dietary interventions

饮食干预
  • 文章类型: Journal Article
    《2020-2025年美国人饮食指南》中的一项关键指导原则强调,个人需要选择饮食习惯,文化,和传统偏好,同时建立高质量的饮食。鉴于需要减少饱和脂肪含量较高的食物的消耗,这一概念成为一项艰巨的任务,钠,和/或添加的糖-通常在熟悉的情况下发现,在美国最常喜欢和消费的可口食物。同样,在营养干预研究中,由于许多因素,对健康饮食模式的坚持通常很低,包括减少味道,风味,以及对研究食物的熟悉程度。越来越多的证据表明,草药和香料在保持营养干预措施对更健康食物选择的可接受性方面具有有希望的作用。这篇观点论文是由美国营养学会年会上的卫星会议提供的,营养2023年,题为,“为人类临床试验开发文化上合适的食谱,“在制定营养干预措施以改善临床试验中的饮食依从性和可接受性时,探索了几项拟议的“最佳实践”指南。会议还强调,需要在营养干预措施中纳入关于特定食物类型和数量的足够细节,并结合制备方法和研究食谱,包括草药和香料,为了提高未来研究的干预可重复性和可译性,饮食指南,和临床实践。
    A key guiding principle in the 2020-2025 Dietary Guidelines for Americans emphasizes the need for individuals to choose eating habits that allows for personal, cultural, and traditional preferences while establishing a high-quality diet. This concept becomes a daunting task given the need to reduce the consumption of foods higher in saturated fat, sodium, and/or added sugar - which are typically found in familiar, highly palatable foods most-often liked and consumed in the United States. Similarly, in nutrition intervention studies, adherence to healthier dietary patterns is typically low as a result of many factors, including reduced taste, flavor, and familiarity to the study foods. Increasing evidence illustrates the promising role of herbs and spices to maintain acceptability of healthier food options for nutrition interventions. This perspective paper was informed by a Satellite Session presented at the American Society for Nutrition\'s annual meeting, Nutrition 2023, entitled, \"Developing Culturally Appropriate Recipes for Human Clinical Trials,\" which explored several proposed \'best practice\' guidelines when developing nutrition interventions to improve dietary adherence and acceptability within clinical trials. The session also highlighted a need to include sufficient detail concerning the types and amounts of specific foods included within nutrition interventions in combination with preparation methods and study recipes, including herbs and spices, to improve intervention reproducibility and translatability for future research, dietary guidelines, and clinical practice.
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  • 文章类型: Journal Article
    背景:面对全球日益增长的癌症负担,人们对减轻其影响的饮食干预越来越感兴趣.临床前证据表明,限时进食(TRE),一种间歇性禁食,诱导代谢效应和肠道微生物组的改变,可能阻碍癌的发生。癌症中的TRE研究已经进展到人类研究,但是证据还没有综合。
    目的:本研究的目的是系统评估TRE与随意饮食或替代饮食对癌症患者的临床和/或代谢组学影响。
    方法:OvidMEDLINE,OvidEmbase,CINAHL,奥维德·科克伦中央控制试验登记册(中央),WebofScience核心合集(ESCI、CPCI-SSH、CPCI-S),截至2023年1月4日,SCOPUS使用“间歇性禁食”和“癌症”的核心概念进行了搜索。“原创研究设计,协议,并纳入临床试验注册。
    方法:在评估了13900个结果后,包括24个条目,由8篇完整文章组成,2摘要,1个已发布的方案和13个试验登记处。所有数据都被提取出来,比较,并批判性地分析。
    方法:患者群体存在异质性(例如,在肿瘤部位),TRE方案(例如,限制程度,持续时间),和临床终点。观察到高的TRE依附性(67-98%),同时提高生活质量。四篇文章评估了癌症标志物,发现肿瘤标志物癌胚抗原减少,降低复发率,和持续的主要分子反应,在TRE之后。五篇文章展示了改良的癌症危险因素,包括对体重指数的有益影响,肥胖,葡萄糖调节,在短短8周内出现炎症。完成的研究都没有评估TRE对微生物组的影响,但对微生物组的分析是两项临床试验的计划结果。
    结论:初步研究结果表明,癌症患者可以接受TRE,可能有肿瘤的好处,提高了生活质量。
    背景:PROSPERO注册号.CRD42023386885。
    BACKGROUND: In the face of the growing global burden of cancer, there is increasing interest in dietary interventions to mitigate its impacts. Pre-clinical evidence suggests that time-restricted eating (TRE), a type of intermittent fasting, induces metabolic effects and alterations in the gut microbiome that may impede carcinogenesis. Research on TRE in cancer has progressed to human studies, but the evidence has yet to be synthesized.
