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Xu H, Zhang Z, Wang Y. Weight loss methods and risk of depression: Evidence from the NHANES 2005-2018 cohort. J Affect Disord 2025; 380:756-766. [PMID: 40185413 DOI: 10.1016/j.jad.2025.03.199] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/16/2024] [Revised: 03/12/2025] [Accepted: 03/31/2025] [Indexed: 04/07/2025]
Abstract
BACKGROUND Weight loss behaviors are increasingly common worldwide. While healthy weight loss methods, such as calorie control and exercise, can improve both physical and mental health, harmful practices-such as extreme dieting and the misuse of diet pills-may contribute to depressive symptoms. Understanding the psychological impact of different weight loss strategies is essential for promoting overall well-being. METHODOLOGY Data from 9334 non-pregnant participants aged 20-79 years from the 2005-2018 National Health and Nutrition Examination Survey (NHANES) were analyzed. The sample consisted of 60.72 % women and 39.28 % men, with a median age of 47 years and a median BMI of 28.84. Depressive symptoms were assessed using the PHQ-9 scale. Weight loss methods were categorized into healthy practices (e.g., calorie control, exercise) and harmful practices (e.g., extreme dieting, diet pills). Logistic regression models were applied, adjusting for demographic and health factors. RESULTS Protective methods, including switching to lower-calorie foods (OR = 0.80, 95 % CI = 0.68-0.94), exercising (OR = 0.61, 95 % CI = 0.53-0.72), and eating more fruits and vegetables (OR = 0.78, 95 % CI = 0.66-0.92), were associated with a reduction in depressive symptoms. In contrast, harmful methods such as skipping meals (OR = 1.71, 95 % CI = 1.45-2.02), using diet pills (OR = 1.90, 95 % CI = 1.34-2.69), and vomiting (OR = 2.61, 95 % CI = 1.62-4.21) increased the risk of depressive symptoms. The number of harmful methods was positively correlated with increased depressive symptom risk (OR = 2.72, 95 % CI = 2.09-3.54), while a higher number of protective methods was linked to a decreased risk (OR = 0.50, 95 % CI = 0.37-0.68). CONCLUSION The emotional impact of weight loss practices is significant. Healthy weight loss strategies, such as exercise and calorie control, reduce the risk of depressive symptoms, whereas harmful methods increase the risk. These findings underscore the importance of promoting safe and sustainable weight loss methods to protect both physical and mental health.
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Affiliation(s)
- Huijie Xu
- Key Laboratory of Brain, Cognition and Education Sciences, Ministry of Education, China; School of Psychology, Center for Studies of Psychological Application, and Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, Guangzhou, China; School of Education, Huazhong University of Science and Technology, Wuhan 430074, China
| | - Zheng Zhang
- Key Laboratory of Brain, Cognition and Education Sciences, Ministry of Education, China; School of Psychology, Center for Studies of Psychological Application, and Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, Guangzhou, China.
| | - Yuanyuan Wang
- Key Laboratory of Brain, Cognition and Education Sciences, Ministry of Education, China; School of Psychology, Center for Studies of Psychological Application, and Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, Guangzhou, China.
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Oner E, Kurutas EB, Altun H. Evaluation of Erythropoietin and Erythropoietin Receptor Levels in Children with Autistic Spectrum Disorder: Cross-sectional Study. CLINICAL PSYCHOPHARMACOLOGY AND NEUROSCIENCE : THE OFFICIAL SCIENTIFIC JOURNAL OF THE KOREAN COLLEGE OF NEUROPSYCHOPHARMACOLOGY 2025; 23:212-218. [PMID: 40223255 PMCID: PMC12000673 DOI: 10.9758/cpn.24.1230] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/08/2024] [Revised: 12/23/2024] [Accepted: 12/31/2024] [Indexed: 04/15/2025]
Abstract
Objective Autistic spectrum disorders (ASD) are a heterogeneous collection of neurodevelopmental disorders with an unknown etiology. Erythropoietin is a versatile growth factor that plays a crucial role in the nervous system, exhibiting high expression in various regions of the brain, including neurons, glial cells and endothelial cells. Recent animal studies have demonstrated that Epo exerts neuroprotective and neurotrophic effects. The objective of this study was to examine the levels of erythropoietin-(Epo) and its receptor-(EpoR) in children with ASD and to elucidate the potential effects of Epo in the disorder. Methods The study involved 50 children diagnosed with ASD based on the 5th Edition of the Diagnostic and Statistical Manual of Mental Disorders criteria, with ASD severity assessed using the Childhood Autism Rating Scale. Additionally, a control group of 50 healthy children was included. Serum samples were collected from both groups, and levels of Epo and its EpoR. Results There were no statistically significant differences between the age and sex distributions of the ASD and control groups (p > 0.05). However, analysis of the serum samples revealed a statistically significant reduction in Epo levels in the ASD cohort compared to the control. Conclusion The results of our study indicate that Epo may have potential as an adjunctive therapy for children with ASD. The observed decrease in Epo levels and increase in EpoR levels in children with ASD suggest a dysregulation in the Epo-EpoR axis that may contribute to the pathophysiology of ASD. Further research is required to investigate the therapeutic effects of modulating Epo levels in ASD and to elucidate the mechanisms underlying these changes.
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Affiliation(s)
- Erkan Oner
- Department of Biochemistry, Faculty of Pharmacy, Adiyaman University, Adiyaman, Türkiye
| | - Ergul Belge Kurutas
- Department of Biochemistry, Faculty of Medicine, Sutcu Imam University, Kahramanmaras, Türkiye
| | - Hatice Altun
- Department of Child and Adolescent Psychiatry, Sutcu Imam University, Faculty of Medicine, Kahramanmaras, Türkiye
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Micek A, Błaszczyk-Bębenek E, Cebula A, Godos J, Konopka K, Wąż A, Grosso G. The bidirectional association of malnutrition with depression and anxiety in patients with cancer: a systematic review and meta-analysis of evidence. Aging Clin Exp Res 2025; 37:162. [PMID: 40410541 PMCID: PMC12102140 DOI: 10.1007/s40520-025-03071-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2025] [Accepted: 05/08/2025] [Indexed: 05/25/2025]
Abstract
BACKGROUND Anxiety and depression are common mental health problems in cancer patients. At the same time, cancer patients often suffer from disease-related catabolic dysregulation and malnutrition. Emerging evidence has suggested the potential link between mental disorders and nutritional status. AIMS This study summarised the evidence for the association of malnutrition with anxiety and depression in cancer patients. METHODS A systematic search of PubMed and EMBASE databases was performed for observational studies published up to December 2024. RESULTS Forty-one articles were found eligible for inclusion in the systematic review, and twenty-nine in the meta-analysis. Compared with the normally nourished cancer patients, malnourished patients had a more than threefold (relative risk (RR) = 3.23, 95% CI 2.39, 4.38) and nearly twofold (RR = 1.87, 95% CI 1.48, 2.37) increased risk of depression and anxiety, respectively. Considering the studies that identified lower emotional status as a cause rather than an effect of malnutrition, the inverse association was confirmed only for depression (RR = 2.01, 95% CI 1.62, 2.49), but not for anxiety (RR = 1.38, 95% CI 0.68, 2.80). Finally, the standardised mean differences of the psychological scores showed significantly higher values in individuals with nutritional impairment compared to those with normal nutritional status (SMD = 0.69, 95% CI 0.50, 0.88 for depression and SMD = 0.54, 95% CI 0.26, 0.82 for anxiety). CONCLUSIONS Mental health problems such as anxiety and depression are associated with malnutrition in cancer patients.
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Affiliation(s)
- Agnieszka Micek
- Statistical Laboratory, Faculty of Health Sciences, Jagiellonian University Medical College, 31-501, Cracow, Poland.
| | - Ewa Błaszczyk-Bębenek
- Department of Nutrition and Drug Research, Faculty of Health Sciences, Jagiellonian University Medical College, 31-066, Cracow, Poland
| | - Aneta Cebula
- Doctoral School of Medical and Health Sciences, Jagiellonian University Medical College, 31-121, Kraków, Poland
| | - Justyna Godos
- Department of Biomedical and Biotechnological Sciences, University of Catania, Catania, Italy
| | - Kamil Konopka
- Department of Oncology, Jagiellonian University Medical College, 31-007, Cracow, Poland
| | - Anna Wąż
- Clinical Nutrition Team, University Hospital in Cracow, 30-688, Cracow, Poland
| | - Giuseppe Grosso
- Department of Biomedical and Biotechnological Sciences, University of Catania, Catania, Italy
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Tzekaki EE, Katsipis G, Chatzikostopoulos A, Koutoupa A, Lavrentiadou SN, Tsolaki M, Pantazaki AA. Neuroprotective, Antioxidant and Anti-Inflammatory Effect of Greek Pomegranate Seed Oil on N2a Neuroblastoma Cells and Mild Cognitive Impairment Patients. BIOLOGY 2025; 14:548. [PMID: 40427737 DOI: 10.3390/biology14050548] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/04/2025] [Revised: 05/06/2025] [Accepted: 05/09/2025] [Indexed: 05/29/2025]
Abstract
Alzheimer's disease (AD) remains a significant global health challenge with limited FDA-approved treatments, necessitating the search for novel preventive strategies. Antioxidants that are present in fruits and vegetables have garnered attention due to their potential neuroprotective effects. Among these, pomegranate (Punica granatum L.) has emerged as a promising source of neuroprotective antioxidants as it is rich in polyphenols, flavonoids, and hydrolysable tannins. Pomegranate seed oil (PSO) is a source of bioactive compounds that may modulate key pathological processes of AD. This study investigated the therapeutic potential of PSO in murine neuroblastoma N2a cells treated with lipopolysaccharide (LPS) to simulate AD-like inflammation. The effects of PSO on inflammation and oxidative stress markers, including TNF-α, iNOS, SOD1, and IL1β, were evaluated, along with changes in AD-related biomarkers Aβ42, Aβ40, and p-tau181. Additionally, the study extended its findings to clinical settings by assessing the impact of supervised PSO consumption for 12 months on similar biomarkers in patients with mild cognitive impairment. Results from this integrative approach demonstrated the anti-inflammatory and antioxidant potential of PSO, supporting its role in modulating AD-associated pathophysiology. These findings suggest that PSO may serve as an early-stage intervention to delay or mitigate AD progression, highlighting its therapeutic potential in preclinical and clinical contexts.
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Affiliation(s)
- Eleni E Tzekaki
- Laboratory of Biochemistry, Department of Chemistry, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece
- Center for Interdisciplinary Research and Innovation, Laboratory of Neurodegenerative Diseases (LND), Thermi, 57001 Thessaloniki, Greece
| | - Georgios Katsipis
- Laboratory of Biochemistry, Department of Chemistry, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece
- Center for Interdisciplinary Research and Innovation, Laboratory of Neurodegenerative Diseases (LND), Thermi, 57001 Thessaloniki, Greece
| | - Athanasios Chatzikostopoulos
- Center for Interdisciplinary Research and Innovation, Laboratory of Neurodegenerative Diseases (LND), Thermi, 57001 Thessaloniki, Greece
- Greek Association of Alzheimer's Disease and Related Disorders (GAADRD), 54643 Thessaloniki, Greece
| | - Anna Koutoupa
- Greek Association of Alzheimer's Disease and Related Disorders (GAADRD), 54643 Thessaloniki, Greece
| | - Sophia N Lavrentiadou
- Center for Interdisciplinary Research and Innovation, Laboratory of Neurodegenerative Diseases (LND), Thermi, 57001 Thessaloniki, Greece
- Laboratory of Animal Physiology, School of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki 54124, Greece
| | - Magda Tsolaki
- Center for Interdisciplinary Research and Innovation, Laboratory of Neurodegenerative Diseases (LND), Thermi, 57001 Thessaloniki, Greece
- Greek Association of Alzheimer's Disease and Related Disorders (GAADRD), 54643 Thessaloniki, Greece
| | - Anastasia A Pantazaki
- Laboratory of Biochemistry, Department of Chemistry, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece
- Center for Interdisciplinary Research and Innovation, Laboratory of Neurodegenerative Diseases (LND), Thermi, 57001 Thessaloniki, Greece
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Kunikullaya U K. An integrated approach to understanding the effects of exposome on neuroplasticity. Behav Brain Res 2025; 485:115516. [PMID: 40024484 DOI: 10.1016/j.bbr.2025.115516] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2024] [Revised: 02/08/2025] [Accepted: 02/27/2025] [Indexed: 03/04/2025]
Abstract
Anthropogenic factors are those that occur due to human activities. The exposome is proposed to complement the genome, wherein an individual's exposure begins before birth. The range of exposures includes physical, chemical, dietary, lifestyle, biological, and occupational sources. Exposome has a positive or negative influence on neuroplasticity during different stages of life. A comprehensive study of the exposome is thus necessary to incorporate these factors and their influence on the individual, community, and the population as a whole. Exposomic research and global health present significant opportunities for interdisciplinary research. This review gives an overview of the exposome and its influence on neuroplasticity. It proposes methods to study the exposome on neuroplasticity across the lifespan of the individual. This is possible with the use of self-reported data, large-scale cohort formation, physiological sensors, neuroimaging, omics, molecular biology, and systems approaches. These approaches aim to provide a holistic understanding of an individual's neurological well-being and its implications for the population at large. This will also enable the designing of novel preventive and treatment strategies for managing neurological disorders.
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Affiliation(s)
- Kirthana Kunikullaya U
- MeDH, Department of Medicine, Huddinge, Karolinska Universitetssjukhuset Huddinge, Stockholm 14186, Sweden.
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Bell V, Dimitrov P, Fernandes T. Supporting Neurologic Health with Mushroom Nutrition. Nutrients 2025; 17:1568. [PMID: 40362877 PMCID: PMC12073738 DOI: 10.3390/nu17091568] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2025] [Revised: 04/30/2025] [Accepted: 04/30/2025] [Indexed: 05/15/2025] Open
Abstract
Due to the extensive types of etiologies and risks causing over 600 types of mental health issues, to convene adequate recommendations in primary care is a difficult assignment. The starting point for preventive interventions on neurologic disorders involves scrutinizing the risk factors while targeting multiple hazards in order to increase the success of an early precautionary mediation plan of action. The primary risk factor for most neurodegenerative diseases is the increasing worldwide median age, although one in seven youngsters also experience a mental disability, namely depression, representing a decline in well-being and conferring a considerable global public health challenge. The brain operates optimally when supported by a holistic approach engaging several aspects, and diet is becoming an integral part of care strategies. Treatment is presently dominated by pharmacotherapy, but additional strategies are needed to prevent and treat mental disorders. Dietary modification can prove to be a cost-effective strategy for the prevention and, in certain conditions, treatment of neurological disorders. Molecules of dietary ingredients, micronutrients, phytonutrients, and additives may modulate depression associated biomarkers. Nutritional exposure during the early developmental stages and maternal impact, lifestyles, and the modulation of the gut microbiota through diet as novel therapies for the treatment of various neuropsychiatric conditions is gaining interest for maintaining brain health. Bioactive substances present in different mushroom species have been ascribed to both direct and indirect mechanisms of influence on neurobehavior, and here we support the recognition of mushroom nutrition as an influential dietary element in prevention and management of some neurologic concerns. Scientific evidence demonstrating the unequivocal link between nutritional mushrooms and cognitive health is only beginning to emerge, and nutritional medicine should be considered as an integral part of mental care.
