Choroszyński Mikołaj, Barcikowska Maria, Barczak Anna
Faculty of Dietetics, University of Engineering and Health, Warsaw, Poland.
Polish Alzheimer's Society, Warsaw, Poland.
Ann Nutr Metab. 2022;78(3):125-132. doi: 10.1159/000520514. Epub 2022 May 11.
The rapid worldwide increase in the incidence of Alzheimer's disease is associated with changing nutrition patterns. Recently, some articles have highlighted the link between Alzheimer's disease and dietary cholesterol. It was found that elevated levels of some of its fractions in the brain and circulation affect metabolism.
Previous studies have considered the relationship between Alzheimer's disease and oxidized cholesterol molecules in the brain. To date, there are limited data available on the relationship between oxidized cholesterol in the brain and Alzheimer's disease. There is a link between a diet high in cholesterol and its oxidized forms, leading to hypercholesterolemia, which is one of significant risk factors of dementia, and Alzheimer's disease. Oxidized cholesterol can be absorbed in the small intestine and cross the blood-brain barrier, leading to increased inflammation and endogenous oxidative process. Animal-origin foods are sources of oxidized cholesterol, with cholesterol oxidation beginning already after slaughter and occurring during storage and processing.
High-heat food preparation and storage of cooked products in the refrigerator followed by subsequent heating may significantly increase the amount of oxidized cholesterol products. Therefore, a diet low in cholesterol oxidation products and high in plants with antioxidative properties seems to be most preventable and should be implemented as early as possible.
全球范围内阿尔茨海默病发病率的迅速上升与营养模式的改变有关。最近,一些文章强调了阿尔茨海默病与膳食胆固醇之间的联系。研究发现,其某些组分在大脑和循环系统中的水平升高会影响新陈代谢。
先前的研究探讨了阿尔茨海默病与大脑中氧化胆固醇分子之间的关系。迄今为止,关于大脑中氧化胆固醇与阿尔茨海默病之间关系的数据有限。高胆固醇饮食与其氧化形式之间存在联系,会导致高胆固醇血症,而高胆固醇血症是痴呆症和阿尔茨海默病的重要危险因素之一。氧化胆固醇可在小肠中被吸收并穿过血脑屏障,导致炎症增加和内源性氧化过程。动物性食品是氧化胆固醇的来源,胆固醇氧化在屠宰后就已开始,并在储存和加工过程中发生。
高温烹饪食物以及将烹饪好的食物冷藏后再加热,可能会显著增加氧化胆固醇产物的量。因此,低胆固醇氧化产物且富含具有抗氧化特性植物的饮食似乎最具预防作用,应尽早采用。