目的探究高膳食纤维限能干预对肥胖合并糖耐量异常患者体重和代谢指标的影响。方法前瞻性选取陕西省中医医院营养科门诊收治的60例肥胖合并糖耐量异常患者为研究对象,采用随机数字表法将其分为高膳食纤维限能组(30例,高膳食纤维限能干预...目的探究高膳食纤维限能干预对肥胖合并糖耐量异常患者体重和代谢指标的影响。方法前瞻性选取陕西省中医医院营养科门诊收治的60例肥胖合并糖耐量异常患者为研究对象,采用随机数字表法将其分为高膳食纤维限能组(30例,高膳食纤维限能干预)和常规饮食限能组(30例,常规饮食限能)。比较两组的干预效果。结果干预后,高膳食纤维限能组的甘油三酯(TG)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、空腹血糖(FBG)、餐后2 h血糖(2 h PG)水平及稳态模型胰岛素抵抗指数(HOMA-IR)优于常规饮食限能组(P<0.05)。干预后,高膳食纤维限能组的腰围、体质量指数(BMI)、体脂率、内脏脂肪指数小于常规饮食限能组(P<0.05)。高膳食纤维限能组的治疗有效率高于常规饮食限能组,差异具有统计学意义(P<0.05)。结论高膳食纤维限能干预在肥胖合并糖耐量异常患者中的效果较好,可改善体重和代谢指标。展开更多
Despite little evidence for the therapeutic benefits of a high-fiber diet for diverticulitis,it is commonly recommended as part of the clinical management.The ongoing uncertainty of the cause(s) of diverticulitis conf...Despite little evidence for the therapeutic benefits of a high-fiber diet for diverticulitis,it is commonly recommended as part of the clinical management.The ongoing uncertainty of the cause(s) of diverticulitis confounds attempts to determine the validity of this therapy.However,the features of a high-fiber diet represent a logical contradiction for colon diverticulitis.Considering that Bernoulli's principle,by which enlarged diameter of the lumen leads to increased pressure and decreased fluid velocity,might contribute to development of the diverticulum.Thus,theoretically,prevention of high pressure in the colon would be important and adoption of a low FODMAP diet(consisting of fermentable oligosaccharides,disaccharides,monosaccharides,and polyols) may help prevent recurrence of diverticulitis.展开更多
Nowadays,immunotherapy is widely used to treat different cancer types as it boosts the body's natural defenses against the malignancy,with lower risk of adverse events compared to the traditional treatments.The im...Nowadays,immunotherapy is widely used to treat different cancer types as it boosts the body's natural defenses against the malignancy,with lower risk of adverse events compared to the traditional treatments.The immune system is able to control cancer growth but,unfortunately,many cancers take advantage of immune checkpoints pathways for the immune evasion.An intricate network of factors including tumor,host and environmental variables influence the individual response to immune checkpoints’inhibitors.Between them,the gut microbiota(GM)has recently gained increasing attention because of its emerging role as a modulator of the immune response.Several studies analyzed the diversities between immunotherapy-sensitive and immunotherapy-resistant cohorts,evidencing that particular GM profiles were closely associated to treatment effect.In addition,other data documented that interventional GM modulation could effectively enhance efficacy and relieve resistance during immunotherapy treatment.Diet represents one of the major GM determinants,and ongoing studies are examining the role of the food-gut axis in immunotherapy treatment.Here,we review recent studies that described how variations of the GM affects patient’s responsivity to anti-cancer immunotherapy and how diet-related factors impact on the GM modulation in cancer,outlining potential future clinical directions of these recent findings.展开更多
繁殖期是小型哺乳动物最重要的生活史阶段之一,哺乳期是母体能量需求最高的时期。为满足后代的能量需求,母体通常显著增加能量摄入,达到最大持续能量摄入(maximal sustained energy intake,mSusEI)。动物消化道形态和消化机能具有可塑性...繁殖期是小型哺乳动物最重要的生活史阶段之一,哺乳期是母体能量需求最高的时期。为满足后代的能量需求,母体通常显著增加能量摄入,达到最大持续能量摄入(maximal sustained energy intake,mSusEI)。动物消化道形态和消化机能具有可塑性,然而消化系统是否限制了哺乳期mSusEI,尚不确定。本文以高纤维食物饲喂哺乳期黑线仓鼠(Cricetulus barabensis),通过测定体重、摄食量、摄入能和消化率、代谢率、泌乳能量输出,以及消化系统重量和消化酶活性等,分析哺育不同胎仔数的母体能量摄入与繁殖输出,比较在不同能量需求的条件下,消化酶活性的变化。结果发现,黑线仓鼠哺乳期的能量收支与其哺育后代的数量有关,哺乳期mSusEI未受高纤维食物的显著影响。饲喂高纤维食物未影响摄入能,但显著降低了消化能和消化率,母乳能量输出也显著减少,不能满足后代幼体的能量需求,导致幼体发育变缓。高纤维食物使胃、小肠、大肠和盲肠重量显著增加,小肠淀粉酶、麦芽糖酶和氨基肽酶活性显著增强,但未受胎仔数的显著影响。结果表明,哺乳期mSusEI的瓶颈可能来自消化系统,支持中心限制假说。由于“中心限制”的存在,食物中纤维素含量升高可能会降低动物繁殖价值。展开更多
