Department of Biological Chemistry and Pharmacology, Ohio State University, Columbus, OH 43210, USA.
Centre des Sciences du Goût et de l'alimentation, UMR CNRS 6265, INRA 1324, AgroSup, Univ. Bourgogne Franche-Comté, F-21000 Dijon, France.
Nutrients. 2020 Sep 29;12(10):2989. doi: 10.3390/nu12102989.
Although diet interventions are mostly related to metabolic disorders, nowadays they are used in a wide variety of pathologies. From diabetes and obesity to cardiovascular diseases, to cancer or neurological disorders and stroke, nutritional recommendations are applied to almost all diseases. Among such disorders, metabolic disturbances and brain function and/or diseases have recently been shown to be linked. Indeed, numerous neurological functions are often associated with perturbations of whole-body energy homeostasis. In this regard, specific diets are used in various neurological conditions, such as epilepsy, stroke, or seizure recovery. In addition, Alzheimer's disease and Autism Spectrum Disorders are also considered to be putatively improved by diet interventions. Glycemic index diets are a novel developed indicator expected to anticipate the changes in blood glucose induced by specific foods and how they can affect various physiological functions. Several results have provided indications of the efficiency of low-glycemic index diets in weight management and insulin sensitivity, but also cognitive function, epilepsy treatment, stroke, and neurodegenerative diseases. Overall, studies involving the glycemic index can provide new insights into the relationship between energy homeostasis regulation and brain function or related disorders. Therefore, in this review, we will summarize the main evidence on glycemic index involvement in brain mechanisms of energy homeostasis regulation.
尽管饮食干预主要与代谢紊乱有关,但如今它们被广泛应用于各种病理学中。从糖尿病和肥胖症到心血管疾病、癌症或神经紊乱和中风,营养建议几乎适用于所有疾病。在这些疾病中,代谢紊乱和大脑功能和/或疾病最近被证明是相互关联的。事实上,许多神经功能通常与全身能量平衡的紊乱有关。在这方面,各种神经疾病中都使用了特定的饮食,如癫痫、中风或癫痫发作后的恢复。此外,阿尔茨海默病和自闭症谱系障碍也被认为可以通过饮食干预得到改善。血糖生成指数饮食是一种新开发的指标,预计可以预测特定食物引起的血糖变化,以及它们如何影响各种生理功能。多项研究结果表明,低血糖生成指数饮食在体重管理和胰岛素敏感性方面的有效性,还包括认知功能、癫痫治疗、中风和神经退行性疾病。总的来说,涉及血糖生成指数的研究可以为能量平衡调节和大脑功能或相关疾病之间的关系提供新的见解。因此,在这篇综述中,我们将总结血糖生成指数参与能量平衡调节的大脑机制的主要证据。