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Affiliation(s)
- Victoria Bell
- Faculty of Pharmacy, University of Coimbra, Polo das Ciências da Saúde, Azinhaga de Stª Comba, 3000-548 Coimbra, Portugal;
- LAQV-REQUIMTE, Portuguese Research Centre for Sustainable Chemistry, Rua D. Manuel II, Apartado, 55142 Porto, Portugal
| | - Palmen Dimitrov
- Department of Psychiatry and Medical Psychology, Faculty of Medicine, Medical University of Varna, 55, 9002 Varna, Bulgaria;
| | - Tito Fernandes
- Centre for Interdisciplinary Research in Animal Health (CIISA), Faculty of Veterinary Medicine, University of Lisbon, Avenida da Universidade Técnica, 1300-477 Lisboa, Portugal
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Su KP. Harmonizing the inner orchestra: the impact of urbanization and evolution of stress, inflammation, diet, and lifestyles in depression. Curr Opin Psychiatry 2025; 38:209-216. [PMID: 39804221 DOI: 10.1097/yco.0000000000000986] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/29/2025]
Abstract
PURPOSE OF REVIEW This review explores the intersection of urbanization, stress, inflammation, diet, lifestyle changes, and digital evolution as key factors influencing depression, emphasizing the necessity for integrative and evolutionary perspectives in mental health and intervention. RECENT FINDINGS Epidemiological studies reveal a dramatic increase in common mental disorders, particularly depression, alongside parallel increases in suicide, unemployment, and divorce rates. Evolutionary perspectives suggest that mechanisms once advantageous for survival, such as stress responses and inflammatory processes, may contribute to mental health challenges in modern urban environments. Moreover, the mental health crisis among generation Z underscores the impact of digital evolution, where the shift from play-based to phone-based childhood contributes significantly to rising depression rates. Recent research highlights the significant role of omega-3 fatty acids, circadian rhythm regulation, mindfulness, and anti-inflammatory lifestyle interventions in mitigating depressive symptoms. SUMMARY The interplay between our evolutionary heritage and rapid societal changes has created a "symphony" of factors contributing to depression. Understanding these evolutionary mismatches in stress responses, inflammatory processes, dietary shifts, circadian disruptions, and digitalization provides new insights into the etiology of depression. This holistic approach, conceptualized as "harmonizing the inner orchestra," offers promising avenues for prevention and treatment strategies that address the multifaceted nature of depression in our modern world.
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Affiliation(s)
- Kuan-Pin Su
- Mind-Body Interface Research Center (MBI-Lab), China Medical University Hospital
- College of Medicine, China Medical University, Taichung
- An-Nan Hospital, China Medical University, Tainan, Taiwan
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8
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Inan S, Wilson RP, Tükel Ç. IUPHAR review: From gut to brain: The role of gut dysbiosis, bacterial amyloids, and metabolic disease in Alzheimer's disease. Pharmacol Res 2025; 215:107693. [PMID: 40086611 DOI: 10.1016/j.phrs.2025.107693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/17/2025] [Revised: 03/06/2025] [Accepted: 03/07/2025] [Indexed: 03/16/2025]
Abstract
Gut microbial dysbiosis, or altered gut microbial communities, in Alzheimer's Disease suggests a pathogenic role for gut inflammation and microbial products in shaping a neuroinflammatory environment. Similarly, metabolic diseases, such as obesity and diabetes, are also associated with an increased risk of Alzheimer's Disease. As the metabolic landscape shifts during gut inflammation, and gut inflammation in turn impacts metabolic processes, we explore how these interconnected pathways may contribute to the progression of Alzheimer's Disease. Additionally, we discuss the role of bacterial amyloids produced by gut microbes, which may exacerbate amyloid aggregation in the brain and contribute to neurodegenerative processes. Furthermore, we highlight potential therapeutic strategies aimed at reducing gut inflammation, improving metabolic health, and decreasing amyloid content as a means to mitigate Alzheimer's Disease progression. These approaches, targeting the gut-brain-metabolic axis, could offer promising avenues for delaying or preventing cognitive decline in affected individuals.
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Affiliation(s)
- Saadet Inan
- Center for Substance Abuse Research, Lewis Katz School of Medicine, Temple University, Philadelphia, PA, USA.
| | - R Paul Wilson
- Center for Microbiology and Immunology, Lewis Katz School of Medicine, Temple University, Philadelphia, PA, USA
| | - Çagla Tükel
- Center for Microbiology and Immunology, Lewis Katz School of Medicine, Temple University, Philadelphia, PA, USA.
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9
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Kshirsagar S, Deshmukh H, Reddy AP, Reddy AP, Reddy PH. Grounding as a complementary intervention for Alzheimer's disease: Mechanisms, evidence, and potential therapeutic applications. J Alzheimers Dis 2025:13872877251334666. [PMID: 40262107 DOI: 10.1177/13872877251334666] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/24/2025]
Abstract
Alzheimer's disease (AD) is a progressive neurodegenerative disorder characterized by cognitive decline, neuroinflammation, oxidative stress, and mitochondrial dysfunction. Despite extensive research efforts, effective curative treatments remain elusive, emphasizing the need for innovative therapeutic strategies. Grounding, or earthing, involves direct physical contact with the Earth's surface to facilitate the absorption of negatively charged electrons into the body. This practice has gained attention for its potential to reduce inflammation, oxidative stress, and cortisol dysregulation, which are significant contributors to AD pathology. This review examines the biological mechanisms by which grounding may influence AD, including its antioxidative effects that mitigate oxidative stress and its anti-inflammatory properties that reduce neuroinflammation. Grounding may also improve sleep quality and stress management, factors known to exacerbate AD progression. Evidence from preclinical and clinical studies highlights its potential to protect neuronal health by targeting oxidative and inflammatory pathways. Additionally, the safety, feasibility, and cost-effectiveness of grounding are discussed, making it a practical complementary approach to existing AD therapies. While the preliminary evidence is promising, the review emphasizes the need for robust clinical trials to validate grounding's efficacy specifically in AD populations. By integrating grounding into standard care protocols, it may be possible to enhance the overall therapeutic outcomes and improve the quality of life for individuals with AD. Grounding represents a novel, non-pharmacological intervention that could complement existing treatments by addressing both the physiological and psychological aspects of this complex disease.
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Affiliation(s)
- Sudhir Kshirsagar
- Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, TX, USA
| | | | - Arubala P Reddy
- Nutritional Sciences Department, College of Human Sciences, Texas Tech University, Lubbock, TX, USA
| | | | - P Hemachandra Reddy
- Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, TX, USA
- Nutritional Sciences Department, College of Human Sciences, Texas Tech University, Lubbock, TX, USA
- Department of Pharmacology and Neuroscience, Texas Tech University Health Sciences Center, Lubbock, TX, USA
- Department of Neurology, Texas Tech University Health Sciences Center, Lubbock, TX, USA
- Department of Public Health, Graduate School of Biomedical Sciences, Texas TechUniversity Health Sciences Center, Lubbock, TX, USA
- Department of Speech, Language, and Hearing Sciences, Texas Tech University Health Sciences Center, Lubbock, TX, USA
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10
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Gomez-Pinilla F, Myers SK. Traumatic brain injury from a peripheral axis perspective: Uncovering the roles of liver and adipose tissue in temperature regulation. Prog Neurobiol 2025; 247:102733. [PMID: 40032155 DOI: 10.1016/j.pneurobio.2025.102733] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2024] [Revised: 01/21/2025] [Accepted: 02/18/2025] [Indexed: 03/05/2025]
Abstract
Traumatic brain injury (TBI) is a major cause of death and disability worldwide. Most current treatments for TBI and other neurological disorders focus on the brain, often overlooking the significant contributions of peripheral organs to disease progression. Emerging evidence suggests that organs such as the liver and adipose tissue play crucial roles in TBI pathogenesis. The liver synthesizes lipids and proteins vital for brain function, while adipose tissue provides hormones and metabolites that influence brain activity. New research indicates that the liver and adipose tissue work in concert with the hypothalamus to regulate essential processes, such as body temperature, which become disrupted in TBI. Additionally, the brain-peripheral axis-a complex network of visceral nerve pathways, hormones, and metabolites-plays a bidirectional role in regulating brain plasticity and function. Understanding how TBI leads to dysregulation of the liver, adipose tissue, and other organs could unlock new therapeutic opportunities for treating TBI and related neurological disorders. The intricate autonomic network involving hypothalamic and enteric neurons, along with visceral nerve pathways and hormones, presents both pathological targets and therapeutic potential. We examine scientific evidence suggesting that correcting disturbances in systemic physiology could enhance the brain's capacity for healing. However, the interdependence of this autonomic network implies that treating dysfunction in one area may affect others. Therefore, we also explore the mechanisms by which diet and exercise can comprehensively impact the brain-peripheral axis, supporting the healing process. CHEMICAL COMPOUNDS: D-Fructose (PubChem CID 2723872); docosahexaenoic acid (PubChem CID 45934466); eicosapentaenoic acid (PubChem 5282847).
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Affiliation(s)
- F Gomez-Pinilla
- Department of Integrative Biology and Physiology, University of California, Los Angeles, CA 90095, USA; Department of Neurosurgery, David Geffen School of Medicine, University of California, Los Angeles, CA 90095, USA.
| | - Sydney K Myers
- Department of Neurosurgery, David Geffen School of Medicine, University of California, Los Angeles, CA 90095, USA
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Hernandez MH, Fornara E, Lassale C, Castañer-Niño O, Estruch R, Ros E, Martínez-González MÁ, Corella D, Babio N, Lapetra J, Gómez-Gracia E, Arós F, Fiol M, Serra-Majem L, Riera-Mestre A, Gea A, Ortega-Azorín C, Díaz-López A, Fitó M, Hernáez Á. Adherence to a Mediterranean diet and leisure-time physical activity are associated with reduced initiation of antidepressant, anxiolytic, antipsychotic and antiseizure drug use in older adults: a cohort study. Age Ageing 2025; 54:afaf088. [PMID: 40221936 PMCID: PMC11994031 DOI: 10.1093/ageing/afaf088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2024] [Indexed: 04/15/2025] Open
Abstract
BACKGROUND We explored how adherence to the Mediterranean diet (MedDiet) and leisure-time physical activity (LTPA) impact psychoactive medication use in older adults. METHODS We assessed the cumulative MedDiet adherence and LTPA's impact on mental health medication initiation in older individuals at high risk of chronic disease. Associations between the cumulative average of MedDiet adherence (per one-point increase in the adherence score) and LTPA (per increase in 20 metabolic equivalents of task-minute/day [METs-min/day]) with drug initiation were assessed by multivariable Cox regressions. We explored non-linear exposure-outcome associations using smoothed cubic splines and the multiplicative interaction between MedDiet and LTPA. RESULTS A total of 5940-6896 participants (mean age 67, 58% women) over 4.2-4.7 years, each point increase in MedDiet adherence decreased the initiation of antidepressants by 23-28% (HR 0.72, 95% CI 0.67-0.77), anxiolytics (HR 0.75, 0.70-0.81), antipsychotics (HR 0.77, 0.65-0.91), and antiseizures (HR 0.77, 0.69-0.85). Associations for anxiolytics and antiseizures were strong at low MedDiet adherence levels. Relationships between LTPA and initiation of antidepressants and anxiolytics were linear in the lowest LTPA values (0-150 METs-min/day); every 20 METs-min/day increases were associated with 20% lower risk of initiating antidepressants (HR 0.80, 0.75-0.86) and 15% less risk in anxiolytics (HR 0.85, 0.79-0.90). Association with antiseizures was linear (+20 METs-min/day: HR 0.96, 0.94-0.99), and no associations were found for antipsychotics. High MedDiet adherence (≥10) and LTPA (≥150 METs-min/day) reduced psychoactive drug initiation by 42%-59%. Combination was additive for antidepressants, antipsychotics and antiseizures and synergistic for anxiolytics. CONCLUSIONS MedDiet and LTPA adherence reduced psychoactive drugs initiation in older adults.
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Affiliation(s)
- Marta H Hernandez
- Blanquerna Ramon Llull University Faculty of Health Sciences, Barcelona, Catalunya, Spain
| | - Eleonora Fornara
- Blanquerna Ramon Llull University Faculty of Health Sciences, Barcelona, Catalunya, Spain
| | - Camille Lassale
- Barcelona Institute for Global Health (ISGlobal) - Campus MAR, Barcelona, Catalunya, Spain
- Universitat Pompeu Fabra (UPF), Barcelona, Catalunya, Spain
- Instituto de Salud Carlos III - Consorcio CIBER, M.P. de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Madrid, Comunidad de Madrid, Spain
| | - Olga Castañer-Niño
- Cardiovascular Risk and Nutrition Research Group, Hospital del Mar Research Institute (IMIM), Barcelona, Catalunya, Spain
- Instituto de Salud Carlos III - Consorcio CIBER, M.P. de Fisiopatología de Epidemiología y Salud Pública (CIBERESP), Madrid, Comunidad de Madrid, Spain
| | - Ramón Estruch
- Instituto de Salud Carlos III - Consorcio CIBER, M.P. de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Madrid, Comunidad de Madrid, Spain
- August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Catalunya, Spain
- Hospital Clínic Barcelona - Internal Medicine Service, Barcelona, Catalunya, Spain
| | - Emilio Ros
- Instituto de Salud Carlos III - Consorcio CIBER, M.P. de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Madrid, Comunidad de Madrid, Spain
- August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Catalunya, Spain
| | - Miguel Ángel Martínez-González
- Instituto de Salud Carlos III - Consorcio CIBER, M.P. de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Madrid, Comunidad de Madrid, Spain
- Department of Preventive Medicine and Public Health, Universidad de Navarra, Pamplona, Spain
- Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Navarra, Spain
- Department of Nutrition, Harvard T H Chan School of Public Health, Boston, MA, USA
| | - Dolores Corella
- Instituto de Salud Carlos III - Consorcio CIBER, M.P. de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Madrid, Comunidad de Madrid, Spain
- Department of Preventive Medicine, Universidad de Valencia, Valencia, Spain
| | - Nancy Babio
- Instituto de Salud Carlos III - Consorcio CIBER, M.P. de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Madrid, Comunidad de Madrid, Spain
- Universitat Rovira i Virgili - Nutrition and Mental Health (NUTRISAM) Research Group, Tarragona, Spain
- Institut d'Investigació Sanitària Pere Virgili, Reus, Spain
| | - José Lapetra
- Instituto de Salud Carlos III - Consorcio CIBER, M.P. de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Madrid, Comunidad de Madrid, Spain
- Department of Family Medicine-Research Unit, Distrito Sanitario de Atención Primaria Sevilla, Sevilla, Andalucía, Spain
| | - Enrique Gómez-Gracia
- Department of Preventive Medicine, Universidad de Málaga, Malaga, Andalucía, Spain
| | - Fernando Arós
- Instituto de Salud Carlos III - Consorcio CIBER, M.P. de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Madrid, Comunidad de Madrid, Spain
- Department of Cardiology, Hospital Universitario de Álava, Vitoria, Spain
| | - Miquel Fiol
- Instituto de Salud Carlos III - Consorcio CIBER, M.P. de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Madrid, Comunidad de Madrid, Spain
- Son Espases University Hospital - Health Research Institute of the Balearic Islands (IdISBa), Palma, Illes Balears, Spain
| | - Lluís Serra-Majem
- Instituto de Salud Carlos III - Consorcio CIBER, M.P. de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Madrid, Comunidad de Madrid, Spain
- Universidad de las Palmas de Gran Canaria Facultad de Ciencias de la Salud - Instituto de Investigaciones Biomédicas y Sanitarias, Las Palmas de Gran Canaria, Islas Canarias, Spain
- Servicio Canario de Salud - Centro Hospitalario Universitario Insular Materno Infantil, Santa Cruz de Tenerife, Canarias, Spain
| | - Antonio Riera-Mestre
- Instituto de Salud Carlos III - Consorcio CIBER, M.P. de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Madrid, Comunidad de Madrid, Spain
- Bellvitge University Hospital - Lipids and Vascular Risk Unit, Internal Medicine, L'Hospitalet de Llobregat, Catalunya, Spain
- Bellvitge Institute for Biomedical Research (IDIBELL), Barcelona, Spain
| | - Alfredo Gea
- Instituto de Salud Carlos III - Consorcio CIBER, M.P. de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Madrid, Comunidad de Madrid, Spain
- Department of Preventive Medicine and Public Health, Universidad de Navarra, Pamplona, Spain
- Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Navarra, Spain
| | - Carolina Ortega-Azorín
- Instituto de Salud Carlos III - Consorcio CIBER, M.P. de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Madrid, Comunidad de Madrid, Spain
- Department of Preventive Medicine, Universidad de Valencia, Valencia, Spain
| | - Andrés Díaz-López
- Instituto de Salud Carlos III - Consorcio CIBER, M.P. de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Madrid, Comunidad de Madrid, Spain
- Institut d'Investigació Sanitària Pere Virgili, Reus, Spain
- Rovira i Virgili University - Nutrition and Mental Health (NUTRISAM) Research Group, Tarragona, Catalunya, Spain
| | - Montserrat Fitó
- Instituto de Salud Carlos III - Consorcio CIBER, M.P. de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Madrid, Comunidad de Madrid, Spain
- Hospital del Mar Medical Research Institute - Cardiovascular Risk and Nutrition Research Group, Barcelona, Spain
| | - Álvaro Hernáez
- Blanquerna Ramon Llull University Faculty of Health Sciences, Barcelona, Catalunya, Spain
- Hospital del Mar Research Institute - REGICOR Study Group, Barcelona, Spain
- Instituto de Salud Carlos III - Consorcio CIBER, - M.P. de Enfermedades Cardiovasculares (CIBERCV), Madrid, Comunidad de Madrid, Spain
- Norwegian Institute of Public Health - Centre for Fertility and Health, Oslo, Oslo, Norway
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12
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Jie S, Fu A, Wang C, Rajabi S. A comprehensive review on the impact of polyphenol supplementation and exercise on depression and brain function parameters. BEHAVIORAL AND BRAIN FUNCTIONS : BBF 2025; 21:10. [PMID: 40140839 PMCID: PMC11948876 DOI: 10.1186/s12993-025-00273-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/26/2024] [Accepted: 03/14/2025] [Indexed: 03/28/2025]
Abstract
The objective of this review study is to examine the combined antidepressant effects of exercise and polyphenol supplementation, with a focus on specific polyphenolic compounds such as crocin, curcumin, and quercetin, as well as different forms of physical exercise, including aerobic and resistance training. The research examines how these interventions influence depressive-like behaviors, cognitive function, and neurochemical markers in animal models and human participants. The findings demonstrate that both exercise and polyphenols independently contribute to mood enhancement, reduced anxiety, and improved cognitive function through mechanisms such as neurogenesis, neurotransmitter modulation, and anti-inflammatory effects. Notably, the combined interventions showed a synergistic effect, providing more significant benefits in reducing symptoms of depression and anxiety, enhancing cognitive performance, and supporting overall mental well-being. These results suggest that integrating exercise and polyphenol supplementation could be a promising non-pharmacological approach to managing depression and related disorders.