    OBJECTIVE: The objective of this study was to systematically evaluate the clinical and/or metabolomic effects of TRE compared with ad libitum eating or alternative diets in people with cancer.
    METHODS: Ovid MEDLINE, Ovid Embase, CINAHL, Ovid Cochrane Central Register of Control Trials (CENTRAL), Web of Science Core Collection (ESCI, CPCI-SSH, CPCI-S), and SCOPUS were searched up to January 4, 2023, using the core concepts of \"intermittent fasting\" and \"cancer.\" Original study designs, protocols, and clinical trial registries were included.
    METHODS: After evaluating 13 900 results, 24 entries were included, consisting of 8 full articles, 2 abstracts, 1 published protocol and 13 trial registries. All data were extracted, compared, and critically analyzed.
    METHODS: There was heterogeneity in the patient population (eg, in tumor sites), TRE regimens (eg, degree of restriction, duration), and clinical end points. A high rate (67-98%) of TRE adherence was observed, alongside improvements in quality of life. Four articles assessed cancer markers and found a reduction in tumor marker carcinoembryonic antigen, reduced rates of recurrence, and a sustained major molecular response, following TRE. Five articles demonstrated modified cancer risk factors, including beneficial effects on body mass index, adiposity, glucoregulation, and inflammation in as short a period as 8 weeks. None of the completed studies assessed the effect of TRE on the microbiome, but analysis of the microbiome is a planned outcome in 2 clinical trials.
    CONCLUSIONS: Preliminary findings suggest that TRE is feasible and acceptable by people with cancer, may have oncological benefits, and improves quality of life.
    BACKGROUND: PROSPERO registration No. CRD42023386885.
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  • 文章类型: Journal Article
    个性化营养(PN)代表了饮食科学中的一种变革性方法,其中个人的基因概况指导量身定制的饮食建议,从而优化健康结果和更有效地管理慢性病。这篇综述综合了PN的关键方面,强调饮食反应的遗传基础,当代研究,和实际应用。我们探讨了个体遗传差异如何影响饮食代谢,从而强调了营养基因组学在制定个性化膳食指南中的重要性.PN的当前研究强调了影响各种条件的重要基因-饮食相互作用,包括肥胖和糖尿病,这表明,如果根据基因特征定制饮食干预措施,可能会更精确和更有益。此外,我们讨论PN的实际实现,包括基因测试的技术进步,可以实现实时饮食定制。展望未来,这篇综述指出,生物信息学和基因组学的强大整合对于推进PN至关重要。我们提倡多学科研究以克服当前的挑战,例如与基因检测相关的数据隐私和伦理问题。PN的未来在于更广泛地采用卫生和健康部门,有望在公共卫生和个性化医疗方面取得重大进展。
    Personalized nutrition (PN) represents a transformative approach in dietary science, where individual genetic profiles guide tailored dietary recommendations, thereby optimizing health outcomes and managing chronic diseases more effectively. This review synthesizes key aspects of PN, emphasizing the genetic basis of dietary responses, contemporary research, and practical applications. We explore how individual genetic differences influence dietary metabolisms, thus underscoring the importance of nutrigenomics in developing personalized dietary guidelines. Current research in PN highlights significant gene-diet interactions that affect various conditions, including obesity and diabetes, suggesting that dietary interventions could be more precise and beneficial if they are customized to genetic profiles. Moreover, we discuss practical implementations of PN, including technological advancements in genetic testing that enable real-time dietary customization. Looking forward, this review identifies the robust integration of bioinformatics and genomics as critical for advancing PN. We advocate for multidisciplinary research to overcome current challenges, such as data privacy and ethical concerns associated with genetic testing. The future of PN lies in broader adoption across health and wellness sectors, promising significant advancements in public health and personalized medicine.
