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母体膳食策略改善后代心血管-肾脏-代谢健康:范围综述。

Maternal Dietary Strategies for Improving Offspring Cardiovascular-Kidney-Metabolic Health: A Scoping Review.

机构信息

Division of Pediatric Nephrology, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 833, Taiwan.

College of Medicine, Chang Gung University, Taoyuan 333, Taiwan.

出版信息

Int J Mol Sci. 2024 Sep 10;25(18):9788. doi: 10.3390/ijms25189788.

Abstract

Dietary regulation has been recognized for its profound impact on human health. The convergence of cardiovascular, kidney, and metabolic disorders at the pathophysiological level has given rise to cardiovascular-kidney-metabolic (CKM) syndrome, which constitutes a significant global health burden. Maternal dietary nutrients play a crucial role in fetal development, influencing various programmed processes. This review emphasizes the effects of different types of dietary interventions on each component of CKM syndrome in both preclinical and clinical settings. We also provide an overview of potential maternal dietary strategies, including amino acid supplementation, lipid-associated diets, micronutrients, gut microbiota-targeted diets, and plant polyphenols, aimed at preventing CKM syndrome in offspring. Additionally, we discuss the mechanisms mediated by nutrient-sensing signals that contribute to CKM programming. Altogether, we underscore the interaction between maternal dietary interventions and the risk of CKM syndrome in offspring, emphasizing the need for continued research to facilitate their clinical translation.

摘要

饮食调节对人类健康有着深远的影响。心血管、肾脏和代谢紊乱在病理生理学水平上的汇聚,导致了心血管-肾脏-代谢(CKM)综合征,这构成了一个重大的全球健康负担。母体膳食营养在胎儿发育中起着至关重要的作用,影响着各种程序化过程。本综述强调了不同类型的饮食干预措施在临床前和临床环境中对 CKM 综合征各个组成部分的影响。我们还概述了潜在的母体饮食策略,包括氨基酸补充、脂质相关饮食、微量营养素、肠道微生物靶向饮食和植物多酚,旨在预防后代的 CKM 综合征。此外,我们还讨论了营养感应信号介导的导致 CKM 程序化的机制。总的来说,我们强调了母体饮食干预与后代 CKM 综合征风险之间的相互作用,强调需要继续研究以促进其临床转化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94b0/11432268/d6d697476cfd/ijms-25-09788-g001.jpg

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