食品营养素和生物活性化合物用于管理与代谢功能障碍相关的脂肪性肝病:综合性审查
Erdenetsogt Dungubat1, Kohei Fujikura1, Masahiko Kuroda1
1Department of Molecular Pathology, Tokyo Medical University, Shinjuku-ku, Tokyo 160-8402, Japan.
Nutrients
|July 12, 2025
概括
饮食干预措施对管理代谢功能障碍相关的脂肪性肝病 (MASLD) 和其渐进的形式,代谢功能障碍相关的脂肪性肝炎 (MASH) 显示出希望. 然而,营养素和生物活性化合物的影响是复杂的,需要进一步的临床试验以获得明确的指导.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 营养科学 营养科学
- 代谢疾病 代谢疾病
背景情况:
- 与代谢功能障碍相关的脂肪性肝病 (MASLD) 和脂肪性肝炎 (MASH) 正在增加全球健康问题,没有确定的药理疗法.
- 饮食干预正在研究它们对管理MASLD和MASH进展的潜力.
研究的目的:
- 综合审查宏观营养素,生物活性化合物和微量营养素对MASLD的双重影响.
- 综合现有关于MASLD管理饮食策略的证据.
主要方法:
- 关于饮食成分和MASLD的现有文献的叙事综述.
- 脂肪酸,碳水化合物,咖啡衍生化合物和微量营养素的保护性,加剧性和双重作用的分析.
主要成果:
- 和脂肪酸可以使MASLD恶化,但适度摄入可能会带来代谢益处.
- 咖啡化合物如咖啡因和酸可以减少肝损伤,尽管对MASLD严重性的影响是不一致的.
- 各种生物活性化合物和微量营养素影响肝脏脂质代谢和胰岛素敏感性.
结论:
- 特定的饮食营养素和生物活性化合物显示出MASLD管理的治疗潜力.
- 不一致的发现需要更强大的,经过良好控制的研究,特别是临床试验,以建立基于证据的MASLD饮食指南.
- 在临床应用 MASLD 的饮食干预措施之前,进一步的研究至关重要.
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