Sivri Dilek, Akdevelioğlu Yasemin
Department of Nutrition and Dietetics, Faculty of Health Science, Anadolu University, Eskişehir, Türkiye.
Department of Nutrition and Dietetics, Faculty of Health Science, Gazi University, Ankara, Türkiye.
Nutr Rev. 2025 May 1;83(5):897-907. doi: 10.1093/nutrit/nuae165.
Type 2 diabetes is an inflammatory, non-infectious disease characterized by dysfunctional pancreatic β-cells and insulin resistance. Although lifestyle, genetic, and environmental factors are associated with a high risk of type 2 diabetes, nutrition remains one of the most significant factors. Specific types and increased amounts of dietary fatty acids are associated with type 2 diabetes and its complications. Dietary recommendations for the prevention of type 2 diabetes advocate for a diet that is characterized by reduced saturated fatty acids and trans fatty acids alongside an increased consumption of monounsaturated fatty acids, polyunsaturated fatty acids, and omega-3 fatty acids. Although following the recommendations for dietary fatty acid intake is important for reducing type 2 diabetes and its related complications, the underlying mechanisms remain unclear. This review will provide an update on the mechanisms of action of fatty acids on glucose metabolism and type 2 diabetes, as well as dietary recommendations for the prevention of type 2 diabetes.
2型糖尿病是一种炎症性非传染性疾病,其特征是胰腺β细胞功能失调和胰岛素抵抗。尽管生活方式、遗传和环境因素与2型糖尿病的高风险相关,但营养仍然是最重要的因素之一。特定类型和数量增加的膳食脂肪酸与2型糖尿病及其并发症有关。预防2型糖尿病的饮食建议提倡减少饱和脂肪酸和反式脂肪酸的摄入,同时增加单不饱和脂肪酸、多不饱和脂肪酸和ω-3脂肪酸的摄入量。尽管遵循膳食脂肪酸摄入建议对于减少2型糖尿病及其相关并发症很重要,但其潜在机制仍不清楚。本综述将提供关于脂肪酸对葡萄糖代谢和2型糖尿病作用机制的最新信息,以及预防2型糖尿病的饮食建议。