摘要
肥胖和相关的代谢变化已被证明是认知功能下降的重要危险因素并能损害认知功能,但潜在的神经生物学机制还未完全阐明。大量研究表明,肥胖个体脑内线粒体形态和功能出现异常改变。因此,脑线粒体功能障碍很可能是肥胖患者认知受损的潜在机制之一,而提高线粒体功能将是防治肥胖患者认知损伤的突破口。近年来高强度间歇训练(HIIT)被证明在肥胖健康管理、改善认知障碍方面卓有成效,可作为临床改善肥胖认知损伤的有效方法。HIIT对认知功能产生的有益效应常伴随脑内线粒体功能的提高。本文全面总结和讨论了线粒体功能和肥胖、HIIT之间的内在联系,以及HIIT改善肥胖个体认知损伤的线粒体机制,可为临床上应用HIIT治疗肥胖患者认知损伤提供理论基础。
Obesity and its related metabolic changes have proved to be important risk factors and causes for cognitive decline,but the potential neurobiological mechanisms remain incompletely clear.Numerous studies have shown that there are abnormal alterations in cerebral mitochondrial morphology and function in obese individuals.So cerebral mitochondrial dysfunction may be a probable mechanism for cognitive impairment in obesity,and improving which will be a breakthrough in the prevention and treatment of obesity-related cognitive impairment.High-intensity interval training(HIIT)has recently been proved to be effective in improving obesity-related health management and cognitive impairment,which may be used clinically as an efficient approach to improving obesity-related cognitive impairment.The cognitive benefits from HIIT are often manifested by improved cerebral mitochondrial function.We reviewed the latest advances in the internal relationship of cerebral mitochondrial function with obesity and HIIT,and the mitochondrial mechanism of HIIT improving obesity-related cognitive impairment,which may be evidence for clinical application of HIIT in the treatment of obesity-related cognitive impairment.
作者
蔡明
王晓军
陈晓艳
胡静芸
CAI Ming;WANG Xiaojun;CHEN Xiaoyan;HU Jingyun(College of Rehabilitation Sciences,Shanghai University of Medicine&Health Sciences,Shanghai 201318,China;Bio-X Institutes,Shanghai Jiao Tong University,Shanghai 200240,China;Department of Science and Education,Shanghai Herson Rehabilitation Hospital,Shanghai 201615,China;Department of Rehabilitation Management,Shanghai Herson Rehabilitation Hospital,Shanghai 201615,China;Central Lab/Shanghai Key Laboratory of Pathogenic Fungi Medical Testing,Shanghai Pudong New Area People's Hospital,Shanghai 201299,China)
出处
《中国全科医学》
CAS
北大核心
2022年第29期3702-3709,共8页
Chinese General Practice
基金
教育部人文社会科学研究青年基金项目(20YJCZH001)——“健康中国2030”战略下老年轻度认知障碍风险因素筛查模式构建及康复干预实证研究
中国博士后基金面上项目(2021M702128)——间歇性低氧训练激活HIF-1α重塑AD早期海马能量代谢的机制研究
横向科研项目(HXXM-21-03-005)——虚拟情景互动训练系统对卒中后轻度认知障碍的康复治疗效果验证
上海市青年科技英才扬帆计划资助项目(22YF1441600)——乳酸在高强度间歇训练调控糖尿病脑病小鼠海马能量代谢中作用及机制探究。
关键词
肥胖症
认知功能障碍
高强度间歇训练
线粒体
综述
Obesity
Cognitive dysfunction
High-intensity interval training
Mitochondria
Review