossly inconsistent results, showing wide variations in response with no clear patterns of change, indicating a high degree of variability among these studies.
    CONCLUSIONS: Our findings demonstrate that central hemodynamic responses, particularly heart rate, hold promise for wearable-based eating detection, as cardiac output and stroke volume cannot be measured by any currently available noninvasive medical or consumer-grade wearables.
    BACKGROUND: PROSPERO CRD42022360600; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=360600.
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  • 文章类型: Journal Article
    背景:结直肠癌(CRC)是全球癌症相关死亡的第二大原因。在非洲,结直肠癌的死亡率负担很大。由于整个非洲饮食和生活方式的异质性,我们的工作旨在确定非洲大陆CRC发展的风险因素.
    方法:我们系统地搜索了PubMed,Embase,全球卫生,CINAHL,科克伦中部,和非洲索引医学用英语写的研究,研究非洲CRC的发病率和危险因素。进行了系统分析,以比较成分研究中的不同危险因素。采用meta分析随机效应模型来估计CRC的合并发生率。
    结果:在筛选的2471项研究中,定量分析26人;发病率分析20人,风险因素分析中的六个。男性和女性CRC每100,000人年的总体ASIR分别为7.51和6.22。在2012年至2021年之间观察到最高的发病率。非洲CRC的危险因素包括吸烟,和食用红肉,黄油,和酒精。保护因素包括,经常食用水果和定期体育锻炼。
    结论:非洲的CRC发病率高于以前的研究。我们的研究表明,不可改变和可改变的因素有助于非洲的CRC。需要对可推广人群进行高质量的研究,以全面的方式检查风险因素,为非洲CRC的初级和二级预防举措提供信息。
    BACKGROUND: Colorectal cancer (CRC) is the second leading cause of cancer-related death worldwide. There is a significant burden of mortality from colorectal cancer in Africa. Due to the heterogeneity of dietary and lifestyle practices throughout Africa, our work sought to define risk factors for the development of CRC in the African continent.
    METHODS: We systematically searched PubMed, Embase, Global Health, CINAHL, Cochrane CENTRAL, and African Index Medicus for studies written in English, examining the incidence and risk factors of CRC in Africa. A systematic analysis was done to compare different risk factors in constituent studies. A meta-analysis random effects model was fitted to estimate the pooled incidence of CRC.
    RESULTS: Of 2471 studies screened, 26 were included for the quantitative analysis; 20 in the incidence analysis, and six in the risk factor analysis. The overall ASIR per 100,000 person-years of CRC for males and females was 7.51 and 6.22, respectively. The highest incidence rates were observed between 2012 and 2021. Risk factors for CRC in Africa include tobacco smoking, and consumption of red meat, butter, and alcohol. Protective factors included, regular consumption of fruits and regular physical activity.
    CONCLUSIONS: The incidence of CRC in Africa is higher than that suggested by previous studies. Our study shows that nonmodifiable and modifiable factors contribute to CRC in Africa. High-quality studies conducted on generalizable populations that examine risk factors in a comprehensive fashion are required to inform primary and secondary prevention initiatives for CRC in Africa.
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  • 文章类型: Journal Article
    我们进行了当前的系统评价,以通过综合观察证据来研究成人饮食炎症指数(DII)与严重头痛或偏头痛之间的关系。
    我们通过PubMed对观察性研究进行了系统的文献检索,Scopus,和WebofScience数据库从成立到2024年7月。实施PECO框架以选择符合条件的研究如下:人群(患有严重头痛或偏头痛的成年人),暴露(对促炎饮食依从性最高的个体),比较(对促炎饮食依从性最低的个体),结果(发生严重头痛或偏头痛的风险,头痛的频率,持续时间,严重程度,和偏头痛相关的残疾)。
    在回顾了涉及31,958名个体的六项研究后,我们发现,遵循抗炎饮食与偏头痛的频率和严重程度较低有关。此外,我们的研究表明,与没有偏头痛的人相比,有偏头痛的人对抗炎饮食的依从性往往较低.令人惊讶的是,坚持促炎饮食与降低每日慢性头痛的风险有关.
