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早期生命中的肠道菌群失调:病因、健康后果以及通过饮食干预进行改善。

Gut dysbiosis during early life: causes, health outcomes, and amelioration via dietary intervention.

机构信息

College of Food Science and Nutritional Engineering, Beijing Key Laboratory of Viticulture and Enology, China Agricultural University, Beijing, China.

Peking University School of Basic Medical Science, Peking University Health Science Centre, Beijing, China.

出版信息

Crit Rev Food Sci Nutr. 2022;62(26):7199-7221. doi: 10.1080/10408398.2021.1912706. Epub 2021 Apr 28.

Abstract

The colonization and maturation of gut microbiota (GM) is a delicate and precise process, which continues to influence not only infancy and childhood but also adulthood health by affecting immunity. However, many perinatal factors, including gestational age, delivery mode, antibiotic administration, feeding mode, and environmental and maternal factors, can disturb this well-designed process, increasing the morbidity of various gut dysbiosis-related diseases, such as type-1-diabetes, allergies, necrotizing enterocolitis, and obesity. In this review, we discussed the early-life colonization and maturation of the GM, factors influencing this process, and diseases related to the disruption of this process. Moreover, we focused on discussing dietary interventions, including probiotics, oligosaccharides, nutritional supplementation, and exclusive enteral nutrition, in ameliorating early-life dysbiosis and diseases related to it. Furthermore, possible mechanisms, and shortcomings, as well as potential solutions to the drawbacks of dietary interventions, were also discussed.

摘要

肠道微生物群(GM)的定植和成熟是一个精细而精确的过程,它不仅持续影响婴儿期和儿童期,还通过影响免疫来影响成年期健康。然而,许多围产期因素,包括胎龄、分娩方式、抗生素使用、喂养方式以及环境和母体因素,可能会干扰这一精心设计的过程,增加各种与肠道菌群失调相关疾病的发病率,如 1 型糖尿病、过敏、坏死性小肠结肠炎和肥胖症。在这篇综述中,我们讨论了 GM 的早期定植和成熟、影响这一过程的因素以及与这一过程中断相关的疾病。此外,我们还重点讨论了饮食干预,包括益生菌、低聚糖、营养补充和完全肠内营养,以改善生命早期的菌群失调和与之相关的疾病。此外,还讨论了饮食干预的可能机制、缺点以及解决饮食干预缺点的潜在方法。

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