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Affiliation(s)
- Shihong Jie
- Institute of Physical Education, Woosuk University, Jeollabuk-do, 55338, Korea
| | - Aili Fu
- Physical Education and Research Section, Basic Teaching Department, Guangdong Maoming Health Vocational College, Maoming, Guangdong, 525400, China
| | - Chuan Wang
- Physical Education Teaching and Research Office, Dalian University of Foreign Languages, Dalian, Liaoning, 116044, China.
| | - Sogand Rajabi
- Department of Cellular and Molecular Biology, Islamic Azad University, Sirjan Branch, Iran.
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13
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Yang J, Bernard L, Chen J, Sullivan VK, Deal JA, Kim H, Yu B, Steffen LM, Rebholz CM. Plasma Proteins Associated with the Mediterranean-Dietary Approaches to Stop Hypertension Intervention for Neurodegenerative Delay (MIND) Diet and Incident Dementia. J Nutr 2025:S0022-3166(25)00167-1. [PMID: 40118346 DOI: 10.1016/j.tjnut.2025.03.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2024] [Revised: 01/22/2025] [Accepted: 03/10/2025] [Indexed: 03/23/2025] Open
Abstract
BACKGROUND The Mediterranean-Dietary Approaches to Stop Hypertension Intervention for Neurodegenerative Delay (MIND) diet slows cognitive decline and protects brain health, but the mechanisms are poorly understood. OBJECTIVES We aimed to determine the plasma proteins associated with the MIND diet score and their ability to predict incident dementia in the Atherosclerosis Risk in Communities study. METHODS We analyzed 10,230 Black and White participants at visit 3 (1993-1995) with food frequency questionnaire and proteomics data and randomly divided them into discovery (n = 6850) and replication (n = 3380) samples. We examined associations between the MIND diet score and 4955 proteins using multivariable linear regression and elastic net regression. C-statistics were calculated to assess if proteins improved the prediction of high MIND diet adherence beyond participant characteristics. Cox proportional hazards models were used to assess associations between significant diet-related proteins and incident dementia over 2 decades. C-statistics assessed the ability of significant proteins to improve dementia prediction beyond known risk factors. RESULTS Of 316 proteins associated with the MIND diet score in the discovery sample at a false discovery rate <0.05, 62 were internally replicated. Of these, 21 proteins selected by the elastic net individually improved MIND diet score prediction. After a median follow-up of 21 y, there were 2311 dementia cases. Five diet-related proteins, thrombospondin-2 [hazard ratio (HR): 1.19; 95% confidence interval (CI): 1.11, 1.29], protein ABHD14A (HR: 1.23; 95% CI: 1.11, 1.37), structural maintenance of chromosomes protein 3 (HR: 1.19; 95% CI: 1.08, 1.31), epidermal growth factor receptor (HR: 0.68; 95% CI: 0.53, 0.86), and interleukin-12 subunit beta (HR: 1.14; 95% CI: 1.05, 1.25) were significantly associated with incident dementia. All 5 proteins individually and together improved the prediction of dementia risk. CONCLUSIONS Using high-throughput proteomics, we identified candidate biomarkers of the MIND diet score and incident dementia, which are implicated in neural signaling, angiogenesis, and anti-inflammatory pathways.
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Affiliation(s)
- Jiaqi Yang
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States; Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University, Baltimore, MD, United States
| | - Lauren Bernard
- Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University, Baltimore, MD, United States; School of Medicine, University of Maryland, Baltimore, MD, United States
| | - Jingsha Chen
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States; Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University, Baltimore, MD, United States
| | - Valerie K Sullivan
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States; Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University, Baltimore, MD, United States
| | - Jennifer A Deal
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States
| | - Hyunju Kim
- Department of Epidemiology, University of Washington School of Public Health, Seattle, WA, United States
| | - Bing Yu
- Department of Epidemiology, University of Texas Health Science Center at Houston School of Public Health, Houston, TX, United States
| | - Lyn M Steffen
- Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, MN, United States
| | - Casey M Rebholz
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States; Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University, Baltimore, MD, United States.
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14
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Trofin DM, Sardaru DP, Trofin D, Onu I, Tutu A, Onu A, Onită C, Galaction AI, Matei DV. Oxidative Stress in Brain Function. Antioxidants (Basel) 2025; 14:297. [PMID: 40227270 PMCID: PMC11939459 DOI: 10.3390/antiox14030297] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2025] [Revised: 02/22/2025] [Accepted: 02/26/2025] [Indexed: 04/15/2025] Open
Abstract
Oxidative stress (OS) is an important factor in the pathophysiology of numerous neurodegenerative disorders, such as Parkinson's disease, multiple sclerosis, cerebrovascular pathology or Alzheimer's disease. OS also significantly influences progression among the various neurodegenerative disorders. The imbalance between the formation of reactive oxygen species (ROS) and the body's capacity to neutralize these toxic byproducts renders the brain susceptible to oxidative injury. Increased amounts of ROS can result in cellular malfunction, apoptosis and neurodegeneration. They also represent a substantial factor in mitochondrial dysfunction, a defining characteristic of neurodegenerative disorders. Comprehending the fundamental mechanisms of OS and its interactions with mitochondrial function, neuroinflammation and cellular protective pathways becomes essential for formulating targeted therapeutics to maintain brain health and reduce the impacts of neurodegeneration. We address recent highlights on the role of OS in brain function in terms of significance for neuronal health and the progression of neurodegenerative disorders.
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Affiliation(s)
- Daniela-Marilena Trofin
- Doctoral School, University of Medicine and Pharmacy “Grigore T. Popa”, 700454 Iasi, Romania
| | - Dragos-Petrica Sardaru
- Department of Biomedical Sciences, Faculty of Medical Bioengineering, University of Medicine and Pharmacy “Grigore T. Popa”, 700454 Iasi, Romania (I.O.); (D.V.M.)
| | - Dan Trofin
- Department of Biomedical Sciences, Faculty of Medical Bioengineering, University of Medicine and Pharmacy “Grigore T. Popa”, 700454 Iasi, Romania (I.O.); (D.V.M.)
| | - Ilie Onu
- Department of Biomedical Sciences, Faculty of Medical Bioengineering, University of Medicine and Pharmacy “Grigore T. Popa”, 700454 Iasi, Romania (I.O.); (D.V.M.)
| | - Andrei Tutu
- Doctoral School, University of Medicine and Pharmacy “Grigore T. Popa”, 700454 Iasi, Romania
| | - Ana Onu
- Doctoral School, University of Medicine and Pharmacy “Grigore T. Popa”, 700454 Iasi, Romania
| | - Cristiana Onită
- Department of Biomedical Sciences, Faculty of Medical Bioengineering, University of Medicine and Pharmacy “Grigore T. Popa”, 700454 Iasi, Romania (I.O.); (D.V.M.)
| | - Anca Irina Galaction
- Department of Biomedical Sciences, Faculty of Medical Bioengineering, University of Medicine and Pharmacy “Grigore T. Popa”, 700454 Iasi, Romania (I.O.); (D.V.M.)
| | - Daniela Viorelia Matei
- Department of Biomedical Sciences, Faculty of Medical Bioengineering, University of Medicine and Pharmacy “Grigore T. Popa”, 700454 Iasi, Romania (I.O.); (D.V.M.)
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15
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Pang Z, Su L, Zhang Y. Daily physical activity, coffee and energy drink consumption, and sleep patterns among Chinese elite professional esports athletes: a case study of Zhejiang Regans Gaming. Front Public Health 2025; 13:1557533. [PMID: 40078766 PMCID: PMC11899180 DOI: 10.3389/fpubh.2025.1557533] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2025] [Accepted: 02/07/2025] [Indexed: 03/14/2025] Open
Abstract
Purpose Esports is increasingly recognized as both a legitimate sport and profession. However, evidence on the health behaviors of esports athletes remains limited. Due to the nature of their activity, these athletes face occupational health risks associated with prolonged sedentary behavior, sleep deprivation, and excessive energy drink consumption. This study aimed to document the health behaviors of professional esports athletes. Methods This case study sampled athletes from Zhejiang Regans Gaming, who are full-time professionals competing at the elite level. Data were collected over three training days, with moderate-to-vigorous physical activity and sleep patterns monitored using the Apple Watch Series 9. Results Athletes trained for an average of 13 h daily in a seated position, engaging in only 35.6 ± 0.9 min of moderate-to-vigorous physical activity. The extended training hours led to delayed sleep schedules, with a typical bedtime of 3:05 a.m. Sleep quality was poor, with athletes averaging 45.2 ± 13.0 min awake in bed, 392.8 ± 13.9 min of total sleep, and a sleep efficiency of 89.7 ± 3.0%. Likely due to sleep deprivation, athletes consumed an average of 2 cups of coffee and 2.5 ± 0.4 bottles of energy drinks daily. Conclusion This study offers firsthand evidence of the concerning health behaviors among Chinese elite professional esports athletes. Physical activity levels and sleep quality are notably poor, while energy drink consumption is prevalent. Team managers should monitor sleep quality and energy drink consumption, while governing bodies must recognize the long-term risks of excessive sedentary behavior in esports.
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Affiliation(s)
- Zhihui Pang
- School of Humanities, Inner Mongolia University of Technology, Hohhot, China
| | - Lide Su
- College of Physical Education, Hunan Normal University, Changsha, China
| | - Yang Zhang
- Independent Researcher, Windermere, FL, United States
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16
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Williams KA, Horton AM, Baldridge RD, Ikram M. Healthful vs. Unhealthful Plant-Based Restaurant Meals. Nutrients 2025; 17:742. [PMID: 40077611 PMCID: PMC11901562 DOI: 10.3390/nu17050742] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2025] [Revised: 02/13/2025] [Accepted: 02/17/2025] [Indexed: 03/14/2025] Open
Abstract
Background: Vegan/vegetarian (VEG) restaurants and VEG options in omnivore (OMNI) restaurants may serve unhealthful plant-based food that may be more harmful than a typical American diet. Methods: A sample of 561 restaurants with online menus were analyzed over a 3-year period. Each plant-based menu entrée was counted, up to a maximum of ten entrées per restaurant, meaning that a restaurant customer could select from ten or more healthful plant-based choices. Entrées containing refined grains (e.g., white rice and refined flour), saturated fat (e.g., palm oil and coconut oil), or deep-fried foods were counted as zero. Results: We evaluated 278 VEG and 283 OMNI restaurants. A full menu (10 or more plant-based entrées) was available in 59% of the VEG, but only 16% of the OMNI (p < 0.0001). Zero healthful options occurred in 27% of OMNI, but only 14% of VEG (p = 0.0002). The mean healthy entrée count for all restaurants was 3.2, meaning that, on average, there were only about three healthful plant-based choices of entrées on the menu, significantly more in VEG (4.0 vs. 2.4 p < 0.0001). The most common entrée reduction was for refined grains (e.g., white flour in veggie-burger buns or white rice in Asian entrées, n = 1408), followed by fried items (n = 768) and saturated fat (n = 318). VEG restaurants had a significantly higher frequency of adequate VEG options (≥7 options, 24% vs. 13%, p = 0.0005). Conclusions: Restaurants listed as VEG have a slightly higher number of healthful entrées than OMNI restaurants, which offer more limited vegan/vegetarian options. Given the published relationship between unhealthful dietary patterns, chronic illness, and mortality, we propose that detailed nutrition facts be publicly available for every restaurant.
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Affiliation(s)
- Kim A. Williams
- Department of Internal Medicine, School of Medicine, University of Louisville, 550 South Jackson Street, Louisville, KY 40202, USA
| | - Amy M. Horton
- Department of Internal Medicine, School of Medicine, University of Louisville, 550 South Jackson Street, Louisville, KY 40202, USA
| | - Rosella D. Baldridge
- Office of Community Engagement, University of Louisville, Louisville, KY 40202, USA
| | - Mashaal Ikram
- Department of Medicine (Cardiology), University of Chicago—Endeavor Health System, 2650 Ridge Ave., Evanston, IL 60201, USA;
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17
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Clemente-Suárez VJ, Martín-Rodríguez A, Curiel-Regueros A, Rubio-Zarapuz A, Tornero-Aguilera JF. Neuro-Nutrition and Exercise Synergy: Exploring the Bioengineering of Cognitive Enhancement and Mental Health Optimization. Bioengineering (Basel) 2025; 12:208. [PMID: 40001727 PMCID: PMC11851474 DOI: 10.3390/bioengineering12020208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2024] [Revised: 02/14/2025] [Accepted: 02/17/2025] [Indexed: 02/27/2025] Open
Abstract
The interplay between nutrition, physical activity, and mental health has emerged as a frontier in bioengineering research, offering innovative pathways for enhancing cognitive function and psychological resilience. This review explores the neurobiological mechanisms underlying the synergistic effects of tailored nutritional strategies and exercise interventions on brain health and mental well-being. Key topics include the role of micronutrients and macronutrients in modulating neurogenesis and synaptic plasticity, the impact of exercise-induced myokines and neurotrophins on cognitive enhancement, and the integration of wearable bioelectronics for personalized monitoring and optimization. By bridging the disciplines of nutrition, psychology, and sports science with cutting-edge bioengineering, this review highlights translational opportunities for developing targeted interventions that advance mental health outcomes. These insights are particularly relevant for addressing global challenges such as stress, anxiety, and neurodegenerative diseases. The article concludes with a roadmap for future research, emphasizing the potential of bioengineered solutions to revolutionize preventive and therapeutic strategies in mental health care.
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Affiliation(s)
- Vicente Javier Clemente-Suárez
- Faculty of Sport Sciences, Universidad Europea de Madrid, Villaviciosa de Odón, 28670 Madrid, Spain; (V.J.C.-S.); (A.M.-R.); (A.C.-R.)
- Grupo de Investigación en Cultura, Educación y Sociedad, Universidad de la Costa, Barranquilla 080002, Colombia
| | - Alexandra Martín-Rodríguez
- Faculty of Sport Sciences, Universidad Europea de Madrid, Villaviciosa de Odón, 28670 Madrid, Spain; (V.J.C.-S.); (A.M.-R.); (A.C.-R.)
- Faculty of Applied Social Sciences and Communications, UNIE, 28015 Madrid, Spain
| | - Agustín Curiel-Regueros
- Faculty of Sport Sciences, Universidad Europea de Madrid, Villaviciosa de Odón, 28670 Madrid, Spain; (V.J.C.-S.); (A.M.-R.); (A.C.-R.)
| | - Alejandro Rubio-Zarapuz
- Faculty of Sport Sciences, Universidad Europea de Madrid, Villaviciosa de Odón, 28670 Madrid, Spain; (V.J.C.-S.); (A.M.-R.); (A.C.-R.)