    目前的研究结果表明,炎症性饮食与严重头痛或偏头痛之间存在负相关。然而,需要进一步精心设计的纵向研究来解释因果关系并阐明潜在的机制.
    UNASSIGNED: We conducted the current systematic review to investigate the association between dietary inflammatory index (DII) and severe headaches or migraine among adults via synthesizing observational evidence.
    UNASSIGNED: We conducted a systematic literature search of observational studies through PubMed, Scopus, and Web of Science databases from inception until July 2024. The PECO framework was implemented to select eligible studies as follows: Population (adults with severe headache or migraine), Exposure (individuals with the highest adherence to a pro-inflammatory diet), Comparison (individuals with the lowest adherence to a pro-inflammatory diet), Outcome (risk of developing severe headache or migraine, headaches frequency, duration, severity, and migraine-related disability).
    UNASSIGNED: After reviewing six studies involving 31,958 individuals, we found that following an anti-inflammatory diet is associated with a lower frequency and severity of migraine headaches. Additionally, our research revealed that individuals with migraines tend to have lower adherence to an anti-inflammatory diet when compared to people without migraines. Surprisingly, adherence to a pro-inflammatory diet was linked to a reduced risk of chronic daily headaches.
    UNASSIGNED: Present findings imply a negative link between an inflammatory diet and severe headaches or migraine. However, further well-designed longitudinal studies are needed to interpret the causality and shed light on the underlying mechanisms.
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  • 文章类型: Systematic Review
    暂无摘要。
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  • 文章类型: Journal Article
    目的:这篇综述旨在探讨阻塞性睡眠呼吸暂停(OSA)与红肉消费之间的关系,探索饮食选择对睡眠呼吸紊乱的潜在影响。睡眠呼吸暂停与各种生活方式因素有关,同样,红肉与炎症和肥胖有关,OSA的两个风险。
    方法:我们使用Embase和PubMed搜索了从开始到2024年3月发表的相关研究的文献,使用以下搜索词:(\“红肉\”或\“加工肉\”或\“未加工肉\”)和(\“阻塞性睡眠呼吸暂停\”或\“睡眠呼吸暂停\”或\“睡眠呼吸障碍\”)。该综述纳入了临床研究,观察性研究,和调查。此外,对潜在的混杂因素和进一步研究以确定因果关系的必要性进行了严格评估。
    结果:七项研究符合我们的纳入标准,直接解决了红肉对OSA的影响,证明红肉和OSA个体之间存在潜在的双向关系。已经推测了氧化应激和肥胖的机制。
    结论:这篇综述旨在通过阐明红肉消费对OSA的潜在贡献来了解影响睡眠的饮食方面。从这项探索中得出的见解可以为有OSA风险的个人提供生活方式改变和饮食干预。
    OBJECTIVE: This review aims to explore the relationship between obstructive sleep apnea (OSA) and red meat consumption, exploring the potential impact of dietary choices on sleep-disordered breathing. Sleep apnea has been associated with various lifestyle factors, and equally, red meat has been associated with inflammation and obesity, both risks for OSA.
    METHODS: We searched the literature using Embase and PubMed for relevant studies published from inception to March 2024, using the following search terms: (\"red meat\" OR \"processed meat\" OR \"unprocessed meat\") AND (\"obstructive sleep apnea\" OR \"sleep apnea\" OR \"sleep-disordered breathing\"). The review incorporates clinical studies, observational research, and investigations. Moreover, potential confounding factors and the need for further research to establish causation are critically evaluated.
    RESULTS: Seven studies fit our inclusion criteria and directly addressed the effect of red meat on OSA, demonstrating a potential bidirectional relationship between red meat and individuals with OSA. Mechanisms of oxidative stress and obesity have been postulated.
    CONCLUSIONS: This review aims to provide an understanding of the dietary aspects influencing sleep by shedding light on the potential contribution of red meat consumption to OSA. Insights derived from this exploration could inform lifestyle modifications and dietary interventions for individuals at risk of OSA.
