FOODplus Research Centre, School of Agriculture Food and Wine, The University of Adelaide, Adelaide, South Australia, Australia.
Curr Opin Endocrinol Diabetes Obes. 2013 Feb;20(1):56-61. doi: 10.1097/MED.0b013e32835c1ba7.
The incidence of obesity and its related metabolic disorders has increased significantly over the past 3 decades, culminating in the current global epidemic of metabolic disease and leading to the search for contributing factors. Exposure of the developing foetus/neonate to a typical Western diet increases their risk of obesity and metabolic disorders throughout the life-course, creating an intergenerational cycle of metabolic disease. In Western countries, this epidemic of metabolic disease has coincided with a marked increase in the intake of omega-6 polyunsaturated fatty acids (omega-6 PUFA), leading to suggestions that the two may be causally related.
Recent studies have emphasized the proadipogenic properties of the omega-6 PUFA, and provided evidence that rodents fed on diets with omega-6 PUFA contents similar to the typical US diet (6-8% energy) have an increased fat mass. Importantly, recent studies have shown that perinatal exposure to a high omega-6 PUFA diet results in a progressive accumulation of body fat across generations.
This review highlights the recent evidence supporting the role of the omega-6 PUFA in the early life origins of obesity and metabolic disease, the need for more clinical studies and the potential need for health agencies to re-evaluate current recommendations to further increase omega-6 PUFA intakes.
在过去的 30 年中,肥胖及其相关代谢紊乱的发病率显著增加,最终导致了目前全球代谢性疾病的流行,并促使人们寻找致病因素。在发育中的胎儿/新生儿时期接触典型的西方饮食会增加他们在整个生命过程中肥胖和代谢紊乱的风险,从而导致代谢性疾病的代际循环。在西方国家,这种代谢性疾病的流行与 omega-6 多不饱和脂肪酸 (omega-6 PUFA) 的摄入量显著增加同时发生,这使得人们提出两者可能存在因果关系。
最近的研究强调了 omega-6 PUFA 的促脂肪生成特性,并提供了证据表明,用类似于典型美国饮食(6-8%能量)的 omega-6 PUFA 饮食喂养的啮齿动物脂肪质量增加。重要的是,最近的研究表明,围产期暴露于高 omega-6 PUFA 饮食会导致几代人身体脂肪的逐渐积累。
本综述强调了最近的证据支持 omega-6 PUFA 在肥胖和代谢性疾病的生命早期起源中的作用,需要进行更多的临床研究,并可能需要卫生机构重新评估目前的建议,以进一步增加 omega-6 PUFA 的摄入量。