糖替代品对空心菌的临床影响:系统性审查和元分析
Nicky Linlin Liang1, Bella Weijia Luo1, Ivy Guofang Sun1
1Faculty of Dentistry, The University of Hong Kong, Hong Kong SAR, China.
International dental journal
|April 10, 2024
概括
低强度的甜味剂,如利醇显著减少牙斑和唾液中的有害口腔细菌. 需要对高强度甜味剂进行更多的研究,以预防虫.
科学领域:
- 口腔健康研究 口腔健康研究
- 微生物学 微生物学
- 食品科学与营养 食品科学与营养
背景情况:
- 越来越多的糖替代品在食品中的使用.
- 关于它们在预防牙损伤方面的作用的数据有限.
- 需要评估对 cariogenic 细菌的影响.
研究的目的:
- 调查糖替代品消费对菌细菌的影响.
- 分析对牙斑块和唾液的影响.
- 进行系统审查和元分析.
主要方法:
- 在PubMed,EMBASE,Web of Science (开始至2023年7月) 的系统搜索.
- 在英语中包含前性对照试验.
- 使用Cochrane偏差风险工具评估 cariogenic 细菌的变化和研究质量的评估.
主要成果:
- 包括977项研究中的32项试验;44%具有偏差的高风险.
- 大多数研究 (96.88%) 专注于低强度的甜味剂 (xylitol,sorbitol,erythritol,maltitol).
- 低强度甜味剂显著减少了斑块和唾液中的空性细菌 (元分析).
结论:
- 消费低强度的甜味剂有助于减少空白致病细菌.
- 有限的临床证据表明,高强度甜味剂对空性细菌的影响有限.
相关概念视频
Oral Hypoglycemic Agents: α-Glucosidase Inhibitors
174
α-glucosidase inhibitors, including acarbose (Precose), miglitol (Glyset), and voglibose (Voglib) (primarily available in Asia), are drugs that control blood sugar levels by delaying the digestion of starch and disaccharides. They achieve this by inhibiting α-glucosidase enzymes in the intestine, which slow the absorption of carbohydrates in the intestine, which in turn leads to a prolonged release of the glucoregulatory hormone GLP-1 from intestinal L-cells.
Acarbose and miglitol are...
Acarbose and miglitol are...
174
Overview of Carbohydrate Metabolism
981
Carbohydrate metabolism is a fundamental biochemical process that ensures a constant supply of energy to living cells. The most important carbohydrate is glucose, which can be broken down via glycolysis to enter into the Krebs cycle and eventually lead to the production of ATP through oxidative phosphorylation.
Glucose transport into cells is facilitated by a family of transport proteins called GLUT (Glucose Transporters). GLUT4 is the primary glucose transporter for insulin-stimulated glucose...
Glucose transport into cells is facilitated by a family of transport proteins called GLUT (Glucose Transporters). GLUT4 is the primary glucose transporter for insulin-stimulated glucose...
981
Carbohydrate Metabolism
11.1K
Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
11.1K
Carbohydrate Digestion
114.6K
Carbohydrate digestion and metabolism break down simple and complex carbohydrates from food into saccharides (i.e., sugars) for the body to use as energy. Carbohydrate digestion starts in the mouth during mastication, or chewing. The masticated carbohydrates remain intact in the stomach. Digestion resumes in the duodenum of the small intestine, where pancreatic alpha-amylase and brush border enzymes of the microvilli convert complex carbohydrates to monosaccharides. Finally, the monosaccharides...
114.6K
Substituent Effects on Acidity of Carboxylic Acids
6.7K
The acidity of carboxylic acids is influenced by the nature of the substituents bounded to the functional group. The acid strength is determined by the stability of the carboxylate anion—the conjugate base formed by dissociating the corresponding carboxylic acid.
6.7K
Oral Hypoglycemic Agents: Sulfonylureas
207
Sulfonylureas are oral hypoglycemic agents utilized in treating type 2 diabetes. They are characterized by their unique sulfonylurea chemical structure. The family of sulfonylureas is divided into generations. First-generation sulfonylureas, including tolbutamide (Orinase), chlorpropamide (Diabinese), and tolazamide (Tolinase), trigger insulin release from pancreatic β cells and enhance peripheral tissues' insulin sensitivity. The second-generation members, such as glipizide...
207


