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饮食与大脑健康:多酚扮演何种角色?

Diet and Brain Health: Which Role for Polyphenols?

机构信息

Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy.

Division of Endocrine and Metabolic Surgery, Department of Surgery, Universita Cattolica del Sacro Cuore, Rome, Italy.

出版信息

Curr Pharm Des. 2018;24(2):227-238. doi: 10.2174/1381612824666171213100449.

Abstract

BACKGROUND

The aging of western societies is leading to a dramatic increase in the prevalence of chronic conditions, threatening the health status and then the sustainability of our healthcare systems. In particular, dementia is being increasingly recognized as a public health priority, given its enormous socioeconomic burdens further amplified by the absence of treatments really effective in improving the clinical course of the disease.

METHODS

The question of whether some degree of cognitive deterioration is an inevitable part of aging or should be considered as a pathological pre-stage of dementia is currently debated. This is a field in need of research because accelerated brain aging as well as further decline in cognition might be preventable in the early stages of cognitive impairment. Herein, we discuss evidence from clinical and experimental studies on the role of polyphenols in preserving cognitive performance across life.

RESULTS

In recent years, the possibility of favorably influencing the cognitive trajectory through promotion of lifestyle modifications has been increasingly investigated. In particular, the relationship between nutritional habits and brain health has attracted special attention. Dietary polyphenols exhibit a strong potential to promote brain due to their efficacy in protecting neurons against oxidative stress-induced injury, suppressing neuroinflammation and in ameliorating cardiovascular risk factor control and cardiovascular function thus counteracting neurotoxicity and neurodegeneration.

CONCLUSION

Emerging evidence suggest that dietary polyphenols, in particular flavonoids, may exert beneficial effects on the central nervous system thus representing a potential tool to preserve cognitive performance throught senescence.

摘要

背景

西方社会的老龄化导致慢性疾病的患病率显著增加,威胁着人们的健康状况,进而威胁着我们医疗体系的可持续性。特别是,痴呆症越来越被认为是一个公共卫生重点,因为其巨大的社会经济负担进一步加剧了缺乏真正有效的治疗方法来改善疾病的临床进程。

方法

目前正在争论的问题是,一定程度的认知能力下降是否是衰老的必然部分,还是应该被视为痴呆症的病理性前期阶段。这是一个需要研究的领域,因为在认知障碍的早期阶段,加速的大脑衰老以及认知能力的进一步下降可能是可以预防的。在此,我们讨论了来自临床和实验研究的证据,这些证据表明多酚在整个生命周期中保持认知表现的作用。

结果

近年来,通过促进生活方式的改变来影响认知轨迹的可能性越来越受到关注。特别是,营养习惯与大脑健康之间的关系引起了特别关注。膳食多酚具有很强的促进大脑的潜力,因为它们能够保护神经元免受氧化应激诱导的损伤,抑制神经炎症,改善心血管危险因素的控制和心血管功能,从而对抗神经毒性和神经退行性变。

结论

新出现的证据表明,膳食多酚,特别是类黄酮,可能对中枢神经系统产生有益的影响,因此代表了一种通过衰老保持认知表现的潜在工具。

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