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营养成分在改善阿尔茨海默病患者脑功能中的潜在作用:随机对照试验研究的荟萃分析

The potential role of nutritional components in improving brain function among patients with Alzheimers disease: a meta-analysis of RCT studies.

作者信息

Albrahim Tarfa

机构信息

Department of Health Sciences, College of Health and Rehabilitation Sciences, Princess Nourah Bint Abdulrahman University, Riyadh, Kingdom of Saudi Arabia. E-mail:

出版信息

Neurosciences (Riyadh). 2020 Jan;25(1):4-17. doi: 10.17712/nsj.2020.1.20190037.

Abstract

OBJECTIVE

To find out the potential role of nutritional components in improving brain function among patients with Alzheimer`s disease (AD).

METHODS

The correlation between nutrition and cerebral function in cases of AD has been the focus of 19 prospective randomised controlled trials (RCTs) with a combined research sample of 2297 patients. These RCTs are subject to systematic review and meta-analysis in the current paper RESULTS: Findings showed that chain-free secondary saturated fatty acids (SFA) and trans fatty acids (TFA) occurred in higher concentrations in AD patients brains than in controls. Furthermore, neuroinflammation was caused by remodelling of the lipid membrane and AD patients cognitive function was impacted by alterations in tyrosine, tryptophan, purine, and tocopherol pathway metabolomics. Moreover, in cases of mild-to-moderate AD, reduction in functionality was induced by administration of alpha-tocopherol for more than 12 months. Consumption of Souvenaid helps in synaptic synthesis, which enhances functional connectivity. Furthermore, consumption of the B vitamins folate, cobalamin and pyridoxine at dosages of 0.8 mg, 0.5 mg and 20 mg per day, respectively, over a period of one year resulted in lower plasma tHcy levels and brain atrophy.

CONCLUSION

Chain-free SFA and TFA occur in greater amounts in the brains of individuals with AD than in those without AD.

摘要

目的

探究营养成分在改善阿尔茨海默病(AD)患者脑功能方面的潜在作用。

方法

19项前瞻性随机对照试验(RCT)聚焦于AD患者营养与脑功能之间的相关性,这些试验的合并研究样本为2297名患者。本文对这些RCT进行系统评价和荟萃分析。结果:研究结果显示,无链仲饱和脂肪酸(SFA)和反式脂肪酸(TFA)在AD患者大脑中的浓度高于对照组。此外,脂膜重塑引发神经炎症,酪氨酸、色氨酸、嘌呤和生育酚途径代谢组学的改变影响AD患者的认知功能。此外,在轻度至中度AD患者中,服用α-生育酚超过12个月会导致功能下降。服用Souvenaid有助于突触合成,增强功能连接。此外,连续一年每天分别服用0.8毫克叶酸、0.5毫克钴胺素和20毫克吡哆醇的B族维生素,可降低血浆同型半胱氨酸水平并减轻脑萎缩。

结论

与非AD患者相比,无链SFA和TFA在AD患者大脑中的含量更高。

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