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  • 文章类型: Journal Article
    以下叙述性审查开始全面探索肠道微生物组在饮食-微生物群-免疫(dmi)三方中的作用,旨在增强抗癌免疫治疗的疗效。在彻底改变癌症治疗的同时,对免疫疗法的耐药性和免疫相关不良事件(irAEs)仍然是挑战。肿瘤微环境(TME),由癌细胞形成,影响免疫疗法耐药性。肠道微生物组,受遗传学的影响,环境,饮食,和干预措施,成为TME重塑的关键参与者,从而调节免疫反应和治疗结果。地中海饮食等饮食模式,热量限制修改,和特定的营养成分在影响肿瘤微环境和肠道微生物组以获得更好的治疗结果方面显示出希望。抗生素,破坏肠道微生物多样性,可能会损害免疫疗法的疗效。这篇综述强调需要量身定制的营养策略来操纵微生物群落,增强免疫调节,并提高免疫治疗的可及性,同时最大限度地减少副作用。正在进行的研究调查饮食干预对癌症免疫治疗的影响,指出个性化癌症护理的有希望的发展。这篇叙述性综述综合了现有的知识,并为未来的调查绘制了路线,提出了饮食干预之间动态相互作用的整体观点,肠道微生物组,和癌症免疫疗法在MDI三方内。
    The following narrative review embarks on a comprehensive exploration of the role played by the gut microbiome within the Diet-Microbiota-Immunity (DMI) tripartite, aiming to enhance anti-cancer immunotherapy efficacy. While revolutionizing cancer treatment, resistance to immunotherapy and immune-related adverse events (irAEs) remain challenges. The tumor microenvironment (TME), shaped by cancer cells, influences immunotherapy resistance. The gut microbiome, influenced by genetics, environment, diet, and interventions, emerges as a critical player in TME reshaping, thereby modulating immune responses and treatment outcomes. Dietary patterns like the Mediterranean diet, caloric restriction modifications, and specific nutritional components show promise in influencing the tumor microenvironment and gut microbiome for better treatment outcomes. Antibiotics, disrupting gut microbiota diversity, may compromise immunotherapy efficacy. This review emphasizes the need for tailored nutritional strategies to manipulate microbial communities, enhance immune regulation, and improve immunotherapy accessibility while minimizing side effects. Ongoing studies investigate the impact of dietary interventions on cancer immunotherapy, pointing toward promising developments in personalized cancer care. This narrative review synthesizes existing knowledge and charts a course for future investigations, presenting a holistic perspective on the dynamic interplay between dietary interventions, the gut microbiome, and cancer immunotherapy within the DMI tripartite.
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  • 文章类型: Journal Article
    富含糖的食物和饮料的高消费与儿童和青少年超重和肥胖的增加有关。饮食行为受到源自儿童的学习机制的影响,并与食物养育方式(FPP)和父母喂养方式(PFS)有关。本系统综述旨在叙述性地合成有关含糖丰富的食品和饮料的FPP和PFS,以及它们与儿童和青少年的预期饮食行为的关联,为卫生专业人员和家长提供循证建议,以促进健康行为。
    使用PubMed和WebofScience数据库进行了系统的文献检索,涵盖了2017-2023年的出版年份。结果是叙述合成的,和暴露结果矩阵用于视觉表示。该综述包括来自不同地理区域的15项同行评审研究,这些研究调查了FPP或PFS关于儿童饮食中富含糖的食物和饮料的处理,并报告了与儿童和青少年预期饮食行为的关联。
    研究结果表明,随着时间的推移,高度控制父母的行为与不健康饮食行为的发展以及对富含糖的食物和饮料的偏好有关。相反,强调饮食选择的结构和平衡的父母做法产生了更积极的长期结果,与对含糖丰富的食物和饮料的偏好降低有关。
    结果强调了促进健康的家庭环境和积极的父母角色塑造对促进儿童和青少年更健康的饮食行为的重要性。
    UNASSIGNED: High consumption of sugar-rich foods and beverages has been associated with increased overweight and obesity in children and adolescents. Dietary behavior is influenced by learned mechanisms that originate in childhood and is associated with food parenting practices (FPP) and parental feeding styles (PFS). This systematic review aimed to narratively synthesize FPP and PFS concerning sugar-rich foods and beverages and their associations with the prospective dietary behavior of children and adolescents to derive evidence-based recommendations for health professionals and parents to promote healthy behaviors.
