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生酮饮食对神经退行性疾病治疗的影响及其对改善认知功能的作用。

The Effect of the Ketogenic Diet on the Therapy of Neurodegenerative Diseases and Its Impact on Improving Cognitive Functions.

作者信息

Grochowska Klaudia, Przeliorz Anna

机构信息

Students' Research Group at the Department of Dietetics, Faculty of Pharmacy, Wroclaw Medical University, Wrocław, Poland.

Department of Dietetics, Faculty of Pharmacy, Wroclaw Medical University, Wrocław, Poland.

出版信息

Dement Geriatr Cogn Dis Extra. 2022 May 30;12(2):100-106. doi: 10.1159/000524331. eCollection 2022 May-Aug.

DOI:10.1159/000524331
PMID:35950150
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9247494/
Abstract

The ketogenic diet (KD) is a high-fat and low-carbohydrate diet with controlled amounts of protein. The use of drastic caloric restriction or ultralow-carbohydrate diets increases the production of ketone bodies, which are an alternative energy substrate in situations of insufficient glucose supply. Alzheimer's disease (AD) and Parkinson's disease are the most common neurodegenerative diseases in the world. It is believed that carbohydrate metabolism disorders may affect the progression of these diseases, as confirmed by both animal and human studies. Among patients with AD, the presence of ketone bodies in the body can improve cerebral circulation. Among Parkinson's patients, the presence of ketone bodies can reduce muscle tremor and stiffness, as well as improve cognitive function. The results of the research indicate that using a low-carbohydrate diet, including a KD, may have a beneficial effect on brain function in diseases that cause neuronal damage.

摘要

生酮饮食(KD)是一种高脂肪、低碳水化合物且蛋白质含量受控的饮食。采用严格的热量限制或极低碳水化合物饮食会增加酮体的生成,在葡萄糖供应不足的情况下,酮体是一种替代能量底物。阿尔茨海默病(AD)和帕金森病是世界上最常见的神经退行性疾病。动物和人体研究均证实,碳水化合物代谢紊乱可能会影响这些疾病的进展。在AD患者中,体内酮体的存在可改善脑循环。在帕金森病患者中,酮体的存在可减轻肌肉震颤和僵硬,并改善认知功能。研究结果表明,采用包括KD在内的低碳水化合物饮食可能对导致神经元损伤的疾病中的脑功能产生有益影响。

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本文引用的文献

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Nutritional ketosis for mild cognitive impairment in Parkinson's disease: A controlled pilot trial.营养性酮症治疗帕金森病轻度认知障碍:一项对照性试点试验。
Clin Park Relat Disord. 2019 Aug 6;1:41-47. doi: 10.1016/j.prdoa.2019.07.006. eCollection 2019.
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Randomized crossover trial of a modified ketogenic diet in Alzheimer's disease.阿尔茨海默病改良生酮饮食的随机交叉试验。
Alzheimers Res Ther. 2021 Feb 23;13(1):51. doi: 10.1186/s13195-021-00783-x.
3
Safety and Effectiveness of the Prolonged Treatment of Children with a Ketogenic Diet.儿童延长生酮饮食治疗的安全性和有效性。
Nutrients. 2020 Jan 24;12(2):306. doi: 10.3390/nu12020306.
4
Ketogenic diet induces skeletal muscle atrophy via reducing muscle protein synthesis and possibly activating proteolysis in mice.生酮饮食通过降低肌肉蛋白质合成并可能激活蛋白酶体途径诱导小鼠骨骼肌萎缩。
Sci Rep. 2019 Dec 23;9(1):19652. doi: 10.1038/s41598-019-56166-8.
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Carbohydrate-restricted Diet and Exercise Increase Brain-derived Neurotrophic Factor and Cognitive Function: A Randomized Crossover Trial.低碳水化合物饮食与运动可提高脑源性神经营养因子水平并改善认知功能:一项随机交叉试验
Cureus. 2019 Sep 9;11(9):e5604. doi: 10.7759/cureus.5604.
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The efficacy comparison of classic ketogenic diet and modified Atkins diet in children with refractory epilepsy: a clinical trial.经典生酮饮食与改良阿特金斯饮食对难治性癫痫患儿的疗效比较:一项临床试验
Acta Neurol Belg. 2021 Apr;121(2):483-487. doi: 10.1007/s13760-019-01225-0. Epub 2019 Nov 1.
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Exp Anim. 2019 Aug 14;68(3):371-380. doi: 10.1538/expanim.18-0084. Epub 2019 Apr 3.
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Curr Dev Nutr. 2019 Feb 20;3(4):nzz003. doi: 10.1093/cdn/nzz003. eCollection 2019 Apr.
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Bone loss and biomechanical reduction of appendicular and axial bones under ketogenic diet in rats.生酮饮食下大鼠附属骨骼和中轴骨骼的骨质流失及生物力学降低
Exp Ther Med. 2019 Apr;17(4):2503-2510. doi: 10.3892/etm.2019.7241. Epub 2019 Feb 4.