Vemuganti Raghu, Arumugam Thiruma V
Department of Neurological Surgery, University of Wisconsin, Madison, WI, USA.
William S. Middleton VA Hospital, Madison, WI, USA.
Cond Med. 2020 Feb;3(1):9-17.
Diet is a significant factor in determining human well-being. Excessive eating and/or diets with higher than needed amounts of carbohydrates, salt, and fat are known to cause metabolic disorders and functional changes in the body. To compensate the ill effects, many designer diets including the Mediterranean diet, the Okinawa diet, vegetarian/vegan diets, keto diet, anti-inflammatory diet, and the anti-oxidant diet have been introduced in the past 2 decades. While these diets are either enriched or devoid of one or more specific components, a better way to control diet is to limit the amount of food consumed. Caloric restriction (CR), which involves limiting the amount of food consumed rather than eliminating any specific type of food, as well as intermittent fasting (IF), which entails limiting the time during which food can be consumed on a given day, have gained popularity because of their positive effects on human health. While the molecular mechanisms of these 2 dietary regimens have not been fully deciphered, they are known to prolong the life span, control blood pressure, and blood glucose levels. Furthermore, CR and IF were both shown to decrease the incidence of heart attack and stroke, as well as their ill effects. In particular, IF is thought to promote metabolic switching by altering gene expression profiles leading to reduced inflammation and oxidative stress, while increasing plasticity and regeneration.
饮食是决定人类健康的一个重要因素。已知过度进食和/或食用碳水化合物、盐和脂肪含量高于所需量的饮食会导致身体出现代谢紊乱和功能变化。为了弥补这些不良影响,在过去20年里引入了许多定制饮食,包括地中海饮食、冲绳饮食、素食/纯素饮食、生酮饮食、抗炎饮食和抗氧化饮食。虽然这些饮食要么富含一种或多种特定成分,要么不含这些成分,但更好的控制饮食的方法是限制食物摄入量。热量限制(CR),即限制食物摄入量而非排除任何特定类型的食物,以及间歇性禁食(IF),即在给定的一天内限制进食时间,因其对人类健康的积极影响而受到欢迎。虽然这两种饮食方案的分子机制尚未完全阐明,但已知它们能延长寿命、控制血压和血糖水平。此外,CR和IF都被证明能降低心脏病发作和中风的发生率及其不良影响。特别是,IF被认为通过改变基因表达谱来促进代谢转换,从而减少炎症和氧化应激,同时增加可塑性和再生能力。