    UNASSIGNED: A systematic literature search was conducted using PubMed and Web of Science databases covering the publication years 2017-2023. The results were narratively synthesized, and exposure-outcome matrices were used for visual representation. The review included 15 peer-reviewed studies from different geographical regions that investigated FPP or PFS regarding the handling of sugar-rich foods and beverages in children\'s diets and reported the associations with the prospective dietary behavior of children and adolescents.
    UNASSIGNED: The findings indicate that highly controlling parental practices were associated with the development of unhealthy eating behaviors and preferences for sugar-rich foods and beverages over time. Conversely, parental practices that emphasized structure and balance in dietary choices yielded more positive long-term outcomes, associated with reduced preferences for sugar-rich foods and drinks.
    UNASSIGNED: The results underscore the significance of fostering a healthy home environment and active parental role modeling in promoting healthier dietary behaviors among children and adolescents.
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  • 文章类型: Journal Article
    这项研究旨在收集有关预防和治疗儿童和青少年高血压(HTN)的有效饮食策略的信息。它讨论了特定的营养模型,例如阻止高血压的饮食方法(DASH饮食),传统的亚洲饮食,植物性饮食,南欧传统的大西洋饮食,和地中海饮食,强调这些方法的好处。该手稿还解决了由于儿童液体摄入不足而导致的脱水问题,以及不适当饮料的消费,比如软饮料和能量饮料,这有助于HTN的发展。此外,它研究了氧化应激在儿童HTN病理机制中的作用,特别是与硒等食物成分的抗氧化潜力有关,镁,和选择的维生素。还探讨了从食物中摄取钠和钾与儿童HTN发育之间的关系。最后,这项研究讨论了预防儿童HTN的公共卫生策略。在多个数据库中进行了全面搜索,如PubMed/MEDLINE,Cochrane图书馆,科学直接,和EBSCO。这项搜索的重点是定位英语元分析,系统评价,随机临床试验,和来自世界各地的观察研究。
    This study aims to gather information on effective dietary strategies for the prevention and treatment of hypertension (HTN) in children and adolescents. It discusses specific nutritional models such as the Diet Approaches to Stop Hypertension (DASH diet), traditional Asian diets, plant-based diets, the Southern European traditional Atlantic diet, and the Mediterranean diet, highlighting the benefits of these approaches. The manuscript also addresses dehydration resulting from insufficient fluid intake among children, as well as the consumption of inappropriate beverages, like soft drinks and energy drinks, which contributes to the development of HTN. Additionally, it examines the role of oxidative stress in the pathomechanism of HTN in children, particularly in relation to the antioxidant potential of food components such as selenium, magnesium, and selected vitamins. The relationship between sodium and potassium intake from food and the development of HTN in children is also explored. Finally, this study discusses public health strategies for the prevention of HTN in children. A comprehensive search was performed across multiple databases, such as PubMed/MEDLINE, the Cochrane Library, Science Direct, and EBSCO. This search focused on locating English-language meta-analyses, systematic reviews, randomized clinical trials, and observational studies from around the globe.
