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重新审视“蔬菜”以对抗现代血糖稳态失衡的流行趋势。

Revisiting "Vegetables" to combat modern epidemic of imbalanced glucose homeostasis.

作者信息

Tiwari Ashok Kumar

机构信息

Metabolic Disorders and Oxidative Stress Research Laboratory, Medicinal Chemistry and Pharmacology Division, CSIR-Indian Institute of Chemical Technology, Hyderabad, Andhra Pradesh, India.

出版信息

Pharmacogn Mag. 2014 Apr;10(Suppl 2):S207-13. doi: 10.4103/0973-1296.133211.

Abstract

Vegetables have been part of human food since prehistoric times and are considered nutritionally necessary and good for health. Vegetables are rich natural resource of biological antioxidants and possess capabilities of maintaining glucose homeostasis. When taken before starch-rich diet, juice also of vegetables such as ridge gourd, bottle gourd, ash gourd, chayote and juice of leaves of vegetables such as radish, Indian Dill, ajwain, tropical green amaranth, and bladder dock are reported to arrest significantly the rise in postprandial blood glucose level. Juice of vegetables such as ash gourd, squash gourd, and tropical green amaranth leaves are observed to tone-down sweet-beverages such as sucrose, fructose, and glucose-induced postprandial glycemic excursion. On the other hand, juice of egg-plant and juice of leaves of Ceylon spinach, Joyweed, and palak are reported to augment starch-induced postprandial glycemic excursion; and juice of leaves of Ceylon spinach, Joyweed, and radish supplement to the glucose-induced postprandial glycemia. Vegetables possess multifaceted antihyperglycemic activities such as inhibition of pancreatic α-amylase and intestinal α-glucosidase, inhibition of protein-tyrosine phosphatase 1β in liver and skeletal muscles, and insulin mimetic and secretagogue activities. Furthermore, they are also reported to influence polyol pathway in favor of reducing development of oxidative stress, and consequently the development of diabetic complications. In the wake of emergence of modern maladaptive diet-induced hyperglycemic epidemic therefore, vegetables may offer cost-effective dietary regimen to control diet-induced glycemic over load and future development of diabetes mellitus. However, for vegetables have been reported to do both, mitigate as well as supplement to the diet-induced postprandial glycemic load, care is required in selection of vegetables when considered as medicament.

摘要

自史前时代起,蔬菜就一直是人类食物的一部分,被认为是营养必需且有益健康的。蔬菜是生物抗氧化剂的丰富天然来源,具有维持葡萄糖稳态的能力。据报道,在富含淀粉的饮食之前饮用某些蔬菜汁,如丝瓜、瓠瓜、冬瓜、佛手瓜的汁,以及萝卜、印度莳萝、阿育吠陀、热带苋和酸模叶的汁,能显著抑制餐后血糖水平的上升。观察到冬瓜、南瓜和热带苋叶等蔬菜的汁可降低蔗糖、果糖和葡萄糖等甜味饮料引起的餐后血糖波动。另一方面,茄子汁以及锡兰菠菜、落葵和菠菜叶的汁据报道会增强淀粉引起的餐后血糖波动;而锡兰菠菜、落葵和萝卜叶的汁会补充葡萄糖引起的餐后血糖。蔬菜具有多方面的降血糖活性,如抑制胰腺α-淀粉酶和肠道α-葡萄糖苷酶、抑制肝脏和骨骼肌中的蛋白酪氨酸磷酸酶1β,以及胰岛素模拟和促分泌活性。此外,据报道它们还会影响多元醇途径,有利于减少氧化应激的发展,从而减少糖尿病并发症的发生。因此,在现代适应不良的饮食引起的高血糖流行出现之后,蔬菜可能提供具有成本效益的饮食方案,以控制饮食引起的血糖过载和糖尿病的未来发展。然而,由于据报道蔬菜既能减轻又能补充饮食引起的餐后血糖负荷,因此在将蔬菜视为药物时,选择蔬菜需要谨慎。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ed3/4078339/123bda0abc97/PM-10-207-g002.jpg

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