Bhuiyan Nusrat Zahan, Hasan Md Kamrul, Mahmud Zimam, Hossain Md Sabbir, Rahman Atiqur
Department of Biochemistry and Molecular Biology, National University Bangladesh, Gazipur, 1704, Bangladesh.
Department of Public Health, North South University, Dhaka, 1229, Bangladesh.
Metabol Open. 2023 Sep 21;20:100257. doi: 10.1016/j.metop.2023.100257. eCollection 2023 Dec.
This exploratory review article describes about the genetic factors behind Alzheimer's disease (AD), their association with foods, and their relationships with cognitive impairment. It explores the dietary patterns and economic challenges in AD prevention.
Scopus, PubMed and Google Scholar were searched for articles that examined the relationships between Diets, Alzheimer's Disease (AD), and Socioeconomic conditions in preventative Alzheimer's disease studies. Graphs and Network analysis data were taken from Scopus under the MeSH search method, including words, Alzheimer's, APoE4, Tau protein, APP, Amyloid precursor protein, Beta-Amyloid, Aβ, Mediterranean Diet, MD, DASH diet, MIND diet, SES, Socioeconomic, Developed country, Underdeveloped country, Preventions. The network analysis was done through VOS viewer.
Mediterranean diet (MD) accurately lowers AD (Alzheimer's Disease) risk to 53% and 35% for people who follow it moderately. MIND scores had a statistically significant reduction in AD rate compared to those in the lowest tertial (53% and 35% reduction, respectively). Subjects with the highest adherence to the MD and DASH had a 54% and 39% lower risk of developing AD, respectively, compared to those in the lowest tertial. Omega-6, PUFA, found in nuts and fish, can play most roles in the clearance of Aβ. Vitamin D inhibits induced fibrillar Aβ apoptosis. However, the high cost of these diet components rise doubt about the effectiveness of AD prevention through healthy diets.
The finding of this study revealed an association between diet and the effects of the chemical components of foods on AD biomarkers. More research is required to see if nutrition is a risk or a protective factor for Alzheimer's disease to encourage research to be translated into therapeutic practice and to clarify nutritional advice.
这篇探索性综述文章描述了阿尔茨海默病(AD)背后的遗传因素、它们与食物的关联以及与认知障碍的关系。它探讨了AD预防中的饮食模式和经济挑战。
在Scopus、PubMed和谷歌学术上搜索了在预防阿尔茨海默病研究中探讨饮食、阿尔茨海默病(AD)和社会经济状况之间关系的文章。图表和网络分析数据取自Scopus,采用医学主题词(MeSH)搜索方法,包括词汇:阿尔茨海默病、APoE4、tau蛋白、APP、淀粉样前体蛋白、β-淀粉样蛋白、Aβ、地中海饮食、MD、得舒饮食、MIND饮食、SES、社会经济、发达国家、不发达国家、预防。通过VOSviewer进行网络分析。
对于适度遵循地中海饮食(MD)的人,该饮食可将AD(阿尔茨海默病)风险准确降低至53%和35%。与最低三分位数组相比,MIND评分的AD发病率有统计学显著降低(分别降低53%和35%)。与最低三分位数组相比,对MD和得舒饮食依从性最高的受试者患AD的风险分别降低了54%和39%。坚果和鱼类中的ω-6多不饱和脂肪酸(PUFA)在Aβ清除中起主要作用。维生素D可抑制诱导的纤维状Aβ凋亡。然而,这些饮食成分的高成本引发了对通过健康饮食预防AD有效性的质疑。
本研究结果揭示了饮食与食物化学成分对AD生物标志物的影响之间的关联。需要更多研究来确定营养是阿尔茨海默病的风险因素还是保护因素,以促进研究转化为治疗实践并明确营养建议。