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  • 文章类型: Letter
    暂无摘要。
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  • 文章类型: Journal Article
    术语“癌症”是指体内细胞发生突变并失去对其复制的控制的状态。恶性癌细胞侵入身体的各种其他组织部位。化疗,辐射,手术是大多数实体癌的一线治疗方法。这些治疗通过减轻癌细胞的DNA损伤起作用,但它们也会对健康细胞造成伤害。这些副作用可能会立即或延迟,它们会导致很高的发病率和死亡率。饮食干预对全身新陈代谢有深远的影响,包括免疫代谢和肿瘤代谢,已被证明可以减少癌症的生长,programming,在许多不同的实体肿瘤模型中转移和转移,在早期临床研究中具有有希望的结果。饮食干预可以改善正在接受化疗或放疗的患者的肿瘤或生活质量。在这一章中,我们将关注营养缺乏的影响,几种饮食干预措施及其提出的机制被用作控制和管理癌症的新疗法。
    The term \"cancer\" refers to the state in which cells in the body develop mutations and lose control over their replication. Malignant cancerous cells invade in various other tissue sites of the body. Chemotherapy, radiation, and surgery are the first-line modalities for the majority of solid cancers. These treatments work by mitigating the DNA damage of cancerous cells, but they can also cause harm to healthy cells. These side effects might be immediate or delayed, and they can cause a high rate of morbidity and mortality. Dietary interventions have a profound impact on whole-body metabolism, including immunometabolism and oncometabolism which have been shown to reduce cancer growth, progression, and metastasis in many different solid tumor models with promising outcomes in early phase clinical studies. Dietary interventions can improve oncologic or quality-of-life outcomes for patients that are undergoing chemotherapy or radiotherapy. In this chapter, we will focus on the impact of nutritional deficiencies, several dietary interventions and their proposed mechanisms which are used as a novel therapy in controlling and managing cancers.
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  • 文章类型: Journal Article
    到2021年初,全球新发癌症病例估计约为1930万,癌症相关死亡人数为10.0万。癌症是全球最致命的疾病之一,可归因于遗传和环境因素,包括营养。良好的营养概念侧重于维持生命的饮食要求。有大量证据表明,健康的饮食可以调节癌症风险,尤其是结直肠癌和乳腺癌的风险。许多研究已经评估了我们的饮食与癌症发展风险之间的相关性,预防,和治疗。饮食对癌症发展的影响可能是通过包括炎症和免疫反应在内的交织机制发生的。例如,红肉和加工肉的摄入量增加以及水果和蔬菜的摄入量减少,与癌症发展有关的炎症生物标志物水平增加有关。另一方面,植物甾醇的消费,维生素,矿物,发挥抗氧化和抗炎作用与降低癌症风险有关,甚至预防其发生。在这本书中,我们旨在总结目前有关营养在癌症中的作用的知识,以提供这方面的最佳科学建议。
    By the beginning of the year 2021, the estimated number of new cancer cases worldwide was about 19.3 million and there were 10.0 million cancer-related deaths. Cancer is one of the deadliest diseases worldwide that can be attributed to genetic and environmental factors, including nutrition. The good nutrition concept focuses on the dietary requirements to sustain life. There is a substantial amount of evidence suggesting that a healthy diet can modulate cancer risk, particularly the risk of colorectal and breast cancers. Many studies have evaluated the correlation between our diet and the risk of cancer development, prevention, and treatment. The effect of diet on cancer development is likely to happen through intertwining mechanisms including inflammation and immune responses. For instance, a greater intake of red and processed meat along with low consumption of fruits and vegetables has been associated with increased levels of inflammatory biomarkers that are implicated in cancer development. On the other hand, the consumption of phytosterols, vitamins, and minerals, which exert antioxidant and anti-inflammatory roles have been linked to lower cancer risk, or even its occurrence prevention. In this book, we aim to summarize the current knowledge on the role of nutrition in cancer to provide the best scientific advice in this regard.
