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热量限制对人类有效吗?

Will calorie restriction work in humans?

作者信息

Cava Edda, Fontana Luigi

机构信息

Division of Geriatrics and Nutritional Science and Center for Human Nutrition, Washington University School of Medicine, St. Louis, MO 63130, USA.

出版信息

Aging (Albany NY). 2013 Jul;5(7):507-14. doi: 10.18632/aging.100581.

Abstract

Calorie Restriction (CR) without malnutrition slows aging and increases average and maximal lifespan in simple model organisms and rodents. In rhesus monkeys long-term CR reduces the incidence of type 2 diabetes, cardiovascular disease and cancer, and protects against age-associated sarcopenia and neurodegeneration. However, so far CR significantly increased average lifespan only in the Wisconsin, but not in the NIA monkey study. Differences in diet composition and study design between the 2 on-going trials may explain the discrepancies in survival and disease. Nevertheless, many of the metabolic and hormonal adaptations that are typical of the long-lived CR rodents did not occur in either the NIA or WNPRC CR monkeys. Whether or not CR will extend lifespan in humans is not yet known, but accumulating data indicate that moderate CR with adequate nutrition has a powerful protective effect against obesity, type 2 diabetes, inflammation, hypertension, cardiovascular disease and reduces metabolic risk factors associated with cancer. Moreover, CR in human beings improves markers of cardiovascular aging, and rejuvenates the skeletal muscle transcriptional profile. More studies are needed to understand the interactions between CR, diet composition, exercise, and other environmental and psychological factors on metabolic and molecular pathways that regulate health and longevity.

摘要

在不造成营养不良的情况下进行热量限制(CR),可延缓简单模式生物和啮齿动物的衰老,并延长其平均寿命和最大寿命。在恒河猴中,长期热量限制可降低2型糖尿病、心血管疾病和癌症的发病率,并预防与年龄相关的肌肉减少症和神经退行性变。然而,到目前为止,热量限制仅在威斯康星州的研究中显著延长了平均寿命,而在国立衰老研究所(NIA)的猴子研究中却没有。这两项正在进行的试验在饮食组成和研究设计上的差异可能解释了在存活率和疾病方面的差异。尽管如此,长期进行热量限制的啮齿动物所具有的许多典型代谢和激素适应性变化,在国立衰老研究所或威斯康星国家灵长类动物研究中心(WNPRC)的热量限制猴子中均未出现。热量限制是否会延长人类寿命尚不清楚,但越来越多的数据表明,适度的热量限制并保证充足营养,对肥胖、2型糖尿病、炎症、高血压、心血管疾病具有强大的保护作用,并可降低与癌症相关的代谢风险因素。此外,人类进行热量限制可改善心血管衰老的标志物,并使骨骼肌转录谱恢复活力。需要更多的研究来了解热量限制、饮食组成、运动以及其他环境和心理因素之间在调节健康和长寿的代谢及分子途径上的相互作用。

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