Chrome Unit, University of Nîmes, Nîmes, France.
Curr Opin Clin Nutr Metab Care. 2017 Nov;20(6):492-497. doi: 10.1097/MCO.0000000000000412.
Metabolic syndrome (MetS) is associated with increased risk of obesity, type 2 diabetes mellitus and cardiovascular diseases. MetS prevalence has been associated with diet inadequacy. Conversely, the cumulative incidence of MetS has been inversely associated with a Mediterranean-style diet that includes many different health-beneficial nutrients. Adherence to a Mediterranean-style diet could reduce or at least stabilize metabolic risk factors.
Low serum level of fat-soluble micronutrients, such as carotenoids, vitamin (vit) A, D and E, has been linked to MetS. Fat-soluble micronutrients could contribute to prevent MetS thanks to their antioxidant and anti-inflammatory properties (vit E, carotenoids) or to their central role as hormone regulators (vit D) and/or lipid metabolism and glucose homeostasis sensors (vit D and E).
This review summarizes recent epidemiological studies linking fat-soluble micronutrients to MetS and highlights new evidence on their mechanisms of actions.
代谢综合征(MetS)与肥胖、2 型糖尿病和心血管疾病风险增加有关。代谢综合征的患病率与饮食不足有关。相反,地中海饮食模式与代谢综合征的累积发病率呈负相关,这种饮食模式包含许多不同的有益健康的营养物质。地中海饮食模式的坚持可以减少或至少稳定代谢危险因素。
脂溶性微量营养素,如类胡萝卜素、维生素(vit)A、D 和 E 的血清水平较低,与代谢综合征有关。脂溶性微量营养素具有抗氧化和抗炎特性(vit E、类胡萝卜素),或者作为激素调节剂(vit D)和/或脂质代谢和葡萄糖稳态传感器(vit D 和 E),有助于预防代谢综合征。
本综述总结了最近将脂溶性微量营养素与代谢综合征联系起来的流行病学研究,并强调了关于其作用机制的新证据。