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血脂异常和心血管代谢风险管理中的营养与生活方式干预

Nutrition and Lifestyle Interventions in Managing Dyslipidemia and Cardiometabolic Risk.

作者信息

Berisha Hygerta, Hattab Reham, Comi Laura, Giglione Claudia, Migliaccio Silvia, Magni Paolo

机构信息

Dipartimento di Scienze Farmacologiche e Biomolecolari, Università degli Studi di Milano, 20133 Milan, Italy.

Dipartimento di Medicina Sperimentale, Sapienza Università di Roma, 00185 Roma, Italy.

出版信息

Nutrients. 2025 Feb 23;17(5):776. doi: 10.3390/nu17050776.

Abstract

Dyslipidemia, characterized by abnormal blood lipid levels, is a major public health concern due to its association with atherosclerotic cardiovascular disease (ASCVD) and other cardiometabolic disorders. In this context, appropriate nutrition patterns are pivotal as they represent the basic approach for providing a wide range of substantial advantages. The best evidence for dyslipidemia management is offered by the Mediterranean Diet, the Plant-Based Diet, the High-Fiber Diet and the Anti-inflammatory Diet, while the DASH Diet and the Ketogenic Diet have also been shown to target additional pathological features like hypertension and other comorbidities. The bioactive compounds that are enriched in these nutrition patterns and able to manage dyslipidemia include monounsaturated fatty acids such as ω-3, polyphenols such as oleuropein, resveratrol, flavonoids, and catechins, carotenoids, phytosterols and soluble and unsoluble fibers. Diets rich in these compounds can improve lipid profile by mitigating oxidative stress, reducing low-grade chronic inflammation, modulating macronutrient absorption and other mechanisms, thereby supporting cardiovascular health. Additionally, lifestyle interventions such as regular physical activity, weight loss, reduced alcohol consumption and smoking cessation further ameliorate lipid metabolism and manage circulated lipid profile. Furthermore, emerging insights from nutrigenomics underscore the potential for proper diet to address genetic factors and optimize treatment outcomes. The pivotal role of nutrition interventions in the context of dyslipidemia and its cardiometabolic implications is discussed in this review, emphasizing evidence-based and personalized approaches.

摘要

血脂异常,以血液脂质水平异常为特征,因其与动脉粥样硬化性心血管疾病(ASCVD)及其他心脏代谢紊乱相关,是一个主要的公共卫生问题。在此背景下,适当的营养模式至关重要,因为它们是提供广泛显著益处的基本方法。地中海饮食、植物性饮食、高纤维饮食和抗炎饮食为血脂异常管理提供了最佳证据,而得舒饮食(DASH饮食)和生酮饮食也已被证明可针对高血压和其他合并症等额外病理特征。这些营养模式中富含的、能够管理血脂异常的生物活性化合物包括单不饱和脂肪酸如ω-3、多酚如橄榄苦苷、白藜芦醇、类黄酮和儿茶素、类胡萝卜素、植物甾醇以及可溶性和不可溶性纤维。富含这些化合物的饮食可通过减轻氧化应激、减少低度慢性炎症、调节常量营养素吸收及其他机制来改善血脂状况,从而支持心血管健康。此外,诸如定期体育活动、减肥、减少酒精摄入和戒烟等生活方式干预可进一步改善脂质代谢并管理循环血脂状况。此外,营养基因组学的新见解强调了适当饮食应对遗传因素并优化治疗效果的潜力。本综述讨论了营养干预在血脂异常及其心脏代谢影响方面的关键作用,强调基于证据和个性化的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a997/11902110/b7b47d4f2df5/nutrients-17-00776-g001.jpg

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