文摘目的探究高膳食纤维限能干预对肥胖合并糖耐量异常患者体重和代谢指标的影响。方法前瞻性选取陕西省中医医院营养科门诊收治的60例肥胖合并糖耐量异常患者为研究对象,采用随机数字表法将其分为高膳食纤维限能组(30例,高膳食纤维限能干预)和常规饮食限能组(30例,常规饮食限能)。比较两组的干预效果。结果干预后,高膳食纤维限能组的甘油三酯(TG)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、空腹血糖(FBG)、餐后2 h血糖(2 h PG)水平及稳态模型胰岛素抵抗指数(HOMA-IR)优于常规饮食限能组(P<0.05)。干预后,高膳食纤维限能组的腰围、体质量指数(BMI)、体脂率、内脏脂肪指数小于常规饮食限能组(P<0.05)。高膳食纤维限能组的治疗有效率高于常规饮食限能组,差异具有统计学意义(P<0.05)。结论高膳食纤维限能干预在肥胖合并糖耐量异常患者中的效果较好,可改善体重和代谢指标。
文摘Despite little evidence for the therapeutic benefits of a high-fiber diet for diverticulitis,it is commonly recommended as part of the clinical management.The ongoing uncertainty of the cause(s) of diverticulitis confounds attempts to determine the validity of this therapy.However,the features of a high-fiber diet represent a logical contradiction for colon diverticulitis.Considering that Bernoulli's principle,by which enlarged diameter of the lumen leads to increased pressure and decreased fluid velocity,might contribute to development of the diverticulum.Thus,theoretically,prevention of high pressure in the colon would be important and adoption of a low FODMAP diet(consisting of fermentable oligosaccharides,disaccharides,monosaccharides,and polyols) may help prevent recurrence of diverticulitis.
基金Supported by the Italian Ministry of University and Research,the Foundation“Ente Cassa di Risparmio di Firenze”FCR 2017Italian Ministry of Health(Ricerca Finalizzata 2016),No.GR-2016-02361162.
文摘Nowadays,immunotherapy is widely used to treat different cancer types as it boosts the body's natural defenses against the malignancy,with lower risk of adverse events compared to the traditional treatments.The immune system is able to control cancer growth but,unfortunately,many cancers take advantage of immune checkpoints pathways for the immune evasion.An intricate network of factors including tumor,host and environmental variables influence the individual response to immune checkpoints’inhibitors.Between them,the gut microbiota(GM)has recently gained increasing attention because of its emerging role as a modulator of the immune response.Several studies analyzed the diversities between immunotherapy-sensitive and immunotherapy-resistant cohorts,evidencing that particular GM profiles were closely associated to treatment effect.In addition,other data documented that interventional GM modulation could effectively enhance efficacy and relieve resistance during immunotherapy treatment.Diet represents one of the major GM determinants,and ongoing studies are examining the role of the food-gut axis in immunotherapy treatment.Here,we review recent studies that described how variations of the GM affects patient’s responsivity to anti-cancer immunotherapy and how diet-related factors impact on the GM modulation in cancer,outlining potential future clinical directions of these recent findings.
文摘繁殖期是小型哺乳动物最重要的生活史阶段之一,哺乳期是母体能量需求最高的时期。为满足后代的能量需求,母体通常显著增加能量摄入,达到最大持续能量摄入(maximal sustained energy intake,mSusEI)。动物消化道形态和消化机能具有可塑性,然而消化系统是否限制了哺乳期mSusEI,尚不确定。本文以高纤维食物饲喂哺乳期黑线仓鼠(Cricetulus barabensis),通过测定体重、摄食量、摄入能和消化率、代谢率、泌乳能量输出,以及消化系统重量和消化酶活性等,分析哺育不同胎仔数的母体能量摄入与繁殖输出,比较在不同能量需求的条件下,消化酶活性的变化。结果发现,黑线仓鼠哺乳期的能量收支与其哺育后代的数量有关,哺乳期mSusEI未受高纤维食物的显著影响。饲喂高纤维食物未影响摄入能,但显著降低了消化能和消化率,母乳能量输出也显著减少,不能满足后代幼体的能量需求,导致幼体发育变缓。高纤维食物使胃、小肠、大肠和盲肠重量显著增加,小肠淀粉酶、麦芽糖酶和氨基肽酶活性显著增强,但未受胎仔数的显著影响。结果表明,哺乳期mSusEI的瓶颈可能来自消化系统,支持中心限制假说。由于“中心限制”的存在,食物中纤维素含量升高可能会降低动物繁殖价值。