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18
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Carrillo JÁ, Arcusa R, Xandri-Martínez R, Cerdá B, Zafrilla P, Marhuenda J. Impact of Polyphenol-Rich Nutraceuticals on Cognitive Function and Neuroprotective Biomarkers: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial. Nutrients 2025; 17:601. [PMID: 40004930 PMCID: PMC11858811 DOI: 10.3390/nu17040601] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2025] [Revised: 01/24/2025] [Accepted: 01/28/2025] [Indexed: 02/27/2025] Open
Abstract
BACKGROUND Recent studies have highlighted the neuroprotective effects of polyphenols, particularly their role in enhancing brain-derived neurotrophic factor (BDNF) and cAMP response element-binding protein (CREB) activity. This study aimed to evaluate the relationship between BDNF and CREB levels and cognitive performance in individuals undergoing a polyphenol-rich dietary intervention. METHODS A randomized, crossover, double-blind, placebo-controlled clinical trial was conducted with 92 participants. The intervention involved the daily intake of an encapsulated concentrate of fruit, vegetable, and berry juice powders (Juice Plus+ Premium®) over two 16-week periods, separated by a 4-week washout phase. Cognitive function was assessed using the Stroop Test, Trail Making Test, and Reynolds Intellectual Screening Test (RIST). The plasma levels of CREB and BDNF were measured using ELISA. RESULTS The polyphenol-rich product significantly improved cognitive performance, as evidenced by higher scores in the Stroop Test and RIST, compared to the placebo. Additionally, the plasma levels of CREB and BDNF were notably elevated in the product condition, indicating enhanced neuroprotective activity. CONCLUSIONS The findings suggest that polyphenol-rich nutraceuticals can modulate neurobiological mechanisms underlying cognitive improvements, primarily through the reduction of oxidative stress and the regulation of signaling pathways associated with synaptic plasticity. These results support the potential of dietary polyphenols in promoting cognitive health and preventing neurodegenerative diseases.
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Affiliation(s)
- Juan Ángel Carrillo
- Faculty of Pharmacy and Nutrition, Universidad Católica San Antonio, 30107 Murcia, Spain; (J.Á.C.); (R.A.); (B.C.)
| | - Raúl Arcusa
- Faculty of Pharmacy and Nutrition, Universidad Católica San Antonio, 30107 Murcia, Spain; (J.Á.C.); (R.A.); (B.C.)
| | | | - Begoña Cerdá
- Faculty of Pharmacy and Nutrition, Universidad Católica San Antonio, 30107 Murcia, Spain; (J.Á.C.); (R.A.); (B.C.)
| | - Pilar Zafrilla
- Faculty of Pharmacy and Nutrition, Universidad Católica San Antonio, 30107 Murcia, Spain; (J.Á.C.); (R.A.); (B.C.)
| | - Javier Marhuenda
- Faculty of Pharmacy and Nutrition, Universidad Católica San Antonio, 30107 Murcia, Spain; (J.Á.C.); (R.A.); (B.C.)
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19
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Gillies NA, Lovell AL, Waldie KE, Wall CR. The effect of fruits and vegetables on children's mental and cognitive health: A systematic review of intervention studies and perspective for future research. Nutrition 2025; 130:112615. [PMID: 39602837 DOI: 10.1016/j.nut.2024.112615] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2024] [Revised: 10/13/2024] [Accepted: 10/18/2024] [Indexed: 11/29/2024]
Abstract
OBJECTIVES To synthesize evidence from fruit and vegetable intervention studies investigating mental or cognitive health outcomes (or both) in children ≤10 y. Our aim was to understand the efficacy of such interventions in improving measures of cognitive performance or mental health and to identify successful intervention elements to inform future research. METHODS We conducted a systematic search of the Cochrane, Embase, PubMed, and CINAHL databases for articles published before August 2022 (PROSPERO registration no. CRD42022356571). A narrative synthesis was conducted according to the Synthesis Without Meta-Analysis guidelines. RESULTS Of the 4686 articles identified, only 7 of the 17 full texts screened were included in the final review. No studies investigated the efficacy of interventions using "whole" fruits or vegetables. Six studies examined the effects of blueberries using drinks made from fresh (1 cup) or freeze-dried (30 g) blueberries and one study evaluated a mulberry powder-based drink. Sample sizes ranged from 14 to 54, and most studies were acute interventions with outcomes measured in a 2- to 3-h window (n = 6). Through a narrative synthesis of direction of responses, measures of executive function appeared sensitive to intervention effects in both acute and longer-term settings. Some concerns of risk of bias were evident, according to the RoB 2 tool, related to incomplete reporting of methodological aspects. CONCLUSIONS The studies identified through this systematic review could not directly address the planned research question, resulting in poor certainty of evidence. Future research with whole fruit and vegetable interventions could better inform population health strategies for improved mental and cognitive health outcomes in children.
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Affiliation(s)
- Nicola A Gillies
- Department of Nutrition, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
| | - Amy L Lovell
- Department of Nutrition, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand
| | - Karen E Waldie
- School of Psychology, Faculty of Science, University of Auckland, Auckland, New Zealand
| | - Clare R Wall
- Department of Nutrition, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand
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20
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Palazzo R, Bevilacqua R, Corsi M, Falconi E, Rosa S, Stefani L. Psychological-Emotional Aspect and Lifestyle in Professional Males Rugby Athletes. Nutrients 2025; 17:305. [PMID: 39861435 PMCID: PMC11767787 DOI: 10.3390/nu17020305] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2024] [Revised: 01/09/2025] [Accepted: 01/11/2025] [Indexed: 01/27/2025] Open
Abstract
BACKGROUND Recent research emphasizes the importance of integrating psychological-emotional factors with nutrition and body composition in athletes. This study investigates the correlations between these aspects in 36 professional rugby players, aiming to identify relationships that could optimize sports performance and overall well-being. METHODS The study sample included 36 male athletes (mean age: 24.4 ± 2.1 years, weight: 86.5 ± 7.1 kg, and height: 181.8 ± 5.7 cm). Four assessment tools were used: the Short Form Health Survey Questionnaire (SF-36) to evaluate quality of life, the Mediterranean diet adherence (MEDI-LITE), the International Physical Activity Questionnaire (IPAQ), and body composition measurements (stadiometer and BIVA). Statistical analyses, including the Shapiro-Wilk test, Pearson, and Spearman correlations, were conducted to explore relationships between the variables. RESULTS The athletes' mental and physical health was comparable to the general population (mean MCS = 50.5 ± 7.4, PCS = 49.6 ± 9.6). Mediterranean diet adherence was low (mean MEDI-LITE = 8.6 ± 2.6), while physical activity levels were high (mean IPAQ = 2560.5 ± 950.1). Body composition indicated overweight status (mean BMI = 26.15 ± 1.62 kg/m2, body fat = 22 ± 4.3%). Positive correlations were observed between mental health, diet adherence, and physical activity, with a stronger link between physical activity and body composition. CONCLUSIONS This study confirms a relationship between psychological-emotional factors, nutrition, and body composition in athletes, suggesting an integrated approach to optimize performance. However, causality remains unconfirmed, and the small sample size limits generalizability. Future research should include larger, more diverse samples to expand these findings.
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Affiliation(s)
| | | | | | | | | | - Laura Stefani
- Sports Medicine Centre, University of Florence, 50121 Firenze, Italy; (R.P.); (R.B.); (M.C.); (E.F.); (S.R.)
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21
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Guo H, Tian Q, Qin X, Luo Q, Gong X, Gao Q. Systematic evaluation and meta-analysis of the effects of major dietary patterns on cognitive function in healthy adults. Nutr Neurosci 2025; 28:1-17. [PMID: 38689541 DOI: 10.1080/1028415x.2024.2342164] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/02/2024]
Abstract
PURPOSE Evidence shows diet promotes brain health. Combining foods and nutrients may have beneficial synergistic effects, but the effects on cognitive function interventions are inconsistent. So, a meta-analysis of RCTs was conducted to examine the specific effects on cognitive function. METHODS We searched four databases from creation to April 2023. Eligible randomized controlled trials were identified. A random-effects meta-analysis was used to combine standardized mean differences (SMD) (95% confidence intervals [CI]), and homogeneity tests for a variance were calculated. RESULTS A total of 19 studies involving 12,119 participants were included in this systematic review. The dietary intervention group had a positive effect on overall cognitive functioning compared to the control group (SMD = 0.14, 95% CI [0.08, 0.20], P < 0.00001). The dietary intervention improved executive function, processing speed and language skills (SMD = -0.10, 95% CI [-0.17,-0.04], P = 0.002, I2 = 0%), (SMD = -0.16, 95% CI [-0.23,-0.09], P < 0.00001, I2 = 0%), (SMD = 0.10, 95% CI [0.01, 0.20], P = 0.03, I2 = 0%). The dietary intervention had no effect on delayed memory and spatial ability (SMD = 0.04, 95% CI [-0.02, 0.09], P = 0.20, I2 = 0%), (SMD = 0.08, 95% CI [-0.01, 0.16], P = 0.08, I2 = 0%). CONCLUSION The Mediterranean diet, a diet with restricted caloric intake, a diet incorporating aerobic exercise, a low-carbohydrate diet, and a healthy lifestyle diet (increased intake of fruits and vegetables, and weight and blood pressure management) appear to have positive effects on cognitively healthy adults, as reflected in their overall cognitive, processing speed, executive, and language functions. PROSPERO REGISTRATION NUMBER CRD42023414704.
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Affiliation(s)
- HanQing Guo
- School of Public Health, Ningxia Medical University, Yinchuan, People's Republic of China
- Key Laboratory of Environmental Factors and Chronic Disease Control, Ningxia Medical University, Yinchuan, People's Republic of China
| | - Qi Tian
- School of Public Health, Ningxia Medical University, Yinchuan, People's Republic of China
- Key Laboratory of Environmental Factors and Chronic Disease Control, Ningxia Medical University, Yinchuan, People's Republic of China
| | - XueMei Qin
- School of Public Health, Ningxia Medical University, Yinchuan, People's Republic of China
- Key Laboratory of Environmental Factors and Chronic Disease Control, Ningxia Medical University, Yinchuan, People's Republic of China
| | - Qing Luo
- School of Public Health, Ningxia Medical University, Yinchuan, People's Republic of China
- Key Laboratory of Environmental Factors and Chronic Disease Control, Ningxia Medical University, Yinchuan, People's Republic of China
| | - XiuMei Gong
- Nutrition Department of Laizhou People's Hospital, TanTai, People's Republic of China
| | - Qinghan Gao
- School of Public Health, Ningxia Medical University, Yinchuan, People's Republic of China
- Key Laboratory of Environmental Factors and Chronic Disease Control, Ningxia Medical University, Yinchuan, People's Republic of China
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22
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Liu Y, Zhu Y, Wang X, Li Y, Yang S, Li H, Dong B, Wang Z, Song Y, Xu J, Xue C. Mechanisms by which Ganglioside GM1, a specific type of glycosphingolipid, ameliorates BMAA-induced neurotoxicity in early-life stage of zebrafish embryos. Food Res Int 2025; 200:115502. [PMID: 39779142 DOI: 10.1016/j.foodres.2024.115502] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2024] [Revised: 10/24/2024] [Accepted: 11/29/2024] [Indexed: 01/11/2025]
Abstract
The neurotoxin β-methylamino-L-alanine (BMAA) produced by cyanobacteria is widely present in foods and dietary supplements, posing a significant threat to human health. Ganglioside GM1 (GM1) has demonstrated potential for treating neurodegenerative diseases; however, its ability to prevent BMAA-induced neurotoxicity remains uncertain. In this study, zebrafish embryos were treated with Ganglioside GM1 to investigate its neuroprotective effects against BMAA exposure and the underlying mechanisms. Exposure to BMAA (400 μM) resulted in increased malformation rate and heart rates in zebrafish embryos at 72 h post-fertilization, along with the decreased survival rates. Conversely, GM1 intervention rescued BMAA-induced movement disorders and brain cell apoptosis, and oxidative stress was alleviated. In addition, GM1 inhibited the neurotoxic effects of BMAA in zebrafish embryos, as indicated by the up-regulation of genes related to neuron development (gpx1a, bdnf, ngfb, and islet-1) and the down-regulations of neurodegeneration-related genes (cdk5, gfap, and nptxr). GM1 treatment restored 261 differentially expressed genes (DEGs) identified through RNA sequencing, with the most enriched DEGs related to the mitogen-activated protein kinase (MAPK) signaling pathway (P < 0.05, 47 genes). GM1 modulated MAPK-targeted gene expression at the mRNA level. These findings suggest that GM1 alleviates BMAA-induced neurotoxicity in the early-life stage of zebrafish embryos. The neuroprotective mechanism may involve the MAPK pathway, offering new insights into lipid signaling for the prevention of neurotoxic hazards to biological health.
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Affiliation(s)
- Yanjun Liu
- State Key Laboratory of Marine Food Processing & Safety Control, College of Food Science and Engineering, Ocean University of China, Qingdao 266404, China; State Key Laboratory of Food Science and Technology, School of Food Science and Technology, National Engineering Research Center for Functional Food, Collaborative Innovation Center of Food Safety and Quality Control in Jiangsu Province, Jiangnan University, 1800 Lihu Road, Wuxi 214122, Jiangsu, China
| | - Yuhe Zhu
- State Key Laboratory of Marine Food Processing & Safety Control, College of Food Science and Engineering, Ocean University of China, Qingdao 266404, China
| | - Xiaoxu Wang
- State Key Laboratory of Marine Food Processing & Safety Control, College of Food Science and Engineering, Ocean University of China, Qingdao 266404, China
| | - Yiyang Li
- Institute of Evolution & Marine Biodiversity, Ocean University of China, Qingdao, Shandong Province 266003, China
| | - Shuaiqi Yang
- Institute of Evolution & Marine Biodiversity, Ocean University of China, Qingdao, Shandong Province 266003, China
| | - Hongyan Li
- Institute of Evolution & Marine Biodiversity, Ocean University of China, Qingdao, Shandong Province 266003, China
| | - Bo Dong
- Institute of Evolution & Marine Biodiversity, Ocean University of China, Qingdao, Shandong Province 266003, China
| | - Zhigao Wang
- State Key Laboratory of Marine Food Processing & Safety Control, College of Food Science and Engineering, Ocean University of China, Qingdao 266404, China
| | - Yu Song
- State Key Laboratory of Marine Food Processing & Safety Control, College of Food Science and Engineering, Ocean University of China, Qingdao 266404, China
| | - Jie Xu
- State Key Laboratory of Marine Food Processing & Safety Control, College of Food Science and Engineering, Ocean University of China, Qingdao 266404, China.
| | - Changhu Xue
- State Key Laboratory of Marine Food Processing & Safety Control, College of Food Science and Engineering, Ocean University of China, Qingdao 266404, China; Qingdao Marine Science and Technology Center, Qingdao, Shandong Province 266235, China
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23
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Shirodkar SS, Babre N. The role of nutrition in neurodegeneration. THE NEURODEGENERATION REVOLUTION 2025:167-202. [DOI: 10.1016/b978-0-443-28822-7.00018-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/05/2025]
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24
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Tadesse A, Helton JJ, Kong V. Intimate Partner Violence and Level of Household Food Scarcity in Mozambique. JOURNAL OF INTERPERSONAL VIOLENCE 2024:8862605241307633. [PMID: 39727153 DOI: 10.1177/08862605241307633] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/28/2024]
Abstract
Although food insecurity in its various forms is consistently associated with the presence of intimate partner violence (IPV), it is still unknown if various levels of severity of hunger predict IPV when important extraneous mental health, interpersonal, and social support indicators are considered. The study applied a posttest-only comparison group quasi-experimental design. The samples were randomly drawn from married women (n = 202) in Mozambique. The logistic regression model showed a significant association between multiple forms of IPV and multiple forms of food scarcity; women experiencing severe hunger were consistently between 3.5- and 5-times greater odds of reporting IPV compared to those without hunger, even when controlling for important covariates.
