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管理自身免疫性疾病患者的心血管风险:营养视角的见解。

Managing Cardiovascular Risk in Patients with Autoimmune Diseases: Insights from a Nutritional Perspective.

机构信息

Department of Cardiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310009, China.

State Key Laboratory of Transvascular Implantation Devices, Hangzhou, 310009, China.

出版信息

Curr Nutr Rep. 2024 Dec;13(4):718-728. doi: 10.1007/s13668-024-00563-7. Epub 2024 Jul 30.

DOI:10.1007/s13668-024-00563-7
PMID:39078574
Abstract

PURPOSE OF REVIEW

Autoimmune diseases manifest as an immune system response directed against endogenous antigens, exerting a significant influence on a substantial portion of the population. Notably, a leading contributor to morbidity and mortality in this context is cardiovascular disease (CVD). Intriguingly, individuals with autoimmune disorders exhibit a heightened prevalence of CVD compared to the general population. The meticulous management of CV risk factors assumes paramount importance, given the current absence of a standardized solution to this perplexity. This review endeavors to address this challenge from a nutritional perspective.

RECENT FINDINGS

Emerging evidence suggests that inflammation, a common thread in autoimmune diseases, also plays a pivotal role in the pathogenesis of CVD. Nutritional interventions aimed at reducing inflammation have shown promise in mitigating cardiovascular risk. The integration of nutritional strategies into the management plans for patients with autoimmune diseases offers a holistic approach to reducing cardiovascular risk. While conventional pharmacological treatments remain foundational, the addition of targeted dietary interventions can provide a complementary pathway to improve cardiovascular outcomes.

摘要

目的综述

自身免疫性疾病表现为免疫系统针对内源性抗原的反应,对相当一部分人群产生重大影响。值得注意的是,心血管疾病(CVD)是导致发病率和死亡率的主要原因。有趣的是,与普通人群相比,自身免疫性疾病患者的 CVD 患病率更高。鉴于目前尚无针对这一难题的标准化解决方案,精细管理 CV 风险因素至关重要。本综述从营养角度尝试解决这一挑战。

最近的发现

新出现的证据表明,炎症是自身免疫性疾病的一个共同特征,它在 CVD 的发病机制中也起着关键作用。旨在减轻炎症的营养干预措施在降低心血管风险方面显示出了希望。将营养策略纳入自身免疫性疾病患者的管理计划中,提供了一种降低心血管风险的整体方法。虽然传统的药物治疗仍然是基础,但添加针对性的饮食干预可以提供改善心血管结局的补充途径。

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本文引用的文献

1
Nutritional Approaches to Modulate Cardiovascular Disease Risk in Systemic Lupus Erythematosus: A Literature Review.营养干预对系统性红斑狼疮患者心血管疾病风险的影响:文献综述
Nutrients. 2023 Feb 19;15(4):1036. doi: 10.3390/nu15041036.
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Effects of tobacco smoking on cardiovascular disease in patients with systemic lupus erythematosus: A systematic review and meta-analysis.吸烟对系统性红斑狼疮患者心血管疾病的影响:系统评价和荟萃分析。
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Antioxidants (Basel). 2021 May 10;10(5):755. doi: 10.3390/antiox10050755.
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Dietary polyphenols suppress chronic inflammation by modulation of multiple inflammation-associated cell signaling pathways.饮食多酚通过调节多种与炎症相关的细胞信号通路来抑制慢性炎症。
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Evaluation of dietary selenium, vitamin C and E as the multi-antioxidants on the methylmercury intoxicated mice based on mercury bioaccumulation, antioxidant enzyme activity, lipid peroxidation and mitochondrial oxidative stress.基于汞生物积累、抗氧化酶活性、脂质过氧化和线粒体氧化应激评价膳食硒、维生素 C 和 E 作为多抗氧化剂对甲基汞中毒小鼠的影响。
Chemosphere. 2021 Jun;273:129673. doi: 10.1016/j.chemosphere.2021.129673. Epub 2021 Jan 18.
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Intake and metabolism of omega-3 and omega-6 polyunsaturated fatty acids: nutritional implications for cardiometabolic diseases.ω-3 和 ω-6 多不饱和脂肪酸的摄入和代谢:对心血管代谢疾病的营养意义。
Lancet Diabetes Endocrinol. 2020 Nov;8(11):915-930. doi: 10.1016/S2213-8587(20)30148-0. Epub 2020 Sep 16.
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Omega-3 polyunsaturated fatty acids supplementation and cardiovascular outcomes: do formulation, dosage, and baseline cardiovascular risk matter? An updated meta-analysis of randomized controlled trials.ω-3 多不饱和脂肪酸补充剂与心血管结局:配方、剂量和基线心血管风险是否重要?随机对照试验的更新荟萃分析。
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The Gut Microbiota: Emerging Evidence in Autoimmune Diseases.肠道微生物组:自身免疫性疾病的新证据。
Trends Mol Med. 2020 Sep;26(9):862-873. doi: 10.1016/j.molmed.2020.04.001. Epub 2020 May 10.
10
High-fat or high-sugar diets as trigger inflammation in the microbiota-gut-brain axis.高脂肪或高糖饮食会引发微生物群-肠道-大脑轴的炎症。
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