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食品加工、肠道微生物组与全球性肥胖问题

Food processing, gut microbiota and the globesity problem.

机构信息

Center for Microbial Ecology and Technology, Ghent University, Ghent, Belgium.

出版信息

Crit Rev Food Sci Nutr. 2020;60(11):1769-1782. doi: 10.1080/10408398.2019.1596878. Epub 2019 Apr 4.

Abstract

In the context of diseases of affluence, western diets have in the past years mainly been studied on their fat and sugar content and lack of dietary fiber. Yet, the more general aspect of food processing has recently sparked scientific interest as well. In addition, the gut microbiota have been put forward as an important link between diet, obesity and non-communicable diseases (NCD). Western dietary patterns, containing large amounts of processed foods might create an imbalance in the gut system by affecting gut bacteria and their metabolism. Here we discuss what has been already published regarding the relationship between several recently researched features of processed foods and the etiology of obesity and NCD. The addressed features concern micronutrient and energy density, several types of food additives and the generation of advanced glycation end products by thermal treatment during food processing. Overall, literature indicates that all discussed aspects can be linked to western ailments and that they can have a potential negative impact on human microbiota. Therefore, we propose that the thesis that a distressed gut microbiota is a mechanism that might explain how food processing features could harm human health is gaining empirical evidence. Future research will need to address the question whether the alteration of the gut microbiota is a direct or an indirect (via the host) effect. These conclusions are important assets in the fight against the continuing worldwide upsurge of obesity and NCD.

摘要

在富贵病的背景下,过去几年,西方饮食主要因其脂肪和糖含量以及缺乏膳食纤维而受到研究。然而,食物加工的更普遍方面最近也引起了科学界的兴趣。此外,肠道微生物群已被提出作为饮食、肥胖和非传染性疾病(NCD)之间的重要联系。富含大量加工食品的西方饮食模式可能通过影响肠道细菌及其代谢来破坏肠道系统的平衡。在这里,我们讨论了已经发表的关于几种最近研究的加工食品特征与肥胖和 NCD 病因之间关系的文献。所涉及的特征涉及微量营养素和能量密度、几种类型的食品添加剂以及食品加工过程中热处理产生的晚期糖基化终产物。总的来说,文献表明,所有讨论的方面都可以与西方疾病联系起来,并且它们可能对人类微生物群产生潜在的负面影响。因此,我们提出,肠道微生物群受损是一种可能解释加工食品特征如何损害人类健康的机制的观点正在获得经验证据。未来的研究需要解决肠道微生物群的改变是直接的还是间接的(通过宿主)的问题。这些结论是对抗肥胖和非传染性疾病在全球范围内持续蔓延的重要资产。

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