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25
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Jennings A, Shannon OM, Gillings R, Lee V, Elsworthy R, Bundy R, Rao G, Hanson S, Hardeman W, Paddick SM, Siervo M, Aldred S, Mathers JC, Hornberger M, Minihane AM. Effectiveness and feasibility of a theory-informed intervention to improve Mediterranean diet adherence, physical activity and cognition in older adults at risk of dementia: the MedEx-UK randomised controlled trial. BMC Med 2024; 22:600. [PMID: 39716203 PMCID: PMC11667912 DOI: 10.1186/s12916-024-03815-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/15/2024] [Accepted: 12/10/2024] [Indexed: 12/25/2024] Open
Abstract
BACKGROUND Despite an urgent need for multi-domain lifestyle interventions to reduce dementia risk, there is a lack of interventions which are informed by theory- and evidence-based behaviour change strategies, and no interventions in this domain have investigated the feasibility or effectiveness of behaviour change maintenance. We tested the feasibility, acceptability and cognitive effects of a personalised theory-based 24-week intervention to improve Mediterranean diet (MD) adherence alone, or in combination with physical activity (PA), in older-adults at risk of dementia, defined using a cardiovascular risk score. METHODS Participants (n = 104, 74% female, 57-76 years) were randomised to three parallel intervention arms: (1) control, (2) MD, or (3) MD + PA for 24 weeks and invited to an optional 24-week follow-up period with no active intervention. Behaviour change was supported using personalised targets, a web-based intervention, group sessions and food provision. The primary outcome was behaviour change (MD adherence and PA levels), and the secondary outcomes included feasibility and acceptability, cognitive function, cardiometabolic health (BMI and 24-h ambulatory blood pressure) and process measures. RESULTS The intervention was feasible and acceptable with the intended number of participants completing the study. Participant engagement with group sessions and food provision components was high. There was improved MD adherence in the two MD groups compared with control at 24 weeks (3.7 points on a 14-point scale (95% CI 2.9, 4.5) and 48 weeks (2.7 points (95% CI 1.6, 3.7)). The intervention did not significantly change objectively measured PA. Improvements in general cognition (0.22 (95% CI 0.05, 0.35), memory (0.31 (95% CI 0.10, 0.51) and select cardiovascular outcomes captured as underpinning physiological mechanisms were observed in the MD groups at 24 weeks. CONCLUSIONS The intervention was successful in initiating and maintaining dietary behaviour change for up to 12 months which resulted in cognitive benefits. It provides a framework for future complex behaviour change interventions with a range of health and well-being endpoints. TRIAL REGISTRATION ClinicalTrials.gov NCT03673722.
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Affiliation(s)
- A Jennings
- Norwich Medical School, University of East Anglia, Norwich, UK
- School of Biological Sciences, The Co-Centre for Sustainable Food Systems and The Institute for Global Food Security, Queens University Belfast, Belfast, UK
- Norwich Institute of Healthy Ageing, University of East Anglia, Norwich, UK
| | - O M Shannon
- Human Nutrition & Exercise Research Centre, Population Health Sciences Institute, Newcastle University, Newcastle Upon Tyne, UK
| | - R Gillings
- Norwich Medical School, University of East Anglia, Norwich, UK
- Norwich Institute of Healthy Ageing, University of East Anglia, Norwich, UK
| | - V Lee
- The George Institute for Global Health, Barangaroo, NSW, Australia
- Faculty of Medicine, University of New South Wales, Kensington, NSW, Australia
| | - R Elsworthy
- School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK
| | - R Bundy
- Norwich Medical School, University of East Anglia, Norwich, UK
| | - G Rao
- Human Nutrition & Exercise Research Centre, Population Health Sciences Institute, Newcastle University, Newcastle Upon Tyne, UK
| | - S Hanson
- Behavioural and Implementation Science Group, School of Health Sciences, University of East Anglia, Norwich, UK
- Norwich Institute of Healthy Ageing, University of East Anglia, Norwich, UK
| | - W Hardeman
- Behavioural and Implementation Science Group, School of Health Sciences, University of East Anglia, Norwich, UK
- Norwich Institute of Healthy Ageing, University of East Anglia, Norwich, UK
| | - S-M Paddick
- Translational and Clinical Medicine, Newcastle University, Campus for Ageing and Vitality, Westgate Road, Newcastle Upon Tyne, UK
- Gateshead Health NHS Foundation Trust, Bensham Hospital, Saltwell Road, Gateshead, UK
| | - M Siervo
- Curtin Dementia Centre of Excellence, enAble Institute, Curtin University, Perth, Australia
| | - S Aldred
- School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK
| | - J C Mathers
- Human Nutrition & Exercise Research Centre, Population Health Sciences Institute, Newcastle University, Newcastle Upon Tyne, UK
| | - M Hornberger
- Norwich Medical School, University of East Anglia, Norwich, UK
- Norwich Institute of Healthy Ageing, University of East Anglia, Norwich, UK
| | - A M Minihane
- Norwich Medical School, University of East Anglia, Norwich, UK.
- Norwich Institute of Healthy Ageing, University of East Anglia, Norwich, UK.
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26
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Chuang SW, Chen CW, Lee MC, Chen YH, Su W, Chen CJ, Chen WT, Hsiao PJ, Chiu CC, Su SL. Gender-specification lifestyle factors associated with mild cognitive impairment among young-old adults in Taiwan. Aging (Albany NY) 2024; 16:13662-13675. [PMID: 39661103 PMCID: PMC11723654 DOI: 10.18632/aging.206172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2024] [Accepted: 11/15/2024] [Indexed: 12/12/2024]
Abstract
BACKGROUND The prevalence of mild cognitive impairment (MCI) exhibits a positive correlation with age, particularly evident in the old-old female population. Lifestyle factors have been identified as crucial risk determinants for MCI. However, there is a scarcity of research focusing on lifestyle factors among young-old population. OBJECTIVE This study aimed to explore the lifestyle factors associated with MCI in young-old male and female. METHODS This study employed a cross-sectional design and utilized demographic and lifestyle data obtained from participants enrolled in the Taiwan Biobank (TWB) between 2008 and 2021, with 32,897 individuals aged 60 to 70 years old. Cognitive function was assessed using the Mini-Mental State Examination (MMSE), with a total score ranging from 0 to 30 points. The cut-off of MCI scores was ≤18, ≤21, and ≤25 according to the education level, respectively. Logistic regression analysis was employed to assess the association between lifestyles and cognitive function. RESULTS 3,878 individuals (11.78%) suffered from MCI. Upon gender stratification, high exercise metabolic equivalents in male (OR = 0.8, 95% CI: 0.70 - 0.92) and moderate exercise in female serve as protective factors for MCI (OR = 0.78, 95% CI: 0.70 - 0.87). Additionally, diversified dietary preferences among female (OR = 0.80, 95% CI: 0.66 - 0.97) also emerge as protective factors for cognitive function. CONCLUSIONS It is worth noting that male is advised to target a higher exercise metabolic equivalent, while female can attain cognitive benefits with moderate exercise and diversified dietary.
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Affiliation(s)
- Su-Wen Chuang
- Graduate Institute of Life Sciences, National Defense Medical Center, Taipei, Taiwan, ROC
- School of Public Health, National Defense Medical Center, Taipei, Taiwan, ROC
| | - Ching-Wen Chen
- School of Public Health, National Defense Medical Center, Taipei, Taiwan, ROC
| | - Meng-Chang Lee
- School of Public Health, National Defense Medical Center, Taipei, Taiwan, ROC
| | - Yu-Hsuan Chen
- School of Public Health, National Defense Medical Center, Taipei, Taiwan, ROC
| | - Wen Su
- Graduate Institute of Aerospace and Undersea Medicine, National Defense Medical Center, Taipei, Taiwan, ROC
| | - Cheng-Jung Chen
- Division of General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC
- Taichung Veterans General Hospital Chiayi Branch, Chiayi City, Taiwan, ROC
| | - Wei-Teing Chen
- Division of Thoracic Medicine, Department of Medicine, Cheng Hsin General Hospital, Taipei, Taiwan, ROC
- Department of Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, ROC, Taiwan, ROC
| | - Po-Jen Hsiao
- Division of Nephrology, Department of Medicine, Taoyuan Armed Forces General Hospital, Taoyuan, Taiwan, ROC
- Division of Nephrology, Department of Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC
| | - Chih-Chien Chiu
- Division of Infectious Disease, Department of Internal Medicine, Taoyuan Armed Forces General Hospital, Taoyuan, Taiwan, ROC
- Division of Infectious Disease, Department of Internal Medicine, Tri-Service General Hospital, National, Defense Medical Center, Taipei, Taiwan, ROC
| | - Sui-Lung Su
- Graduate Institute of Life Sciences, National Defense Medical Center, Taipei, Taiwan, ROC
- School of Public Health, National Defense Medical Center, Taipei, Taiwan, ROC
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27
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Feng Y, Wang J, Zhang R, Wang Y, Wang J, Meng H, Cheng H, Zhang J. Mediterranean diet related to 3-year incidence of cognitive decline: results from a cohort study in Chinese rural elders. Nutr Neurosci 2024; 27:1351-1362. [PMID: 38598413 DOI: 10.1080/1028415x.2024.2336715] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/12/2024]
Abstract
OBJECTIVE This study aims to examine the effect of the Mediterranean diet (MeDi) on cognitive decline among the Chinese elderly with a 3-year follow-up. METHODS This study is divided into two waves: wave-1 January 2019 to June 2019 (n = 2313); wave-2 January 2022 to March 2022 (n = 1648). MeDi scores were calculated from the Mediterranean Diet Adherence Screener (MEDAS), with the scoring of low compliance (0-6 points) and high compliance (7-14 points). The Mini-Mental State Examination (MMSE) was used to assess cognitive function. An MMSE score dropping ≥ 2 points from baseline was defined as cognitive decline. The relationships between MeDi score and cognitive decline were analyzed by linear regression models or Binary logistic regression. RESULTS During the 3-year follow-up, 23.8% of patients exhibited cognitive decline. The study revealed a significant difference in MMSE score changes between low and high MeDi adherence groups (p < 0.001). MeDi score was negatively correlated with cognitive deterioration (β = -0.020, p = 0.026). MeDi score was only negatively associated with cognitive decline in the female subgroup aged ≥65 years (β = -0.034, p = 0.033). The food beans (OR = 0.65, 95%CI:0.51, 0.84), fish (OR = 0.72, 95%CI:0.54, 0.97), and cooked vegetables (OR = 0.68, 95%CI:0.53, 0.84) were protective factors for cognitive decline. CONCLUSIONS This study suggests that greater adherence to the MeDi is linked to a reduced risk of cognitive decline in elderly people. However, this is found only in women who are 65 years old or older. It also found long-term adherence to beans, fish, and vegetables are more effective in improving cognitive function.
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Affiliation(s)
- Yuping Feng
- School of Nursing, Gansu University of Chinese Medicine, Lanzhou, People's Republic of China
| | - Jiancheng Wang
- Department of General Practice Medicine, Hospital of Gansu Health Vocational College, Lanzhou, People's Republic of China
| | - Rong Zhang
- School of Nursing, Gansu University of Chinese Medicine, Lanzhou, People's Republic of China
| | - Yunhua Wang
- School of Public Health, Lanzhou University, Lanzhou, People's Republic of China
| | - Jing Wang
- School of Nursing, Gansu University of Chinese Medicine, Lanzhou, People's Republic of China
| | - Hongyan Meng
- School of Nursing, Gansu University of Chinese Medicine, Lanzhou, People's Republic of China
| | - Hu Cheng
- School of Public Health, Lanzhou University, Lanzhou, People's Republic of China
| | - Juxia Zhang
- Clinical Educational Department, Gansu Provincial Hospital, Lanzhou, People's Republic of China
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Curhan SG, Zeleznik OA, Curhan GC. Longitudinal study of seafood and fish oil supplement intake and risk of persistent tinnitus. Am J Clin Nutr 2024; 120:1409-1418. [PMID: 39349293 PMCID: PMC11619791 DOI: 10.1016/j.ajcnut.2024.09.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2024] [Revised: 09/24/2024] [Accepted: 09/26/2024] [Indexed: 10/02/2024] Open
Abstract
BACKGROUND Persistent tinnitus is common, disabling, and difficult to treat. Diet has been implicated in tinnitus etiology, but studies are inconsistent, and longitudinal data are scarce. Seafood intake is associated with a lower risk of hearing loss, but the longitudinal association with tinnitus is unknown. OBJECTIVES We examined the independent associations of seafood intake, fish oil supplement use, and risk of developing persistent tinnitus. METHODS This prospective cohort study followed 73,482 females in the Nurses' Health Study II from 1991 to 2021. Diet was assessed using a validated food frequency questionnaire every 4 y. Multivariable-adjusted Cox proportional hazards regression was used to evaluate independent associations between total seafood intake, specific types of fish, shellfish, fish oil supplements, and risk of persistent tinnitus (defined as tinnitus experienced daily). RESULTS After 1,998,421 person-y of follow-up, 9362 cases of incident persistent tinnitus were reported. Seafood intake was independently associated with a lower risk of developing persistent tinnitus. Compared with participants who never or rarely consumed seafood, the multivariable-adjusted hazard ratios (MVHRs; 95% confidence interval) for tinnitus were 0.87 (0.78, 0.95) among participants who consumed 1 serving/wk, 0.77 (0.68, 0.86) for 2-4 servings/wk, and 0.79 (0.64, 0.96) for 5+/servings/wk (P-trend < 0.0001). Examined individually, higher intakes of tuna fish, light-meat fish and shellfish were associated with lower risk. Compared with participants who never or rarely consumed the specific type, the MVHRs for consumption of 1+ servings/wk were 0.84 (0.78, 0.90) (P-trend < 0.0001) for tuna fish, 0.91 (0.83, 0.99) (P-trend = 0.04) for light-meat fish, and 0.82 (0.72, 0.93) (P-trend < 0.0001) for shellfish. A higher risk for dark-meat fish intake was suggested [MVHR: 1.09 (0.99, 1.21) (P-trend = 0.04)]. Fish oil supplement use (yes/no) was associated with higher risk [MVHR: 1.12 (1.06, 1.19)]. CONCLUSIONS Regular consumption of tuna fish, light-meat fish, or shellfish is associated with a lower risk of developing persistent tinnitus in females. Fish oil supplement use is associated with higher risk.
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Affiliation(s)
- Sharon G Curhan
- Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, MA, United States; Harvard Medical School, Boston, MA, United States.
| | - Oana A Zeleznik
- Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, MA, United States; Harvard Medical School, Boston, MA, United States
| | - Gary C Curhan
- Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, MA, United States; Harvard Medical School, Boston, MA, United States; Renal Division, Department of Medicine, Brigham and Women's Hospital, Boston, MA, United States
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Tanwar E, Kalpana K. Can consumption of finger millet diet improve mental health status in athletes: a possible link with modulation of cortisol levels. Phys Act Nutr 2024; 28:49-59. [PMID: 39934630 PMCID: PMC11811619 DOI: 10.20463/pan.2024.0032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2024] [Revised: 12/21/2024] [Accepted: 12/22/2024] [Indexed: 02/13/2025] Open
Abstract
PURPOSE Despite the promising health benefits of finger millet, there is a notable lack of research specifically examining its effects on athletes' mental health. Therefore, the present narrative review aimed to explore the potential of finger millet (Eleusine coracana) in enhancing the mental health status of athletes. METHODS For this narrative review databases like "PubMed," "SPORTDiscus," "Scopus," "ProQuest" and "Google Scholar" were referred to identify and analyze the studies to determine their relevance and findings. RESULTS Studies have shown that nutritional intervention has a significant impact on mental health through improved mood, cognitive function, and overall well-being. Finger millet is a valuable reservoir of vital nutrients , including amino acids, vitamins, minerals, and antioxidants, which play crucial roles in reducing oxidative stress and cortisol levels, which are key factors in mental health disorders. Furthermore, low glycemic index and high dietary fiber content of finger millet contribute to stable blood sugar levels, which are crucial for maintaining mental stability and preventing stress-induced cortisol spikes. Dietary fiber in finger millet also helps in boosting the gut microbiota, which helps in stimulating mental and cognitive health through the gut-brain axis. CONCLUSION Given the physical and psychological demands on athletes, incorporating finger millet into their diets could offer a holistic approach for improving both performance and mental well-being. Despite these promising findings, the specific effect of finger millet on athletes' mental health remains unclear. This review highlights the need for more focused research on this topic, emphasizing the potential of finger millet as a na-t ural dietary intervention to enhance mental health and stress management in athletes. We conclude by calling for more comprehensive studies to fully understand the mechanisms and benefits of finger millet in athletic populations, aiming to bridge the current gap in the literature and pave the way for evidence-based dietary recommendations.
