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对具有减肥和缓解肥胖相关并发症功能的流行功能性食品和营养保健品进行广泛综述,特别关注随机临床试验。

Extensive review of popular functional foods and nutraceuticals against obesity and its related complications with a special focus on randomized clinical trials.

机构信息

School of Nutrition, Chung Shan Medical University, 110, Sec. 1, Jianguo North Road, Taichung City-40201, TaiwanRepublic of China.

出版信息

Food Funct. 2019 May 22;10(5):2313-2329. doi: 10.1039/c9fo00293f.

Abstract

Obesity is a multifactorial chronic disease or syndrome mainly caused by an imbalance in energy expenditure and intake. Obesity and its associated complications make it the fifth leading cause of global mortality. The benefits of the current anti-obesity treatment regimen have been marked by high cost and numerous adverse effects. Therefore, many researchers focus on plant-derived/natural products or altered dietary patterns for the management of obesity and its related complications (co-morbidities). Several epidemiological studies have confirmed that the consumption of functional foods/nutraceuticals could considerably lower the risk of various chronic diseases, like obesity, diabetic mellitus, and cancer, but the underpinning mechanism is still unclear. This comprehensive review briefs on the prevalence of obesity, the complications related to obesity, the current treatment regimen and the importance of functional foods and nutraceuticals (molecular mechanism) for the management of body weight and alleviation of its co-morbid conditions. This is the first comprehensive review revealing the in-depth anti-obesity mechanisms of various popular functional foods and nutraceuticals with a special reference to randomized clinical trials (RCTs). Overall, this contribution highlights the importance and beneficial role of functional foods/nutraceuticals on weight management (anti-obesity) and their contributions to the current treatment status, especially related to clinical trials, which could help in the development of novel functional foods/nutraceuticals for combatting obesity and its co-morbidities.

摘要

肥胖是一种由能量消耗和摄入失衡引起的多因素慢性疾病或综合征。肥胖及其相关并发症使其成为全球第五大致死原因。目前的抗肥胖治疗方案的益处是成本高和不良反应多。因此,许多研究人员关注植物源性/天然产品或改变饮食模式,以管理肥胖及其相关并发症(合并症)。几项流行病学研究证实,功能性食品/营养保健品的摄入可以显著降低肥胖、糖尿病和癌症等各种慢性疾病的风险,但潜在机制尚不清楚。这篇综合评论简述了肥胖的流行情况、肥胖相关的并发症、目前的治疗方案以及功能性食品和营养保健品(分子机制)在体重管理和缓解其合并症方面的重要性。这是第一篇综合评论,揭示了各种流行的功能性食品和营养保健品的深入抗肥胖机制,并特别参考了随机临床试验(RCT)。总的来说,这篇综述强调了功能性食品/营养保健品在体重管理(抗肥胖)方面的重要性和有益作用,以及它们对当前治疗状况的贡献,特别是与临床试验相关的贡献,这有助于开发新型功能性食品/营养保健品来对抗肥胖及其合并症。

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