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地中海饮食在慢性病的靶向预防和个性化治疗中的应用:证据、潜在机制及前景

Mediterranean diet in the targeted prevention and personalized treatment of chronic diseases: evidence, potential mechanisms, and prospects.

作者信息

Xiao Yuji, Xiao Xuefei, Zhang Xue, Yi Dongxin, Li Tao, Hao Qiangqiang, Zhang Feng, Li Xu, Wang Ningning

机构信息

School of Public Health, Dalian Medical University, Dalian, Liaoning People's Republic of China.

Bishan Hospital of Chongqing Medical University, Chongqing, People's Republic of China.

出版信息

EPMA J. 2024 Apr 16;15(2):207-220. doi: 10.1007/s13167-024-00360-w. eCollection 2024 Jun.

Abstract

The prevalence of chronic diseases is currently a major public health issue worldwide and is exploding with the population growth and aging. Dietary patterns are well known to play a important role in our overall health and well-being, and therefore, poor diet and malnutrition are among the most critical risk factors for chronic disease. Thus, dietary recommendation and nutritional supplementation have significant clinical implications for the targeted treatment of some of these diseases. Multiple dietary patterns have been proposed to prevent chronic disease incidence, like Dietary Approaches to Stop Hypertension (DASH) and Diabetes Risk Reduction Diet (DRRD). Among them, the MedDiet, which is one of the most well-known and studied dietary patterns in the world, has been related to a wide extent of health benefits. Substantial evidence has supported an important reverse association between higher compliance to MedDiet and the risk of chronic disease. Innovative strategies within the healthcare framework of predictive, preventive, and personalized medicine (PPPM/3PM) view personalized dietary customization as a predictive medical approach, cost-effective preventive measures, and the optimal dietary treatment tailored to the characteristics of patients with chronic diseases in primary and secondary care. Through a comprehensive collection and review of available evidence, this review summarizes health benefits of MedDiet in the context of PPPM/3PM for chronic diseases, including cardiovascular disease, hypertension, type 2 diabetes, obesity, metabolic syndrome, osteoporosis, and cancer, thereby a working hypothesis that MedDiet can personalize the prevention and treatment of chronic diseases was derived.

摘要

目前,慢性病的流行是全球主要的公共卫生问题,且随着人口增长和老龄化而迅速加剧。众所周知,饮食模式在我们的整体健康和幸福中起着重要作用,因此,不良饮食和营养不良是慢性病最关键的风险因素之一。因此,饮食建议和营养补充对其中一些疾病的靶向治疗具有重要的临床意义。人们提出了多种饮食模式来预防慢性病的发生,如终止高血压饮食疗法(DASH)和降低糖尿病风险饮食(DRRD)。其中,地中海饮食是世界上最著名且研究最多的饮食模式之一,与广泛的健康益处相关。大量证据支持了更高程度遵循地中海饮食与慢性病风险之间的重要反向关联。在预测、预防和个性化医学(PPPM/3PM)的医疗框架内,创新策略将个性化饮食定制视为一种预测性医疗方法、具有成本效益的预防措施,以及针对初级和二级护理中慢性病患者特征的最佳饮食治疗方法。通过全面收集和审查现有证据,本综述总结了地中海饮食在PPPM/3PM背景下对包括心血管疾病、高血压、2型糖尿病、肥胖症、代谢综合征、骨质疏松症和癌症在内的慢性病的健康益处,从而得出了地中海饮食可实现慢性病预防和治疗个性化的工作假设。

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