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Affiliation(s)
- Ekta Tanwar
- Department of Nutrition and Dietetics, School of Allied Health Sciences, Manav Rachna International Institute of Research & Studies, Faridabad, India
| | - Kommi Kalpana
- Department of Nutrition and Dietetics, School of Allied Health Sciences, Manav Rachna International Institute of Research & Studies, Faridabad, India
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Vaziri Y. The Mediterranean Diet: A powerful defense against Alzheimer disease-A comprehensive review. Clin Nutr ESPEN 2024; 64:160-167. [PMID: 39349103 DOI: 10.1016/j.clnesp.2024.09.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2023] [Revised: 08/22/2024] [Accepted: 09/24/2024] [Indexed: 10/02/2024]
Abstract
Recent studies have explored the impact of lifestyle, particularly diet, on cognitive decline and Alzheimer's disease (AD) risk. The Mediterranean diet has emerged as a potential safeguard, with observational studies indicating it might help defend against cognitive disorders. High adherence is linked with lower cognitive impairment risk, while low adherence elevates the risk for AD. Though these studies suggest connections between the Mediterranean diet and reduced cognitive decline or AD, they do not establish causality. Potential mechanisms might involve vascular factors, glucose/lipid metabolism, and anti-inflammatory effects. Specific Mediterranean diet components like vegetables, fruits, legumes, cereals, fish, and monounsaturated fats might contribute to cognitive benefits. Large-scale randomized controlled trials are needed to ascertain the diet's influence on AD and cognitive health. Currently, the Mediterranean diet cannot be definitively named as a preventive strategy for AD due to insufficient evidence. More research is essential to identify key ingredients and processes that might have preventive effects on AD. In summary, while the Mediterranean diet shows promise against cognitive decline and AD, further research is needed.
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Affiliation(s)
- Yashar Vaziri
- Department of Nutrition and Dietetics, Sarab Branch, Islamic Azad University, Sarab, Iran.
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You H, Geng S, Li S, Imani M, Brambilla D, Sun T, Jiang C. Recent advances in biomimetic strategies for the immunotherapy of glioblastoma. Biomaterials 2024; 311:122694. [PMID: 38959533 DOI: 10.1016/j.biomaterials.2024.122694] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2024] [Revised: 06/22/2024] [Accepted: 06/26/2024] [Indexed: 07/05/2024]
Abstract
Immunotherapy is regarded as one of the most promising approaches for treating tumors, with a multitude of immunotherapeutic thoughts currently under consideration for the lethal glioblastoma (GBM). However, issues with immunotherapeutic agents, such as limited in vivo stability, poor blood-brain barrier (BBB) penetration, insufficient GBM targeting, and represented monotherapy, have hindered the success of immunotherapeutic interventions. Moreover, even with the aid of conventional drug delivery systems, outcomes remain suboptimal. Biomimetic strategies seek to overcome these formidable drug delivery challenges by emulating nature's intelligent structures and functions. Leveraging the variety of biological structures and functions, biomimetic drug delivery systems afford a versatile platform with enhanced biocompatibility for the co-delivery of diverse immunotherapeutic agents. Moreover, their inherent capacity to traverse the BBB and home in on GBM holds promise for augmenting the efficacy of GBM immunotherapy. Thus, this review begins by revisiting the various thoughts and agents on immunotherapy for GBM. Then, the barriers to successful GBM immunotherapy are analyzed, and the corresponding biomimetic strategies are explored from the perspective of function and structure. Finally, the clinical translation's current state and prospects of biomimetic strategy are addressed. This review aspires to provide fresh perspectives on the advancement of immunotherapy for GBM.
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Affiliation(s)
- Haoyu You
- Key Laboratory of Smart Drug Delivery/Innovative Center for New Drug Development of Immune Inflammatory Diseases (Ministry of Education), Minhang Hospital, State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science, Department of Pharmaceutics, School of Pharmacy, Fudan University, Shanghai 201203, China
| | - Shuo Geng
- Key Laboratory of Smart Drug Delivery/Innovative Center for New Drug Development of Immune Inflammatory Diseases (Ministry of Education), Minhang Hospital, State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science, Department of Pharmaceutics, School of Pharmacy, Fudan University, Shanghai 201203, China
| | - Shangkuo Li
- Key Laboratory of Smart Drug Delivery/Innovative Center for New Drug Development of Immune Inflammatory Diseases (Ministry of Education), Minhang Hospital, State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science, Department of Pharmaceutics, School of Pharmacy, Fudan University, Shanghai 201203, China
| | - Mohammad Imani
- Department of Science, Iran Polymer and Petrochemical Institute, Tehran 14977-13115, Iran; Center for Nanoscience and Nanotechnology, Institute for Convergence Science & Technology, Tehran 14588-89694, Iran
| | - Davide Brambilla
- Faculty of Pharmacy, University of Montreal, Montreal Quebec H3T 1J4, Canada
| | - Tao Sun
- Key Laboratory of Smart Drug Delivery/Innovative Center for New Drug Development of Immune Inflammatory Diseases (Ministry of Education), Minhang Hospital, State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science, Department of Pharmaceutics, School of Pharmacy, Fudan University, Shanghai 201203, China.
| | - Chen Jiang
- Key Laboratory of Smart Drug Delivery/Innovative Center for New Drug Development of Immune Inflammatory Diseases (Ministry of Education), Minhang Hospital, State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science, Department of Pharmaceutics, School of Pharmacy, Fudan University, Shanghai 201203, China
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Picone P, Girgenti A, Buttacavoli M, Nuzzo D. Enriching the Mediterranean diet could nourish the brain more effectively. Front Nutr 2024; 11:1489489. [PMID: 39664911 PMCID: PMC11631615 DOI: 10.3389/fnut.2024.1489489] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2024] [Accepted: 11/13/2024] [Indexed: 12/13/2024] Open
Abstract
The increasing prevalence of neurodegenerative disorders represents a challenge to the global health of all nations and populations, particularly with increasing longevity. Urgent prevention strategies are therefore needed, and one opportunity may be to explore the relationship between dietary patterns and brain health which has emerged as a promising strategy. Numerous studies indicate that dietary choices have a significant impact on cognitive function, memory and the risks of neurological disorders, recognizing the dynamic role of diet in maintaining cognitive abilities. One of the most studied dietary styles, the Mediterranean diet, characterized by healthy, plant-based foods fats and moderate consumption of animal products, has demonstrated its neuroprotective potential. Rich in antioxidants, vitamins and polyphenols, this diet shows consistent associations with cardiovascular health and cognitive function. Some less talked about foods, such as seaweed, blackcurrants, Lion's Mane mushroom and chia seeds, are emerging as potential brain health boosters. These and other new foods could enrich the Western diet making it capable of effectively preventing neurological disorders. Despite promising scientific data, difficulties persist in understanding the complex relationship between nutrition and brain health. Individual variability, long-term dietary adherence, comorbidities, and the need for rigorous clinical evidence pose obstacles. In this review, we would like to focus our attention on the future of brain-diets, which should involve accessible, personalized and evidence-based interventions, providing hope against the challenges posed by neurodegenerative diseases. In fact, as research progresses, more and more attention are being placed to brain health, promising a harmonious and resilient cognitive landscape for individuals and society.
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Affiliation(s)
- Pasquale Picone
- Institute for Biomedical Research and Innovation, National Research Council of Italy, Palermo, Italy
| | - Antonella Girgenti
- Institute for Biomedical Research and Innovation, National Research Council of Italy, Palermo, Italy
| | - Miriam Buttacavoli
- Department of Biomedicine, Neuroscience and Advanced Diagnostics (Bi.N.D), University of Palermo, Palermo, Italy
| | - Domenico Nuzzo
- Institute for Biomedical Research and Innovation, National Research Council of Italy, Palermo, Italy
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Clemente-Suárez VJ, Rubio-Zarapuz A, Belinchón-deMiguel P, Beltrán-Velasco AI, Martín-Rodríguez A, Tornero-Aguilera JF. Impact of Physical Activity on Cellular Metabolism Across Both Neurodegenerative and General Neurological Conditions: A Narrative Review. Cells 2024; 13:1940. [PMID: 39682689 PMCID: PMC11640500 DOI: 10.3390/cells13231940] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2024] [Revised: 11/19/2024] [Accepted: 11/21/2024] [Indexed: 12/18/2024] Open
Abstract
BACKGROUND Regular physical activity plays a crucial role in modulating cellular metabolism and mitigating the progression of neurodegenerative diseases such as Alzheimer's, Parkinson's, and Multiple Sclerosis. OBJECTIVE The objective of this review is to evaluate the molecular mechanisms by which exercise influences cellular metabolism, with a focus on its potential as a therapeutic intervention for neurological disorders. METHODS A comprehensive literature review was conducted using peer-reviewed scientific articles, with a focus on the period between 2015 and 2024, to analyze the effects of exercise on mitochondrial function, oxidative stress, and metabolic health. RESULTS The findings indicate that exercise promotes mitochondrial biogenesis, enhances oxidative phosphorylation, and reduces reactive oxygen species, contributing to improved energy production and cellular resilience. These metabolic adaptations are associated with delayed disease progression and reduced symptoms in patients with neurodegenerative conditions. Additionally, integrating exercise with nutritional strategies may further enhance therapeutic outcomes by addressing metabolic disturbances comprehensively. CONCLUSIONS This review concludes that personalized exercise protocols should be developed to optimize metabolic benefits for patients with neurological diseases, while future research should focus on biomarker development for individualized treatment approaches. These findings highlight the importance of non-pharmacological interventions in managing neurodegenerative diseases.
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Affiliation(s)
- Vicente Javier Clemente-Suárez
- Faculty of Sports Sciences, Universidad Europea de Madrid, Tajo Street, s/n, 28670 Madrid, Spain; (V.J.C.-S.); (A.R.-Z.); (J.F.T.-A.)
- Grupo de Investigación en Cultura, Educación y Sociedad, Universidad de la Costa, Barranquilla 080002, Colombia
| | - Alejandro Rubio-Zarapuz
- Faculty of Sports Sciences, Universidad Europea de Madrid, Tajo Street, s/n, 28670 Madrid, Spain; (V.J.C.-S.); (A.R.-Z.); (J.F.T.-A.)
| | - Pedro Belinchón-deMiguel
- Department of Nursing, Faculty of Biomedical and Health Sciences, Universidad Europea de Madrid, 28670 Villaviciosa de Odón, Spain;
| | | | - Alexandra Martín-Rodríguez
- Faculty of Sports Sciences, Universidad Europea de Madrid, Tajo Street, s/n, 28670 Madrid, Spain; (V.J.C.-S.); (A.R.-Z.); (J.F.T.-A.)
- Faculty of Applied Social Sciences and Communications, Universidad Internacional de la Empresa (UNIE), 28015 Madrid, Spain
| | - José Francisco Tornero-Aguilera
- Faculty of Sports Sciences, Universidad Europea de Madrid, Tajo Street, s/n, 28670 Madrid, Spain; (V.J.C.-S.); (A.R.-Z.); (J.F.T.-A.)
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Umoh EA, Odey AI, Mbu CB, Otu KM, Asuquo JO, Otu EEO, Uno VK, Bassey DO. GC-MS Analysis and ADMET Properties of Tom Brown Weaning Meal and its Subsequent Effect on Liver Enzymes and Learning/Memory Parameters in Male Wistar Rats: A Docking and in Vivo Study. Nat Prod Commun 2024; 19. [DOI: 10.1177/1934578x241293663] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2025] Open
Abstract
Background: The paucity of information on the effect of Tom Brown's weaning meal on liver and learning and memory functions necessitated this study. Methods: Fifteen rats were acclimatized for a week and used for this study. They were divided into control, combined, and Tom Brown experimental groups. Rat Chow, Rat Chow/Tombrown, and Tom Brown Feed alone were given to the experimental animals accordingly. At the end of the four-week feeding period, liver enzymes (AST, ALT, and ALP) and learning and memory parameters were assessed. GC-MS and ADMET properties were done for Tom Brown and its ligands. Eleven Ligands with zero violations using the Lipinski rule of five (ROF) were docked with netrin, AST, and ALT. Results: ALT, AST, and ALP results of the control, combined, and Tom Brown experimental groups presented as mean ± SEM were 67.89 ± 3.15 Iu/L, 71.68 ± 1.30 Iu/l, and 73.65 ± 0.89 Iu/l; 129.81 ± 1.77 Iu/L, 129.51 ± 1.84 Iu/L, and 130.94 ± 1.31 Iu/L; 22.10 ± 1.24 Iu/L, 23.28 ± 0.61 Iu/L, and 22.48 ± 1.29 Iu/L, respectively. There was no significant difference among experimental groups in liver enzymes or other parameters assessed in this study (P > 0.05). 5-hydroxymethyl furfural and carpaine were ligands with a better docking score. Conclusions: The non-significant values of liver and long-term memory parameters is evident of the meal having no effect on these parameters. 5-hydroxymethyl furfural and carpaine are possible compounds that could enhance liver and leraning/memory functions from docking results. However, they had low peak areas from GCMS result and this effect was not seen.
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Affiliation(s)
| | - Agnes Igimi Odey
- Department of Physiology, Federal University Wukari, Wukari, Taraba State, Nigeria
| | | | - Kevin Marshal Otu
- Department of Physiology, Arthur Jarvis University, Akpabuyo, Cross River State, Nigeria
| | - Joseph Okon Asuquo
- Department of Physiology, Arthur Jarvis University, Akpabuyo, Cross River State, Nigeria
| | - Effiom-ekaha Otu Otu
- Department of Anatomy, Arthur Jarvis University, Akpabuyo, Cross River State, Nigeria
| | - Victor Kanu Uno
- Department of Anatomy, Arthur Jarvis University, Akpabuyo, Cross River State, Nigeria
| | - David Oyom Bassey
- Department of Biological Sciences, Arthur Jarvis University, Akpabuyo, Cross River State, Nigeria
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Jiang Z, Xu Z, Zhou M, Huijun Z, Zhou S. The influence of healthy eating index on cognitive function in older adults: chain mediation by psychological balance and depressive symptoms. BMC Geriatr 2024; 24:904. [PMID: 39487392 PMCID: PMC11529442 DOI: 10.1186/s12877-024-05497-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2024] [Accepted: 10/21/2024] [Indexed: 11/04/2024] Open
Abstract
BACKGROUND This study aims to investigate the relationships between the Chinese Healthy Eating Index (CHEI), psychological balance, depressive symptoms, and cognitive function in the rural older population. Additionally, it examines the impact of CHEI on cognitive function and the potential chain mediating roles of psychological balance and depressive symptoms. METHODS The study utilized data from 2,552 rural older adults aged 65 and above, drawn from the Chinese Longitudinal Healthy Longevity Study (CLHLS). The CHEI was self-reported, with scores ranging from 0 to 50, representing adherence to healthy eating habits. Psychological balance was assessed using status and personality-emotion characteristics recorded in the database, with scores ranging from 6 to 30. Cognitive function was measured using the Mini-Mental State Examination (MMSE), with scores ranging from 0 to 30; higher scores indicated better cognitive function. Depressive symptoms were evaluated using the 10-item Center for Epidemiologic Studies Depression Scale (CESD-10), with scores ranging from 0 to 30, where higher scores reflected more severe depressive symptoms. RESULTS The median CHEI score was 40.0 (IQR: 34.0-45.0), reflecting moderate adherence to healthy dietary practices. The median Psychological Balance score was 19.0 (IQR: 17.0-21.0), and the median Depressive Symptoms score was 13.0 (IQR: 10.0-15.0), indicating mild depressive symptoms among participants. Additionally, the median Cognitive Function score was 28.0 (IQR: 27.0-29.0), suggesting relatively stable cognitive abilities within the sample. Correlational analysis revealed the following: (1) Depressive symptoms were negatively correlated with both cognitive function (rs = -0.100, p < 0.001) and CHEI (rs = -0.206, p < 0.001), as well as with psychological balance (rs = -0.142, p < 0.001). (2) CHEI was positively correlated with both cognitive function (rs = 0.144, p < 0.001) and psychological balance (rs = 0.131, p < 0.001). (3) Cognitive function was also positively correlated with psychological balance (rs = 0.096, p < 0.001). Mediation analysis demonstrated that both psychological balance and depressive symptoms partially mediated the relationship between CHEI and cognitive function, forming a chain-mediating effect. CONCLUSION The Chinese Healthy Eating Index was found to have a direct positive impact on cognitive function in rural older adults. Furthermore, it exerted an indirect effect through the independent and chain-mediating roles of psychological balance and depressive symptoms. These findings suggest that dietary adherence can influence cognitive health not only directly but also by improving psychological well-being and reducing depressive symptoms.
