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膳食多酚与肥胖:多酚对脂质和葡萄糖代谢、线粒体稳态以及淀粉消化与吸收影响的综述

Dietary Polyphenols and Obesity: A Review of Polyphenol Effects on Lipid and Glucose Metabolism, Mitochondrial Homeostasis, and Starch Digestibility and Absorption.

作者信息

Dzah Courage Sedem, Asante-Donyinah David, Letsyo Emmanuel, Dzikunoo John, Adams Zeenatu Suglo

机构信息

Department of Food Science and Technology, Faculty of Applied Sciences and Technology, Ho Technical University, P.O. Box HP217, Ho, Volta Region, Ghana.

出版信息

Plant Foods Hum Nutr. 2023 Mar;78(1):1-12. doi: 10.1007/s11130-022-01034-6. Epub 2022 Dec 2.

DOI:10.1007/s11130-022-01034-6
PMID:36459308
Abstract

Obesity is a major global public health concern, limiting socio-economic development and human productivity. As studies focus on finding sustainable solutions to this challenge, polyphenols have shown promising results and have become a research focus. This is mainly because of associated lower risks of side effects with their use, compared to synthetic pharmaceuticals. In this study, the anti-obesity potentials of dietary polyphenols have been reviewed. Using a narrative approach, the biological activities of polyphenols and their influence on energy metabolism and mechanisms are discussed. Specifically, their roles in insulin-dependent glucose uptake, insulin sensitivity, lipid metabolism and storage in adipocytes, starch digestibility, and regulation of mitophagy and mitogenesis in muscle cells and adipocytes, were considered. After considering the major findings of many related studies, it was confirmed that polyphenols can prevent and ameliorate obesity by fighting insulin resistance (IR) induced by pro-inflammatory cytokines, scavenging reactive oxygen species (ROS) and limiting their effects, and by regulating the expression and/or activity of key enzymes along relevant pathways. More human studies are needed to reveal more about the anti-obesity effects of dietary polyphenols and their effective doses in humans.

摘要

肥胖是一个重大的全球公共卫生问题,限制了社会经济发展和人类生产力。随着研究聚焦于寻找应对这一挑战的可持续解决方案,多酚已显示出有前景的成果,并成为研究重点。这主要是因为与合成药物相比,其使用时副作用风险较低。在本研究中,对膳食多酚的抗肥胖潜力进行了综述。采用叙述方法,讨论了多酚的生物活性及其对能量代谢和机制的影响。具体而言,考虑了它们在胰岛素依赖性葡萄糖摄取、胰岛素敏感性、脂肪细胞中的脂质代谢和储存、淀粉消化率以及肌肉细胞和脂肪细胞中的线粒体自噬和有丝分裂调节中的作用。在考虑了许多相关研究的主要发现后,证实多酚可通过对抗促炎细胞因子诱导的胰岛素抵抗(IR)、清除活性氧(ROS)并限制其影响,以及通过调节相关途径中关键酶的表达和/或活性来预防和改善肥胖。需要更多的人体研究来进一步揭示膳食多酚的抗肥胖作用及其在人体中的有效剂量。

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