生酮饮食———朋友还是敌人?

张鹤扬,石汉平

肿瘤代谢与营养电子杂志 ›› 2023, Vol. 10 ›› Issue (4) : 449-455.

PDF(2798 KB)
PDF(2798 KB)
肿瘤代谢与营养电子杂志 ›› 2023, Vol. 10 ›› Issue (4) : 449-455.
述评

生酮饮食———朋友还是敌人?

  • 张鹤扬,石汉平
作者信息 +

Ketogenic diets—friend or foe?

  • Zhang Heyang,Shi Hanping
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文章历史 +

摘要

饮食疗法是一种方便快捷的治疗方式,在多种疾病的治疗上发挥了重要的作用。 高脂肪、低碳水化合物的生酮饮 食用于治疗癫痫已有近一个世纪的历史。 虽然抗癫痫药物的发展让生酮饮食一度被冷落,但是近年来对生酮饮食相关研究 却呈现出爆炸式的增长,也陆续发现生酮饮食在精神心理疾病、慢性疾病乃至肿瘤中的积极作用。 然而,它也会因为诸如低 密度脂蛋白胆固醇水平上升、肝脏负担加重、骨密度降低等不良反应而让许多医生对其犹豫不决。 本文拟从糖脂代谢、肠道 菌群等角度介绍生酮饮食对人体代谢的影响,总结其在阿尔茨海默病、抑郁症、糖尿病、肥胖,甚至肿瘤中的积极作用,及生酮 饮食的不良反应,为阐明饮食来源的营养干预策略的潜在应用价值提供新的思路。

Abstract

Diet is a convenient and quick treatment. The high-fat low-carb ketogenic diet has been used to treat epilepsy for nearly a century. Although ketogenic diet has been neglected by the development of antiepileptic drugs the related research on ketogenic diet has shown an explosive growth in recent years and it has been found that ketogenic diet plays a positive role in mental and psychological diseases chronic diseases and even tumors. However it can also cause LDL levels to rise making many doctors hesitant. This paper aims to introduce the effects of ketogenic diet on human metabolism from the perspective of glycolipid metabolism and intestinal flora summarize its positive effects in Alzheimer's disease depression diabetes obesity and even tumors and highlight the potential side effects of ketogenic diet providing new ideas for clarifying the potential application value of dietary intervention strategies.

关键词

生酮饮食 / 营养治疗 / 代谢 / 发病机制

Key words

Ketogenic diet / Nutrition / Metabolism / Pathogenesis

引用本文

导出引用
张鹤扬,石汉平. 生酮饮食———朋友还是敌人?[J]. 肿瘤代谢与营养电子杂志. 2023, 10(4): 449-455
Zhang Heyang,Shi Hanping. Ketogenic diets—friend or foe?[J]. Electronic Journal of Metabolism and Nutrition of Cancer. 2023, 10(4): 449-455

基金

国家重点研发计划(2022YFC2009600)

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