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Affiliation(s)
- Zhaoquan Jiang
- School of Nursing, Jinzhou Medical University, No.40, Section 3, Songpo Road, Linghe District, Jinzhou City, Liaoning Province, People's Republic of China
| | - Zhaoxu Xu
- School of Nursing, Jinzhou Medical University, No.40, Section 3, Songpo Road, Linghe District, Jinzhou City, Liaoning Province, People's Republic of China
| | - Mingyue Zhou
- School of Nursing, Jinzhou Medical University, No.40, Section 3, Songpo Road, Linghe District, Jinzhou City, Liaoning Province, People's Republic of China
| | - Zhang Huijun
- School of Nursing, Jinzhou Medical University, No.40, Section 3, Songpo Road, Linghe District, Jinzhou City, Liaoning Province, People's Republic of China
| | - Shixue Zhou
- School of Nursing, Jinzhou Medical University, No.40, Section 3, Songpo Road, Linghe District, Jinzhou City, Liaoning Province, People's Republic of China.
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Deshmukh GV, Niaz H, Bai R, Kim DH, Kim JW, Asghar J, Ramzan T, Maqbool M, Abushalha NB, Arif S, Khan S. The Role of Omega-3 Fatty Acid Supplementation in Slowing Cognitive Decline Among Elderly Patients With Alzheimer's Disease: A Systematic Review of Randomized Controlled Trials. Cureus 2024; 16:e73390. [PMID: 39659348 PMCID: PMC11630619 DOI: 10.7759/cureus.73390] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/09/2024] [Indexed: 12/12/2024] Open
Abstract
This systematic review explores the impact of omega-3 fatty acid supplementation, particularly docosahexaenoic acid (DHA), on cognitive decline in individuals with mild cognitive impairment (MCI) and Alzheimer's disease (AD). Omega-3 fatty acids are widely recognized for their neuroprotective properties, but the evidence regarding their efficacy in mitigating cognitive decline remains mixed. Through a comprehensive analysis of eleven randomized controlled trials, we aimed to assess the role of DHA in improving cognitive functions and slowing brain atrophy. The findings revealed that DHA supplementation demonstrated cognitive benefits, particularly in memory and hippocampal volume preservation, in some studies involving early-stage cognitive decline, while others reported negligible effects, particularly in more advanced Alzheimer's disease. The review identified variations in study design, dosage, intervention duration, and population characteristics as potential factors contributing to the inconsistencies observed across trials. Despite these mixed outcomes, DHA's safety profile and potential for early intervention in at-risk populations offer promise for its use in clinical practice. This review underscores the need for further longitudinal, large-scale studies to refine DHA dosage recommendations, optimize intervention timing, and explore personalized approaches based on genetic factors. The insights gained from this review contribute to a growing understanding of the role omega-3 fatty acids could play in managing cognitive decline and highlight future directions for research.
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Affiliation(s)
| | - Humaira Niaz
- Internal Medicine, Peshawar Medical College, Peshawar, PAK
| | - Riya Bai
- Internal Medicine, Chandka Medical College, Larkana, PAK
| | - Dong Hwi Kim
- Internal Medicine, Pusan National University, Yangsan, KOR
| | - Ji Woo Kim
- Faculty of Medicine Health and Human Sciences, Macquarie University, Sydney, AUS
| | - Jawaria Asghar
- Internal Medicine, Basic Health Unit Jamal Pur, Gujrat, PAK
| | - Taha Ramzan
- Medical Education, Services Institute of Medical Sciences, Lahore, PAK
| | - Muhammad Maqbool
- Internal Medicine, Shaheed Mohtarma Benazir Bhutto Medical College Lyari, Karachi, PAK
| | | | - Sidra Arif
- Urology, Jinnah Postgraduate Medical Centre, Karachi, PAK
| | - Safdar Khan
- Surgery, Services Hospital Lahore, Lahore, PAK
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Wang S, Su LY, Chen J, Tian Y, Zhou H. Integrated multi-omics profiling highlights the diet-gut-brain axis in low-calorie diets promoted novelty-seeking behavior. Curr Res Food Sci 2024; 9:100897. [PMID: 39555017 PMCID: PMC11567925 DOI: 10.1016/j.crfs.2024.100897] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2024] [Revised: 10/02/2024] [Accepted: 10/25/2024] [Indexed: 11/19/2024] Open
Abstract
The foods that we eat are closely linked to the development and function of neurophysiology, affecting mood, cognition, and mental health. Yet, it is not known whether and how dietary patterns affect brain function and mood. Here, we explored the impact of various diets on the behavior of mice. Low-calorie (LC) diet-fed mice exhibited increased novel exploratory behaviors, including novelty to new foods, objects, and environments. The host transcriptome sequencing showed an increase of Areg in the cerebral cortex of mice fed with LC, and IMPC showed that Areg knock-out mice exhibited significantly decreased exploration of novel environments. According to the metagenomic sequencing results, a significant increase in the levels of s_Schaedlerella and s_1XD8-76 was observed after LC feeding. Integrated analysis of microbiota metabolites and host transcriptomics suggested that 68 differential metabolites in LC-fed mice were associated with upregulation of Areg expression. This study demonstrates the powerful impact of LC feeding on the restoration of gut microbiota and the improvement of novelty-seeking behavior. In addition, this study supports the idea that microbiota-associated metabolites can modulate host gene transcription, which provides a link between dietary patterns and their impact on the emotional and cognitive centers of the brain.
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Affiliation(s)
- Shuangping Wang
- College of Food Science and Technology, Yunnan Agricultural University, No. 452 Fengyuan Road, Kunming, 650000, China
| | - Ling-Yan Su
- College of Food Science and Technology, Yunnan Agricultural University, No. 452 Fengyuan Road, Kunming, 650000, China
- Yunnan Provincial Key Laboratory of Precision Nutrition and Personalized Food Manufacturing, Yunnan Agricultural University, Kunming, 650000, China
| | - Junquan Chen
- College of Food Science and Technology, Yunnan Agricultural University, No. 452 Fengyuan Road, Kunming, 650000, China
| | - Yang Tian
- College of Food Science and Technology, Yunnan Agricultural University, No. 452 Fengyuan Road, Kunming, 650000, China
- Yunnan Provincial Key Laboratory of Precision Nutrition and Personalized Food Manufacturing, Yunnan Agricultural University, Kunming, 650000, China
| | - Hejiang Zhou
- College of Food Science and Technology, Yunnan Agricultural University, No. 452 Fengyuan Road, Kunming, 650000, China
- Yunnan Provincial Key Laboratory of Precision Nutrition and Personalized Food Manufacturing, Yunnan Agricultural University, Kunming, 650000, China
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Obradović V, Ergović Ravančić M, Marčetić H, Vuksanović N, Škrabal S. Development of Nutrient Rich Morning Meals for Students by Concept of Tapas. Foods 2024; 13:3432. [PMID: 39517215 PMCID: PMC11545402 DOI: 10.3390/foods13213432] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2024] [Revised: 10/25/2024] [Accepted: 10/25/2024] [Indexed: 11/16/2024] Open
Abstract
A correlation between nutritional status and academic achievement has been established by many studies, but students' eating habits often do not meet nutritional recommendations. Breakfast consumption has a positive effect on cognitively demanding tasks and results in better attention and memory. The goal of this work was to develop well-balanced, nutritionally rich morning meals for students based on the concept of tapas, a combination of several different small meals composed of different ingredients. An introductory survey about students' morning eating habits was conducted among students of the Faculty of Tourism and Rural Development in Požega, Croatia. Forty-six full-time students (9.50% of total number of students at the faculty) participated in the survey. Sixteen types of tapas were prepared combining ingredients which students rated as desirable (cheese, prosciutto, peppers, milk spread) and undesirable (blue fish, dry fruit, cauliflower, chickpeas) in the initial survey. Tapas (one tapa = one sample) were scored by a sensory panel of 16 students, and nutritional value of the samples was assessed by web application Program Prehrane® (The Nutrition Program). All samples except two were scored as desirable by more than 60% of students, meaning that even ingredients which have been initially scored as undesirable, can be incorporated into desirable meal when properly combined. Based on the analysis of energy and nutritional value of samples, students should combine 3 to 5 different tapas to fulfill their energy needs for breakfast or 1 to 2 different tapas for a morning snack. Developed tapas can provide a perfectly balanced meal rich in different micronutrients because they include ingredients which students normally do not include in their breakfast. Especially important ingredients were blue fish rich in unsaturated acids and selenium, nuts rich in selenium and vitamin E, and red peppers rich in vitamin C and carotenoids. Tapas containing cheese and prosciutto, students' favorite ingredients, had the highest level of sodium and fats, but not above recommended values when combined with other tapas.
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Affiliation(s)
- Valentina Obradović
- Faculty of Tourism and Rural Development in Požega, Josip Juraj Strossmayer University of Osijek, Vukovarska 17, 34 000 Požega, Croatia; (M.E.R.); (H.M.); (S.Š.)
| | - Maja Ergović Ravančić
- Faculty of Tourism and Rural Development in Požega, Josip Juraj Strossmayer University of Osijek, Vukovarska 17, 34 000 Požega, Croatia; (M.E.R.); (H.M.); (S.Š.)
| | - Helena Marčetić
- Faculty of Tourism and Rural Development in Požega, Josip Juraj Strossmayer University of Osijek, Vukovarska 17, 34 000 Požega, Croatia; (M.E.R.); (H.M.); (S.Š.)
| | - Nikola Vuksanović
- Faculty of Management, University “Union-Nikola Tesla”, 21205 Sremski Karlovci, Serbia;
| | - Svjetlana Škrabal
- Faculty of Tourism and Rural Development in Požega, Josip Juraj Strossmayer University of Osijek, Vukovarska 17, 34 000 Požega, Croatia; (M.E.R.); (H.M.); (S.Š.)
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Ataei Kachouei A, Kamrani F, Haghighatdoost F, Mohammadifard N, Najafi F, Farshidi H, Lotfizadeh M, Kazemi T, Karimi S, Roohafza H, Sabri M, Sarrafzadegan N. Relationship of the Prime Diet Quality Score (PDQS) and Healthy Eating Index (HEI-2015) with depression and anxiety: a cross-sectional study. BMC Public Health 2024; 24:2919. [PMID: 39438905 PMCID: PMC11494750 DOI: 10.1186/s12889-024-20369-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2024] [Accepted: 10/10/2024] [Indexed: 10/25/2024] Open
Abstract
BACKGROUND Previous studies have suggested a significant association between diet quality and mental health. However, a limited number of studies have utilized the Prime Diet Quality Score (PDQS) to examine this association. Additionally, no study has yet compared the PDQS and Healthy Eating Index-2015 (HEI-2015) in terms of their association with depression and anxiety. AIM This cross-sectional study aimed to investigate the association between diet quality, measured by the PDQS and HEI-2015, and the odds of depression and anxiety in adults. METHODS This study utilized data from the LIPOKAP study, which was conducted between February 2018 and July 2019 in five cities in Iran. We included 1994 adults aged 18 and above who were selected through a multistage cluster sampling method. Participants completed a validated semiquantitative food frequency questionnaire (FFQ) to evaluate their dietary intake. The FFQ was used to calculate the PDQS and HEI-2015. Depression and anxiety levels were determined using the Hospital Anxiety and Depression Scale (HADS). RESULTS The participants had a mean age of 39.79 ± 13.87 years, with females accounting for 1,041 (52.2%) of the total population. PDQS showed a significant inverse association with the odds of depression (OR = 0.45, 95% CI: 0.28-0.71) and anxiety (OR = 0.40, 95% CI: 0.25-0.62) in the fully adjusted model. Similarly, the highest quartile of HEI-2015 showed a significantly lower odds of depression (OR = 0.60, 95% CI: 0.40-0.90) and anxiety (OR = 0.62, 95% CI: 0.42-0.92) compared to the lowest quartile. CONCLUSION Both PDQS and HEI-2015 were associated with a reduced risk of depression and anxiety. However, the PDQS demonstrated a stronger inverse association with these risks compared to the HEI-2015. This suggests that the PDQS could be a more beneficial dietary pattern for preventing depression and anxiety compared to HEI-2015. Further large-scale studies are required to confirm these findings.
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Affiliation(s)
- Amirhossein Ataei Kachouei
- Interventional Cardiology Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
- Faculty of Life Sciences: Food, Nutrition, and Health, University of Bayreuth, Kulmbach, Germany
| | - Farzam Kamrani
- Department of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Fahimeh Haghighatdoost
- Interventional Cardiology Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
- Interventional Cardiology Research Center, Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
| | - Noushin Mohammadifard
- Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
| | - Farid Najafi
- Research Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Hossein Farshidi
- Hormozgan Cardiovascular Research Center, Hormozgan University of Medical Sciences, Bandarabbas, Iran
| | - Masoud Lotfizadeh
- School of Health, Shahrekord University of Medical Sciences, Shahrekord, Iran
| | - Tooba Kazemi
- Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran
| | - Simin Karimi
- Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Hamidreza Roohafza
- Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Mohammadreza Sabri
- Pediatric Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Nizal Sarrafzadegan
- Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
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Poulter M, Coe S, Graham CAM, Leach B, Tammam J. Menu provision in a young offenders institution, comparison with dietary guidelines, and previous menu allocation: a cross-sectional nutritional analysis. J Nutr Sci 2024; 13:e55. [PMID: 39464409 PMCID: PMC11503858 DOI: 10.1017/jns.2024.62] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2023] [Revised: 12/20/2023] [Accepted: 08/30/2024] [Indexed: 10/29/2024] Open
Abstract
Objective: This study aimed to assess and comparatively analyse two menus from a Young Offenders Institution (YOI). One menu from 2019, and one from 2022, with the objective of identifying any improvements in meeting dietary guidelines. Design: Cross-sectional and comparative analysis. Setting: United Kingdom, a YOI in Northern England. Participants: YOI Menus. Results: Analysis of 30 dietary components identified that 25 exceeded the dietary guidelines (P < 0.05) for the 2022 menu, with five failing to meet the guidelines (P < 0.05). When compared to the 2019 menu, the 2022 menu showed improvements in saturated fat, sodium, and vitamin D. Despite the improvement, vitamin D levels remained below dietary guidelines (P < 0.01). Salt and energy content were reduced in the 2022 menu (P < 0.05); however, they were still above the dietary guidelines (P < 0.01). Free sugars were significantly above dietary guidelines for both menus, with no significant change between the 2019 and 2022 menu (P = 0.12). Conclusion: The 2022 menu has demonstrated progress in alignment with meeting dietary guidelines, particularly in reducing calories, fat, saturated fat, salt, sodium, and chloride, as well as increasing vitamin D. Despite improvements, calories, free sugars, salt, saturated fat, sodium, and chloride are still exceeding dietary guidelines, posing as potential health risks.
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Affiliation(s)
- Matthew Poulter
- Centre for Nutrition and Health, Faculty of Health & Life Sciences, Oxford Brookes University, Oxford, UK
| | - Shelly Coe
- Centre for Nutrition and Health, Faculty of Health & Life Sciences, Oxford Brookes University, Oxford, UK
| | - Catherine Anna-Marie Graham
- Centre for Nutrition and Health, Faculty of Health & Life Sciences, Oxford Brookes University, Oxford, UK
- Center for Interdisciplinary Research (CEFIR), Cereneo Foundation, Vitznau, Switzerland
- Lake Lucerne Institute, Vitznau, Switzerland
| | | | - Jonathan Tammam
- Centre for Nutrition and Health, Faculty of Health & Life Sciences, Oxford Brookes University, Oxford, UK
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Shafiee A, Aghajanian S, Heidari E, Abbasi M, Jafarabady K, Baradaran S, Bakhtiyari M. Contribution of obesity in the association between fast-food consumption and depression: A mediation analysis. J Affect Disord 2024; 362:623-629. [PMID: 39019234 DOI: 10.1016/j.jad.2024.07.036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/16/2023] [Revised: 06/17/2024] [Accepted: 07/12/2024] [Indexed: 07/19/2024]
Abstract
BACKGROUND Depression is a significant mental health concern, and the ubiquitous presence of fast-food in modern diets raises questions about its impact on mental well-being. Understanding the intricate relationship between fast-food consumption, obesity, and depression is essential for addressing the complex web of factors contributing to this public health issue. METHODS In this study, we analyzed data from the National Health and Nutritional Examination Surveys (NHANES) spanning from 2008 to 2018, involving 31,460 participants. RESULTS Among the 31,460 subjects in the survey, 2871 exhibited signs of depression, with an average age of 48.2 years. Each additional weekly fast-food meal was linked to 4 % higher odds of depression, with consuming over two such meals increasing the odds by 24 %. Adjusted models exploring the relationship between body mass index (BMI), fast-food consumption, and depression indicated an increased risk with greater fast-food intake, especially within subgroups based on obesity status. Mediation analysis revealed that fast-food consumption and depression were largely independent of obesity, with obesity accounting for only 6.5 % of the total effect. No significant mediation effect was found in the overweight subgroup, but the mediated effect was increased with higher BMI in more obese patients, notably in those with BMI ≥ 30 or ≥40. Sensitivity analysis confirmed these findings with more conservative estimates across all subgroups. CONCLUSION This study highlights a substantial connection between fast-food consumption and depression. While obesity plays a role, it does not fully mediate the relationship, suggesting the presence of other contributing factors.
