Canbolat Eren, Cakıroglu Funda Pınar
Faculty of Tourism, Department of Gastronomy and Culinary Arts, Ondokuz Mayıs University, Samsun, Turkey.
Faculty of Health Sciences, Department of Nutrition and Dietetics, Ankara University, Ankara, Turkey.
Crit Rev Food Sci Nutr. 2023;63(4):449-456. doi: 10.1080/10408398.2022.2087595. Epub 2022 Jun 16.
This review will examine the role of 5'-adenosine monophosphate-activated protein kinase (AMPK) in the treatment of obesity, medical nutrition and chronic diseases, and its relationship with nutrition. In the literature, the number of studies examining the direct relationship of AMPK with nutrition is negligible. For this reason, information on the subject has been compiled from all the studies that can be accessed by searching the terms AMPK and disease, AMPK and health, AMPK and exercise, AMPK and nutrition. It can be stated that AMPK is inhibited in many pathological conditions such as inflammation, diabetes, aging and cancer, and AMPK activation has positive effects in many diseases such as insulin resistance, diabetes, obesity, cancer and Alzheimer's. When the relationship between nutrition and AMPK is examined, it is seen that food intake inhibits AMPK, but especially high-carbohydrate and fatty diets are more effective at this point. In addition, high fructose corn sirup and long chain saturated fatty acids increased by consumption of industrial foods and frequent meals appear to be an inactivator for AMPK. For AMPK activation in medical nutrition therapy, it is recommended to use methods such as evening fasting and intermittent fasting, taking into account the human circadian rhythm.
本综述将探讨5'-单磷酸腺苷激活蛋白激酶(AMPK)在肥胖症治疗、医学营养和慢性疾病中的作用,及其与营养的关系。在文献中,研究AMPK与营养直接关系的数量微不足道。因此,关于该主题的信息是通过搜索“AMPK与疾病”“AMPK与健康”“AMPK与运动”“AMPK与营养”等术语,从所有可获取的研究中汇编而来的。可以说,在许多病理状况如炎症、糖尿病、衰老和癌症中,AMPK受到抑制,而AMPK激活在许多疾病如胰岛素抵抗、糖尿病、肥胖症、癌症和阿尔茨海默病中具有积极作用。当研究营养与AMPK之间的关系时,可以发现食物摄入会抑制AMPK,但尤其是高碳水化合物和高脂肪饮食在这方面更具效力。此外,通过食用工业食品和频繁进餐而增加的高果糖玉米糖浆和长链饱和脂肪酸似乎是AMPK的一种失活剂。在医学营养治疗中激活AMPK时,建议考虑人体昼夜节律,采用夜间禁食和间歇性禁食等方法。