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饮食干预对心脏代谢健康的影响。

The impact of dietary interventions on cardiometabolic health.

作者信息

Gjermeni Erind, Fiebiger Raluca, Bundalian Linnaeus, Garten Antje, Schöneberg Torsten, Le Duc Diana, Blüher Matthias

机构信息

Department of Cardiology, Median Center for Rehabilitation Schmannewitz, 04774, Dahlen, Germany.

Institute of Human Genetics, University Medical Center Leipzig, 04103, Leipzig, Germany.

出版信息

Cardiovasc Diabetol. 2025 May 31;24(1):234. doi: 10.1186/s12933-025-02766-w.

Abstract

Obesity and cardiometabolic diseases are leading causes of morbidity and mortality among adults worldwide. These conditions significantly contribute to and exacerbate other major causes of illness and death, including cancer, neurodegenerative diseases, and chronic kidney disease. The growing burden of these diseases has increased the interest of modern medicine in understanding metabolic processes and health, with diet emerging as a pivotal modifiable factor, alongside physical inactivity and smoking. In this review, we discuss the pathophysiological and evolutionary foundations of metabolic processes that may link "unhealthy" nutrition to obesity and cardiometabolic diseases and review the current literature to assess the effects of various diet interventions and patterns on cardiometabolic parameters. Special emphasis is placed on summarizing the latest, albeit partially contradictory, evidence to offer balanced dietary recommendations with the ultimate aim to improve cardiometabolic health.

摘要

肥胖和心血管代谢疾病是全球成年人发病和死亡的主要原因。这些疾病显著促成并加剧了其他主要疾病和死亡原因,包括癌症、神经退行性疾病和慢性肾脏病。这些疾病日益加重的负担促使现代医学更加关注对代谢过程和健康的理解,饮食与缺乏身体活动和吸烟一样,成为一个关键的可改变因素。在这篇综述中,我们讨论了可能将“不健康”营养与肥胖和心血管代谢疾病联系起来的代谢过程的病理生理和进化基础,并回顾了当前文献以评估各种饮食干预措施和模式对心血管代谢参数的影响。特别强调总结最新的(尽管部分相互矛盾)证据,以提供平衡的饮食建议,最终目标是改善心血管代谢健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66d3/12125738/965cae53f0da/12933_2025_2766_Fig1_HTML.jpg

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