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营养在个体化阿尔茨海默病风险降低中的作用。

The Role of Nutrition in Individualized Alzheimer's Risk Reduction.

机构信息

Department of Neurology, Weill Cornell Medicine & New York-Presbyterian, 428 East 72th St, Suite 500, New York, NY, 10021, USA.

Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY, USA.

出版信息

Curr Nutr Rep. 2020 Jun;9(2):55-63. doi: 10.1007/s13668-020-00311-7.

Abstract

PURPOSE OF REVIEW

Decades of research suggests nutritional interventions can be an effective tool for reducing risk of Alzheimer's disease (AD), especially as part of an individualized clinical management plan. This review aims to emphasize new findings examining how specific dietary changes may delay or possibly prevent AD onset, and highlight how interventions can be adopted in clinical practice based on emerging principles of precision medicine.

RECENT FINDINGS

Specific dietary patterns and varied nutrient combinations can have a protective effect on brain health, promote cognitive function, and mediate the comorbidity of chronic conditions associated with increased AD risk. Individuals at risk for AD may see a greater impact of evidence-based dietary changes when initiated earlier in the AD spectrum. Depending on individual clinical profiles, incorporation of nutrition strategies is an essential component of an AD risk reduction plan in clinical practice.

摘要

目的综述

几十年来的研究表明,营养干预可以成为降低阿尔茨海默病(AD)风险的有效工具,尤其是作为个体化临床管理计划的一部分。本综述旨在强调新的发现,即研究特定的饮食变化如何可能延迟或预防 AD 的发生,并根据精准医学的新兴原则,强调如何在临床实践中采用干预措施。

最近的发现

特定的饮食模式和不同的营养组合对大脑健康具有保护作用,可以促进认知功能,并缓解与 AD 风险增加相关的慢性疾病的共病。在 AD 谱的早期开始进行基于循证的饮食改变,可能会对 AD 高危个体产生更大的影响。根据个体的临床特征,营养策略的纳入是临床实践中降低 AD 风险计划的重要组成部分。

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