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压力、饮食模式与心血管疾病:一篇综述短文

Stress, Dietary Patterns and Cardiovascular Disease: A Mini-Review.

作者信息

Morera Luis Pedro, Marchiori Georgina Noel, Medrano Leonardo Adrián, Defagó María Daniela

机构信息

Instituto de Organizaciones Saludables, Universidad Siglo 21, Córdoba, Argentina.

Instituto de Investigaciones en Ciencias de la Salud (INICSA), CONICET, Universidad Nacional de Córdoba, Córdoba, Argentina.

出版信息

Front Neurosci. 2019 Nov 12;13:1226. doi: 10.3389/fnins.2019.01226. eCollection 2019.

DOI:10.3389/fnins.2019.01226
PMID:31780892
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6861179/
Abstract

According to the World Health Organization, an unhealthy diet and insufficient physical activity are the leading global risks to health. Dietary behavior is a modifiable factor in cardiovascular disease (CVD) prevention. Furthermore, the fact that cardiovascular events and stress-related emotional disorders share a common epidemiology may indicate the existence of pathways linking these two diseases (Chauvet-Gelinier and Bonin, 2017). Psychosocial stress can lead to changes in dietary patterns (DP) and under chronic stress conditions, high caloric and hyperpalatable foods are preferred. The interplay between these two factors impacts on several biological pathways: for example, it can prime the hippocampus to produce a potentiated neuroinflammatory response, generating memory deficits; it can also affect gut microbiota composition, ultimately influencing behavior and brain health and creating a predisposition to the development of diseases such as obesity, CVD, diabetes and metabolic syndrome. Though both cognition and emotion can be heavily affected by caloric intake, diet composition and stress, the molecular pathways involved remain elusive (Spencer et al., 2017). In this review, we describe the interplay between stress and DP at a molecular level, and how these factors relate to brain health and mental fitness. Finally, we show how these findings could give rise to novel therapeutic targets for chronic diseases.

摘要

根据世界卫生组织的说法,不健康的饮食和体育活动不足是全球健康面临的主要风险。饮食行为是预防心血管疾病(CVD)中一个可改变的因素。此外,心血管事件与压力相关的情绪障碍具有共同的流行病学特征,这一事实可能表明存在将这两种疾病联系起来的途径(肖维 - 热利尼耶和博南,2017年)。心理社会压力会导致饮食模式(DP)的改变,在慢性压力条件下,高热量和高美味的食物更受青睐。这两个因素之间的相互作用会影响多种生物学途径:例如,它会促使海马体产生增强的神经炎症反应,导致记忆缺陷;它还会影响肠道微生物群的组成,最终影响行为和大脑健康,并使人易患肥胖症、心血管疾病、糖尿病和代谢综合征等疾病。尽管认知和情绪都会受到热量摄入、饮食组成和压力的严重影响,但其中涉及的分子途径仍然难以捉摸(斯宾塞等人,2017年)。在这篇综述中,我们描述了压力与饮食模式在分子水平上的相互作用,以及这些因素与大脑健康和心理健康的关系。最后,我们展示了这些发现如何能产生针对慢性疾病的新治疗靶点。

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