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