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  • 文章类型: Journal Article
    脂肪组织(AT),主要由脂肪细胞组成,在血脂控制中起着至关重要的作用,新陈代谢,和能量储存。一旦被认为是代谢惰性的,AT现在被认为是调节食物摄入的动态内分泌器官,能量稳态,胰岛素敏感性,体温调节,和免疫反应。这篇综述探讨了脂联素的多方面作用,AT释放的主要脂肪因子,在葡萄糖和脂肪酸代谢中。我们探索脂联素的调节机制,其生理效应及其作为2型糖尿病等代谢性疾病治疗靶点的潜力,心血管疾病和脂肪肝疾病。此外,我们分析了各种膳食模式的影响,特定的营养素,和身体活动对脂联素水平的影响,强调改善代谢健康的策略。我们的全面综述提供了有关脂联素的关键功能及其在维持全身代谢稳态中的重要性的见解。
    Adipose tissue (AT), composed mainly of adipocytes, plays a critical role in lipid control, metabolism, and energy storage. Once considered metabolically inert, AT is now recognized as a dynamic endocrine organ that regulates food intake, energy homeostasis, insulin sensitivity, thermoregulation, and immune responses. This review examines the multifaceted role of adiponectin, a predominant adipokine released by AT, in glucose and fatty acid metabolism. We explore the regulatory mechanisms of adiponectin, its physiological effects and its potential as a therapeutic target for metabolic diseases such as type 2 diabetes, cardiovascular disease and fatty liver disease. Furthermore, we analyze the impact of various dietary patterns, specific nutrients, and physical activities on adiponectin levels, highlighting strategies to improve metabolic health. Our comprehensive review provides insights into the critical functions of adiponectin and its importance in maintaining systemic metabolic homeostasis.
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  • 文章类型: Journal Article
    头痛是一种普遍而繁重的健康状况,影响全世界所有年龄段的人。虽然饮食因素与头痛的病理生理学有关,乳制品消费与头痛之间的关系仍然存在争议,并且人们对此认识不足。这篇全面的综述系统地研究了现有的文献,以阐明乳制品摄入量与头痛之间的关系,解决方法上的挑战,潜在的偏见,和当前知识的差距。
    结果:对电子数据库的彻底搜索确定了相关的观察性研究,临床试验,和机制调查,探索乳制品消费对头痛发病率的影响,频率,严重程度,和持续时间。方法论考虑,包括研究设计,暴露和结果变量的测量,混杂因素,和偏见的来源,进行了批判性评估,以评估证据的强度和发现的有效性。尽管研究存在异质性,新出现的证据表明,乳制品摄入量和头痛之间存在复杂和多方面的关系,受个体特征的影响,饮食模式,头痛亚型,和研究背景。虽然一些研究报告乳制品消费和头痛之间存在正相关,其他人表明乳制品限制没有显着效果或潜在的治疗益处。机械见解表明合理的生物学机制,包括神经炎症通路,神经递质调制,血管效应,和肠道-大脑的相互作用,这可能会调解观察到的关联。未来的研究方向包括纵向研究,机械调查,分层分析,随机对照试验,和探索肠道菌群,以进一步阐明潜在的机制,并为头痛管理提供循证饮食建议。这篇综合综述强调了跨学科合作和个性化方法的重要性,以解决饮食之间复杂的相互作用。头痛,和整体健康。
    UNASSIGNED: Headaches represent a prevalent and burdensome health condition, affecting individuals of all ages worldwide. While dietary factors have been implicated in headache pathophysiology, the association between dairy consumption and headaches remains controversial and inadequately understood. This comprehensive review systematically examines the existing literature to elucidate the relationship between dairy intake and headaches, addressing methodological challenges, potential biases, and gaps in the current knowledge.
    RESULTS: A thorough search of electronic databases identified relevant observational studies, clinical trials, and mechanistic investigations exploring the impact of dairy consumption on headache incidence, frequency, severity, and duration. Methodological considerations, including study design, measurement of exposure and outcome variables, confounding factors, and sources of bias, were critically evaluated to assess the strength of evidence and validity of findings. Despite heterogeneity across studies, emerging evidence suggests a complex and multifaceted relationship between dairy intake and headaches, influenced by individual characteristics, dietary patterns, headache subtype, and study context. While some studies report a positive association between dairy consumption and headaches, others indicate no significant effect or potential therapeutic benefits of dairy restriction. Mechanistic insights suggest plausible biological mechanisms, including neuroinflammatory pathways, neurotransmitter modulation, vascular effects, and gut-brain interactions, which may mediate the observed associations. Future research directions encompass longitudinal studies, mechanistic investigations, stratified analyses, randomized controlled trials, and exploration of the gut microbiota to further elucidate the underlying mechanisms and inform evidence-based dietary recommendations for headache management. This integrative review underscores the importance of interdisciplinary collaboration and personalized approaches to address the complex interplay between diet, headaches, and overall health.