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  • 文章类型: Journal Article
    营养行为受多种因素的影响,包括社会和文化因素。本范围审查旨在总结健康的社会决定因素(SDoH)如何影响受心脏代谢疾病影响或有风险的土著居民的营养行为。按照PRISMA-ScR准则,我们在六个数据库——PubMed中进行了系统的搜索,WebofScience,CINAHL,PsycINFO,科克伦图书馆,和世界卫生组织全球指数药物限制结果到2023年10月27日以英文发表的研究。进行描述性合成。我们确定了1490篇文章,经过筛选,其中31个符合我们的纳入标准。我们发现营养行为受到各种SDoH域的影响,包括经济稳定,邻里和建筑环境,教育,健康与保健,以及社会和社区背景。从传统饮食到西方化饮食,从生计型食物收集到依赖商店购买和加工食品的转变反映了SDoH的变化,影响营养行为和健康结果。尽管并非所有纳入的研究都检查了我们评论中的每个SDoH领域,未来的研究应该考虑所有领域,以全面了解它们如何影响营养行为。这种方法将更好地为干预措施和政策提供信息,最终促进土著社区的健康公平。
    Nutrition behavior is influenced by a large number of factors, including social and cultural factors. This scoping review aims to summarize how social determinants of health (SDoH) influence nutrition behaviors in Indigenous populations affected by or at risk of cardiometabolic diseases. Following the PRISMA-ScR guidelines, we conducted a systematic search in six databases-PubMed, Web of Science, CINAHL, PsycINFO, Cochrane Library, and World Health Organization Global Index Medicus-limiting results to studies published in English up to 27 October 2023. A descriptive synthesis was conducted. We identified 1490 articles, and after screening, 31 of them met our inclusion criteria. We found that nutritional behavior is impacted by various SDoH domains, including economic stability, neighborhood and built environment, education, health and healthcare, and social and community context. The shift from traditional diets to Westernized diets and from subsistence-based food gathering to reliance on store-bought and processed foods reflects changes in SDoH, affecting both nutrition behaviors and health outcomes. Although not all included studies examined every SDoH domain in our review, future research should consider all domains to gain a comprehensive understanding of how they impact nutritional behavior. This approach will better inform interventions and policies, ultimately promoting health equity in Indigenous communities.
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  • 文章类型: Journal Article
    肌肉减少症的患病率(肌肉力量丧失,质量和功能)在心力衰竭(HF)患者中处于相当高的水平(约20%),导致死亡率上升和生活质量下降。潜在的病理生理机制涉及低度炎症的存在和合成代谢-分解代谢蛋白平衡的紊乱。HF患者的营养评估是一个关键方面,并根据患者概况采用不同的诊断工具(门诊病人,住院病人和疗养院)。全球营养不良领导倡议(GLIM)标准是诊断营养不良的共识。鉴于水肿可影响HF患者的体重指数(BMI),替代身体评估技术方法,如生物电矢量阻抗(BiVA),BIA(无矢量模式),计算机断层扫描(CT)或临床超声(US),是有用的。科学证据支持有氧和阻力体育锻炼在改善和预防与HF相关的肌肉萎缩方面的功效。饮食策略强调蛋白质摄入的重要性,而某些微量营养素如辅酶Q10或静脉注射铁可能会带来好处。这篇叙述性综述旨在介绍目前对发病机制的理解,心力衰竭患者肌肉损失的诊断和治疗及其对预后的影响。
    The prevalence of sarcopenia (loss of muscle strength, mass and function) in individuals with heart failure (HF) stands at a considerable level (approximately 20%), contributing to heightened mortality rates and diminished quality of life. The underlying pathophysiological mechanisms involve the presence of low-grade inflammation and a disturbance of the anabolic-catabolic protein balance. The nutritional assessment of patients with HF is a key aspect, and diverse diagnostic tools are employed based on patient profiles (outpatient, inpatient and nursing home). The Global Leadership Initiative on Malnutrition (GLIM) criteria serves as a consensus for diagnosing malnutrition. Given that edema can impact body mass index (BMI) in patients with HF, alternative body assessment technical methods, such as bioelectrical vector impedance (BiVA), BIA (without vector mode), computer tomography (CT) or clinical ultrasound (US), are useful. Scientific evidence supports the efficacy of both aerobic and resistance physical exercises in ameliorating and preventing muscle wasting associated with HF. Dietary strategies emphasize the importance of protein intake, while certain micronutrients like coenzyme Q10 or intravenous iron may offer benefits. This narrative review aims to present the current understanding of the pathogenesis, diagnosis and treatment of muscle loss in individuals with heart failure and its consequential impact on prognosis.
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