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多酚对胰岛素抵抗的影响。

Effects of Polyphenols on Insulin Resistance.

机构信息

Department of Nutrition, Dietetics and Food, School of Clinical Sciences at Monash Health, Faculty of Medicine, Nursing and Health Sciences, Monash University, BASE Facility, 264 Ferntree Gully Road, Notting Hill, VIC 3168, Australia.

出版信息

Nutrients. 2020 Oct 14;12(10):3135. doi: 10.3390/nu12103135.


DOI:10.3390/nu12103135
PMID:33066504
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7602234/
Abstract

Insulin resistance (IR) is apparent when tissues responsible for clearing glucose from the blood, such as adipose and muscle, do not respond properly to appropriate signals. IR is estimated based on fasting blood glucose and insulin, but some measures also incorporate an oral glucose challenge. Certain (poly)phenols, as supplements or in foods, can improve insulin resistance by several mechanisms including lowering postprandial glucose, modulating glucose transport, affecting insulin signalling pathways, and by protecting against damage to insulin-secreting pancreatic β-cells. As shown by intervention studies on volunteers, the most promising candidates for improving insulin resistance are (-)-epicatechin, (-)-epicatechin-containing foods and anthocyanins. It is possible that quercetin and phenolic acids may also be active, but data from intervention studies are mixed. Longer term and especially dose-response studies on mildly insulin resistant participants are required to establish the extent to which (poly)phenols and (poly)phenol-rich foods may improve insulin resistance in compromised groups.

摘要

当负责清除血液中葡萄糖的组织,如脂肪组织和肌肉组织,对适当的信号不能正常反应时,就会出现胰岛素抵抗(IR)。IR 是根据空腹血糖和胰岛素来估计的,但有些措施也包括口服葡萄糖挑战。某些(多)酚类物质,作为补充剂或存在于食物中,可以通过多种机制改善胰岛素抵抗,包括降低餐后血糖、调节葡萄糖转运、影响胰岛素信号通路,以及防止对胰岛素分泌的β细胞的损伤。如志愿者干预研究所示,改善胰岛素抵抗最有希望的候选物是(-)-表儿茶素、(-)-表儿茶素含量高的食物和花青素。槲皮素和酚酸也可能具有活性,但干预研究的数据存在差异。需要对轻度胰岛素抵抗的参与者进行更长时间和特别是剂量反应研究,以确定(多)酚类物质和富含(多)酚类物质的食物在受损人群中改善胰岛素抵抗的程度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1eeb/7602234/bf6a4e24329c/nutrients-12-03135-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1eeb/7602234/bf6a4e24329c/nutrients-12-03135-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1eeb/7602234/bf6a4e24329c/nutrients-12-03135-g001.jpg

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[1]
Effects of Polyphenols on Insulin Resistance.

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[5]
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[6]
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Curr Nutr Rep. 2025-2-21

[7]
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[8]
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[9]
Effects of Cirsium japonicum var. maackii on avelliation of metabolic disease by improving insulin resistance.

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[10]
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本文引用的文献

[1]
The Bioavailability, Transport, and Bioactivity of Dietary Flavonoids: A Review from a Historical Perspective.

Compr Rev Food Sci Food Saf. 2018-9

[2]
Bioavailability of Quercetin in Humans with a Focus on Interindividual Variation.

Compr Rev Food Sci Food Saf. 2018-5

[3]
Bioavailability and metabolism of chlorogenic acids (acyl-quinic acids) in humans.

Compr Rev Food Sci Food Saf. 2020-7

[4]
The effect of pomegranate (Punica granatum) supplementation on metabolic status in patients with type 2 diabetes: A systematic review and meta-analysis.

Complement Ther Med. 2020-8

[5]
The effectiveness of pistachio on glycemic control and insulin sensitivity in patients with type 2 diabetes, prediabetes and metabolic syndrome: A systematic review and meta-analysis.

Diabetes Metab Syndr. 2020

[6]
Recommendations for standardizing nomenclature for dietary (poly)phenol catabolites.

Am J Clin Nutr. 2020-10-1

[7]
Effect of walnut consumption on markers of blood glucose control: a systematic review and meta-analysis.

Br J Nutr. 2020-10-14

[8]
Terms and nomenclature used for plant-derived components in nutrition and related research: efforts toward harmonization.

Nutr Rev. 2020-6-1

[9]
Effects of green coffee extract on fasting blood glucose, insulin concentration and homeostatic model assessment of insulin resistance (HOMA-IR): a systematic review and meta-analysis of interventional studies.

Diabetol Metab Syndr. 2019-11-5

[10]
Hesperidin supplementation has no effect on blood glucose control: A systematic review and meta-analysis of randomized controlled clinical trials.

Br J Clin Pharmacol. 2020-1

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