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  • 文章类型: Journal Article
    耐药性是目前癌症治疗的最大挑战之一。随着人们对耐药性认识的加深,各种机制已经被揭示,包括代谢重编程和氧化还原平衡的改变。值得注意的是,代谢重编程介导肿瘤细胞在恶劣环境中的存活,从而促进耐药性的发展。此外,代谢模式转变过程中的变化触发了活性氧(ROS)的产生,进而调节细胞代谢,DNA修复,细胞死亡,和药物代谢以直接或间接的方式影响肿瘤对治疗的敏感性。因此,代谢和ROS的交叉深刻影响肿瘤的耐药性,阐明纠缠机制可能有利于开发药物和治疗方法以阻止耐药性。在这次审查中,我们将总结氧化还原和代谢对肿瘤耐药的调节机制,并强调最近针对代谢-氧化还原回路的治疗策略,包括饮食干预,新型化学合成药物,联合用药方案,和新型药物递送系统。
    Drug resistance is currently one of the biggest challenges in cancer treatment. With the deepening understanding of drug resistance, various mechanisms have been revealed, including metabolic reprogramming and alterations of redox balance. Notably, metabolic reprogramming mediates the survival of tumor cells in harsh environments, thereby promoting the development of drug resistance. In addition, the changes during metabolic pattern shift trigger reactive oxygen species (ROS) production, which in turn regulates cellular metabolism, DNA repair, cell death, and drug metabolism in direct or indirect ways to influence the sensitivity of tumors to therapies. Therefore, the intersection of metabolism and ROS profoundly affects tumor drug resistance, and clarifying the entangled mechanisms may be beneficial for developing drugs and treatment methods to thwart drug resistance. In this review, we will summarize the regulatory mechanism of redox and metabolism on tumor drug resistance and highlight recent therapeutic strategies targeting metabolic-redox circuits, including dietary interventions, novel chemosynthetic drugs, drug combination regimens, and novel drug delivery systems.
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  • 文章类型: Journal Article
    休息期间的长期食物消耗会扰乱外周昼夜节律与大脑之间的相位关系,导致不利的健康影响。在肝脏之外,代谢器官对定时低热量饮食的反应在很大程度上是未知的。我们研究了与肝脏和下丘脑相比,喂养时间表如何影响附睾白色和棕色脂肪组织(eWAT和BAT)中的昼夜节律基因表达。我们将食物限制在C57BL/6J雄性小鼠的白天或夜间,有或没有热量限制。不像肝脏和eWAT,BAT中的节律时钟基因对进食时间不敏感,类似于下丘脑。我们发现了BAT内部的分裂,以应对相互矛盾的环境线索,在代谢基因子集上显示反向振荡,而不改变其局部核心昼夜节律机制。整合昼夜节律转录网络上的组织特异性反应与代谢结果可能有助于阐明异常时期饮食健康负担的潜在机制。
    Extended food consumption during the rest period perturbs the phase relationship between circadian clocks in the periphery and the brain, leading to adverse health effects. Beyond the liver, how metabolic organs respond to a timed hypocaloric diet is largely unexplored. We investigated how feeding schedules impacted circadian gene expression in epididymal white and brown adipose tissue (eWAT and BAT) compared to the liver and hypothalamus. We restricted food to either daytime or nighttime in C57BL/6J male mice, with or without caloric restriction. Unlike the liver and eWAT, rhythmic clock genes in the BAT remained insensitive to feeding time, similar to the hypothalamus. We uncovered an internal split within the BAT in response to conflicting environmental cues, displaying inverted oscillations on a subset of metabolic genes without modifying its local core circadian machinery. Integrating tissue-specific responses on circadian transcriptional networks with metabolic outcomes may help elucidate the mechanism underlying the health burden of eating at unusual times.
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