Department of Pharmacy, University of Naples Federico II, 80131 Naples, Italy.
TefarcoInnova, National Inter-University Consortium of Innovative Pharmaceutical Technologies-Parma, 43124 Parma, Italy.
Int J Mol Sci. 2020 Jul 13;21(14):4929. doi: 10.3390/ijms21144929.
Gastrointestinal (GI) diseases, which include gastrointestinal reflux disease, gastric ulceration, inflammatory bowel disease, and other functional GI disorders, have become prevalent in a large part of the world population. Metabolic syndrome (MS) is cluster of disorders including obesity, hyperglycemia, hyperlipidemia, and hypertension, and is associated with high rate of morbidity and mortality. Gut dysbiosis is one of the contributing factors to the pathogenesis of both GI disorder and MS, and restoration of normal flora can provide a potential protective approach in both these conditions. Bioactive dietary components are known to play a significant role in the maintenance of health and wellness, as they have the potential to modify risk factors for a large number of serious disorders. Different classes of functional dietary components, such as dietary fibers, probiotics, prebiotics, polyunsaturated fatty acids, polyphenols, and spices, possess positive impacts on human health and can be useful as alternative treatments for GI disorders and metabolic dysregulation, as they can modify the risk factors associated with these pathologies. Their regular intake in sufficient amounts also aids in the restoration of normal intestinal flora, resulting in positive regulation of insulin signaling, metabolic pathways and immune responses, and reduction of low-grade chronic inflammation. This review is designed to focus on the health benefits of bioactive dietary components, with the aim of preventing the development or halting the progression of GI disorders and MS through an improvement of the most important risk factors including gut dysbiosis.
胃肠道(GI)疾病包括胃食管反流病、胃溃疡、炎症性肠病和其他功能性胃肠道疾病,在世界很大一部分人群中变得普遍。代谢综合征(MS)是一组包括肥胖、高血糖、高血脂和高血压的疾病,与高发病率和死亡率相关。肠道菌群失调是 GI 疾病和 MS 发病机制的一个促成因素,恢复正常菌群可以为这两种疾病提供一种潜在的保护方法。生物活性膳食成分被认为在维持健康方面发挥着重要作用,因为它们有可能改变许多严重疾病的风险因素。不同类别的功能性膳食成分,如膳食纤维、益生菌、益生元、多不饱和脂肪酸、多酚和香料,对人类健康有积极影响,并可作为 GI 疾病和代谢失调的替代治疗方法,因为它们可以改变与这些疾病相关的风险因素。适量摄入这些成分也有助于恢复正常的肠道菌群,从而积极调节胰岛素信号、代谢途径和免疫反应,减少低度慢性炎症。本综述旨在重点关注生物活性膳食成分的健康益处,旨在通过改善包括肠道菌群失调在内的最重要的风险因素,预防 GI 疾病和 MS 的发展或阻止其进展。