刘宏伟, 郭雁飞, 吴凡. 中枢神经系统退行性病变的预防及控制:时间限制性饮食[J]. 上海预防医学, 2023, 35(6): 599-603. DOI: 10.19428/j.cnki.sjpm.2023.22695
引用本文: 刘宏伟, 郭雁飞, 吴凡. 中枢神经系统退行性病变的预防及控制:时间限制性饮食[J]. 上海预防医学, 2023, 35(6): 599-603. DOI: 10.19428/j.cnki.sjpm.2023.22695
LIU Hongwei, GUO Yanfei, WU Fan. Prevention and alleviation of neurodegenerative diseases: time restricted feeding[J]. Shanghai Journal of Preventive Medicine, 2023, 35(6): 599-603. DOI: 10.19428/j.cnki.sjpm.2023.22695
Citation: LIU Hongwei, GUO Yanfei, WU Fan. Prevention and alleviation of neurodegenerative diseases: time restricted feeding[J]. Shanghai Journal of Preventive Medicine, 2023, 35(6): 599-603. DOI: 10.19428/j.cnki.sjpm.2023.22695

中枢神经系统退行性病变的预防及控制:时间限制性饮食

Prevention and alleviation of neurodegenerative diseases: time restricted feeding

  • 摘要: 随着全球范围内老龄化的快速发展,与年龄存在紧密关联的痴呆发病率及患病率显著上升,给患者、家庭及社会造成了极大的负担。迄今为止,尚未有基于可彻底逆转痴呆的核心病理基础——中枢神经系统退行性病变的治疗措施被发现,只能通过针对个体生活方式的干预来预防、延缓其发生和发展。大量的实验室证据和少量的流行病学证据提示时间限制性饮食(TRF)具有优异的改善神经系统退行性病变的效应,然而由于人群证据的缺乏使得TRF的应用缺乏科学依据。本综述通过系统梳理现有证据,展示TRF拮抗神经系统退化的效应途径网络,提示未来的研究应聚焦于人群应用证据、多条效应途径的联合作用等。

     

    Abstract: With the rapid development of aging around the world, the incidence and prevalence of age-related dementia have increased significantly, leading to a huge burden on patients, families and society. So far, there are no drugs that can completely reverse degeneration of the nervous system. The core pathological mechanisms of dementia are not clear, and the occurrence and progression of degenerative diseases in the nervous system appears to be only rely on the prevention through lifestyle interventions. Among lifestyle interventions, a large amount of laboratory evidence and a small amount of epidemiological evidence suggest that time restricted feeding have excellent effects on preventing the occurrence and progression of degenerative diseases in the nervous system. However, due to the lack of evidence in human population, the application of time restricted feeding lacks scientific basis. By synthesizing the existing evidence, this review discussed the pathway network of time restricted feeding that antagonizes the nervous system degradation, suggesting that future studies should focus on population evidence and the combined effects of multiple effect pathways.

     

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