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Affiliation(s)
- Arman Shafiee
- Student Research Committee, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran; Non-Communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran.
| | - Sepehr Aghajanian
- Student Research Committee, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran; Neuroscience Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Ehsan Heidari
- School of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mohammad Abbasi
- Student Research Committee, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
| | - Kyana Jafarabady
- Student Research Committee, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
| | - Sania Baradaran
- Student Research Committee, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
| | - Mahmood Bakhtiyari
- Non-Communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran.
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Carey S, Deng J, Ferrie S. The impact of malnutrition on cognition in older adults: A systematic review. Clin Nutr ESPEN 2024; 63:177-183. [PMID: 38954515 DOI: 10.1016/j.clnesp.2024.06.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Revised: 05/20/2024] [Accepted: 06/12/2024] [Indexed: 07/04/2024]
Abstract
BACKGROUND There is a lack of evidence to support the hypothesis that malnutrition may promote cognitive decline. This study aimed to explore the available literature on this topic. METHODS A systematic review was undertaken of studies investigating the effect of nutritional status on cognitive function in adults of any age, using Medline, Embase, PsycINFO and Global Health via OvidSP from earliest available dates to January 2024. Studies were excluded if they were conducted in animal or paediatric populations, or if they did not include measurements of baseline nutritional status or follow-up assessment of cognitive function. Selected studies were assessed for quality, and data extracted. A meta-analysis was not conducted due to the heterogeneity of the data. RESULTS A total of nine studies (three randomised and six observational) was retrieved, including total 8697 subjects who were all in older age groups. Study quality was generally poor. Seven of the nine studies supported the hypothesis that baseline nutritional status is predictive of change in cognitive function at later assessment, but all studies failed to control for significant confounders and six of the nine had large amounts of missing data at follow-up, so that it remains unclear whether nutrition is independently associated with later cognitive function. CONCLUSION Malnutrition may be associated with subsequent development of cognitive dysfunction in older adults. Higher quality studies in a wider range of age groups are needed to investigate whether nutritional status has an independent impact on cognitive function, and whether this is related to specific nutrient deficiencies.
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Affiliation(s)
- Sharon Carey
- Nutrition and Dietetics, Royal Prince Alfred Hospital, Camperdown, NSW, Australia; Institute of Academic Surgery, Royal Prince Alfred Hospital, Camperdown, NSW, Australia; Clinical Nutrition Unit, Faculty of Health and Medicine, University of Sydney, Camperdown, NSW, Australia.
| | - Jieyu Deng
- Clinical Nutrition Unit, Faculty of Health and Medicine, University of Sydney, Camperdown, NSW, Australia
| | - Suzie Ferrie
- Nutrition and Dietetics, Royal Prince Alfred Hospital, Camperdown, NSW, Australia; Clinical Nutrition Unit, Faculty of Health and Medicine, University of Sydney, Camperdown, NSW, Australia
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Feng L, Milleson HS, Ye Z, Canida T, Ke H, Liang M, Gao S, Chen S, Hong LE, Kochunov P, Lei DKY, Ma T. Nongenetic and Genetic Factors Associated with White Matter Brain Aging: Exposome-Wide and Genome-Wide Association Study. Genes (Basel) 2024; 15:1285. [PMID: 39457408 PMCID: PMC11507416 DOI: 10.3390/genes15101285] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2024] [Revised: 09/18/2024] [Accepted: 09/19/2024] [Indexed: 10/28/2024] Open
Abstract
BACKGROUND/OBJECTIVES Human brain aging is a complex process that affects various aspects of brain function and structure, increasing susceptibility to neurological and psychiatric disorders. A number of nongenetic (e.g., environmental and lifestyle) and genetic risk factors are found to contribute to the varying rates at which the brain ages among individuals. METHODS In this paper, we conducted both an exposome-wide association study (XWAS) and a genome-wide association study (GWAS) on white matter brain aging in the UK Biobank, revealing the multifactorial nature of brain aging. We applied a machine learning algorithm and leveraged fractional anisotropy tract measurements from diffusion tensor imaging data to predict the white matter brain age gap (BAG) and treated it as the marker of brain aging. For XWAS, we included 107 variables encompassing five major categories of modifiable exposures that potentially impact brain aging and performed both univariate and multivariate analysis to select the final set of nongenetic risk factors. RESULTS We found current tobacco smoking, dietary habits including oily fish, beef, lamb, cereal, and coffee intake, length of mobile phone use, use of UV protection, and frequency of solarium/sunlamp use were associated with the BAG. In genetic analysis, we identified several SNPs on chromosome 3 mapped to genes IP6K1, GMNC, OSTN, and SLC25A20 significantly associated with the BAG, showing the high heritability and polygenic architecture of human brain aging. CONCLUSIONS The critical nongenetic and genetic risk factors identified in our study provide insights into the causal relationship between white matter brain aging and neurodegenerative diseases.
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Affiliation(s)
- Li Feng
- Department of Nutrition and Food Science, College of Agriculture & Natural Resources, University of Maryland, College Park, MD 20740, USA; (L.F.); (D.K.Y.L.)
- Department of Epidemiology and Biostatistics, School of Public Health, University of Maryland, College Park, MD 20740, USA; (H.S.M.); (T.C.); (H.K.); (M.L.)
| | - Halley S. Milleson
- Department of Epidemiology and Biostatistics, School of Public Health, University of Maryland, College Park, MD 20740, USA; (H.S.M.); (T.C.); (H.K.); (M.L.)
- Department of Mathematics, The College of Computer, Mathematical, and Natural Sciences, University of Maryland, College Park, MD 20740, USA
| | - Zhenyao Ye
- Maryland Psychiatric Research Center, Department of Psychiatry, School of Medicine, University of Maryland, Baltimore, MD 21228, USA; (Z.Y.); (S.G.); (S.C.)
- Division of Biostatistics and Bioinformatics, Department of Epidemiology and Public Health, School of Medicine, University of Maryland, Baltimore, MD 21201, USA
| | - Travis Canida
- Department of Epidemiology and Biostatistics, School of Public Health, University of Maryland, College Park, MD 20740, USA; (H.S.M.); (T.C.); (H.K.); (M.L.)
- Department of Mathematics, The College of Computer, Mathematical, and Natural Sciences, University of Maryland, College Park, MD 20740, USA
| | - Hongjie Ke
- Department of Epidemiology and Biostatistics, School of Public Health, University of Maryland, College Park, MD 20740, USA; (H.S.M.); (T.C.); (H.K.); (M.L.)
| | - Menglu Liang
- Department of Epidemiology and Biostatistics, School of Public Health, University of Maryland, College Park, MD 20740, USA; (H.S.M.); (T.C.); (H.K.); (M.L.)
| | - Si Gao
- Maryland Psychiatric Research Center, Department of Psychiatry, School of Medicine, University of Maryland, Baltimore, MD 21228, USA; (Z.Y.); (S.G.); (S.C.)
- Louis A. Faillace Department of Psychiatry & Behavioral Sciences, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, TX 77030, USA; (L.E.H.); (P.K.)
| | - Shuo Chen
- Maryland Psychiatric Research Center, Department of Psychiatry, School of Medicine, University of Maryland, Baltimore, MD 21228, USA; (Z.Y.); (S.G.); (S.C.)
- Division of Biostatistics and Bioinformatics, Department of Epidemiology and Public Health, School of Medicine, University of Maryland, Baltimore, MD 21201, USA
| | - L. Elliot Hong
- Louis A. Faillace Department of Psychiatry & Behavioral Sciences, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, TX 77030, USA; (L.E.H.); (P.K.)
| | - Peter Kochunov
- Louis A. Faillace Department of Psychiatry & Behavioral Sciences, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, TX 77030, USA; (L.E.H.); (P.K.)
| | - David K. Y. Lei
- Department of Nutrition and Food Science, College of Agriculture & Natural Resources, University of Maryland, College Park, MD 20740, USA; (L.F.); (D.K.Y.L.)
| | - Tianzhou Ma
- Department of Epidemiology and Biostatistics, School of Public Health, University of Maryland, College Park, MD 20740, USA; (H.S.M.); (T.C.); (H.K.); (M.L.)
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Fismen AS, Aarø LE, Thorsteinsson E, Ojala K, Samdal O, Helleve A, Eriksson C. Associations between eating habits and mental health among adolescents in five nordic countries: a cross-sectional survey. BMC Public Health 2024; 24:2640. [PMID: 39334065 PMCID: PMC11438251 DOI: 10.1186/s12889-024-20084-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2024] [Accepted: 09/13/2024] [Indexed: 09/30/2024] Open
Abstract
BACKGROUND The role of eating habits in adolescent mental health has become a growing area of interest for researchers and health professionals. Recent studies suggest that healthy eating habits may play a role in the development and management of mental health. However, existing literature is largely based on clinical populations, and comparisons are challenged by sociocultural differences and methodological issues. The aim of the present study was to use nationally representative data based on standardized procedures, to explore associations between adolescents eating habits and mental health, considering the importance of age, gender, socioeconomic factors, and country. METHODS The study was based on data from Nordic adolescents (age 11, 13 and 15 years) who participated in the 2017/2018 Health Behavior in School-aged Children (HBSC) study (n = 22384). General linear modelling and multigroup regression analysis were used to examine the relationship between food habits (intake of fruit, vegetables, sweets, soft drinks), meal habits (intake of breakfast and having family meals together), and mental health (life satisfaction and subjective health complaints). The analyses were weighted and adjusted for age, gender, socio-economic status, and country. RESULTS Overall, healthier eating habits were associated with better mental health. The strongest associations were found between meal habits (breakfast consumption and having family meals together) and mental health. Gender and country differences were seen, with weaker associations found among Danish boys. CONCLUSION Eating habits should be considered when promoting mental health in the adolescent population. While gender differences and cross-country variations exist, even minor enhancements in eating behaviors could yield meaningful benefits.
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Affiliation(s)
- Anne-Siri Fismen
- Department of Health and Caring Science, Western Norway University of Applied Science, Bergen, Norway.
| | - Leif Edvard Aarø
- Department of Health Promotion, Norwegian Institute of Public Health, Bergen, Norway
- Department of Health Promotion and Development, University of Bergen, Bergen, Norway
| | - Einar Thorsteinsson
- School of Psychology, University of New England, Armidale, NSW, 2351, Australia
| | - Kristiina Ojala
- Research Centre for Health Promotion, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Oddrun Samdal
- Department of Health Promotion and Development, University of Bergen, Bergen, Norway
| | - Arnfinn Helleve
- Department of Health Promotion, Norwegian Institute of Public Health, Bergen, Norway
| | - Charli Eriksson
- Department of Learning, Informatics, Management, and Ethics, Karolinska Institute, Stockholm, Sweden
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Denizci E, Altun G, Kaplan S. Morphological evidence for the potential protective effects of curcumin and Garcinia kola against diabetes in the rat hippocampus. Brain Res 2024; 1839:149020. [PMID: 38788929 DOI: 10.1016/j.brainres.2024.149020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2024] [Revised: 05/16/2024] [Accepted: 05/22/2024] [Indexed: 05/26/2024]
Abstract
This research investigated the effects of sciatic nerve transection and diabetes on the hippocampus, and the protective effects of Garcinia kola and curcumin. Thirty-five adults male Wistar albino rats were divided into five groups: a control group (Cont), a transected group (Sham group), a transected + diabetes mellitus group (DM), a transected + diabetes mellitus + Garcinia kola group (DM + GK), and a transected + DM + curcumin group (DM + Cur), each containing seven animals. The experimental diabetes model was created with the intraperitoneal injection of a single dose of streptozotocin. No procedure was applied to the Cont group, while sciatic nerve transection was performed on the other groups. Garcinia kola was administered to the rats in DM + GK, and curcumin to those in DM + Cur. Cardiac perfusion was performed at the end of the experimental period. Brain tissues were dissected for stereological, histopathological, and immunohistochemical evaluations. The volume ratios of hippocampal layers to the entire hippocampus volume were compared between the groups. Anti-S100, anti-caspase 3, and anti-SOX 2 antibodies were used for immunohistochemical analysis. No statistically significant difference was observed in the volume ratios of the four hippocampal layers. However, the volume ratio of the stratum lucidum was higher in the Sham, DM, and DM + Cur groups compared to the Cont group. While curcumin exhibited a protective effect on hippocampal tissue following diabetes induction, Garcinia kola had only a weak protective effect. Increased cell density and nuclear deterioration due to diabetes and nerve transection can be partially ameliorated by treatment with Garcinia kola and curcumin.
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Affiliation(s)
- Eda Denizci
- Department of Histology and Embryology, Ondokuz Mayıs University, Samsun 55139, Turkey
| | - Gamze Altun
- Department of Histology and Embryology, Ondokuz Mayıs University, Samsun 55139, Turkey
| | - Süleyman Kaplan
- Department of Histology and Embryology, Ondokuz Mayıs University, Samsun 55139, Turkey; Nelson Mandela African Institution of Science and Technology, Arusha, Tanzania.
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Briglia M, Allia F, Avola R, Signorini C, Cardile V, Romano GL, Giurdanella G, Malaguarnera R, Bellomo M, Graziano ACE. Diet and Nutrients in Rare Neurological Disorders: Biological, Biochemical, and Pathophysiological Evidence. Nutrients 2024; 16:3114. [PMID: 39339713 PMCID: PMC11435074 DOI: 10.3390/nu16183114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2024] [Revised: 09/12/2024] [Accepted: 09/12/2024] [Indexed: 09/30/2024] Open
Abstract
Background/Objectives: Rare diseases are a wide and heterogeneous group of multisystem life-threatening or chronically debilitating clinical conditions with reduced life expectancy and a relevant mortality rate in childhood. Some of these disorders have typical neurological symptoms, presenting from birth to adulthood. Dietary patterns and nutritional compounds play key roles in the onset and progression of neurological disorders, and the impact of alimentary needs must be enlightened especially in rare neurological diseases. This work aims to collect the in vitro, in vivo, and clinical evidence on the effects of diet and of nutrient intake on some rare neurological disorders, including some genetic diseases, and rare brain tumors. Herein, those aspects are critically linked to the genetic, biological, biochemical, and pathophysiological hallmarks typical of each disorder. Methods: By searching the major web-based databases (PubMed, Web of Science Core Collection, DynaMed, and Clinicaltrials.gov), we try to sum up and improve our understanding of the emerging role of nutrition as both first-line therapy and risk factors in rare neurological diseases. Results: In line with the increasing number of consensus opinions suggesting that nutrients should receive the same attention as pharmacological treatments, the results of this work pointed out that a standard dietary recommendation in a specific rare disease is often limited by the heterogeneity of occurrent genetic mutations and by the variability of pathophysiological manifestation. Conclusions: In conclusion, we hope that the knowledge gaps identified here may inspire further research for a better evaluation of molecular mechanisms and long-term effects.
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Affiliation(s)
- Marilena Briglia
- Department of Medicine and Surgery, “Kore” University of Enna, 94100 Enna, Italy; (M.B.); (F.A.); (R.A.); (G.L.R.); (R.M.); (M.B.)
| | - Fabio Allia
- Department of Medicine and Surgery, “Kore” University of Enna, 94100 Enna, Italy; (M.B.); (F.A.); (R.A.); (G.L.R.); (R.M.); (M.B.)
| | - Rosanna Avola
- Department of Medicine and Surgery, “Kore” University of Enna, 94100 Enna, Italy; (M.B.); (F.A.); (R.A.); (G.L.R.); (R.M.); (M.B.)
| | - Cinzia Signorini
- Department of Molecular and Developmental Medicine, University of Siena, 53100 Siena, Italy;
| | - Venera Cardile
- Department of Biomedical and Biotechnological Sciences, University of Catania, 95123 Catania, Italy;
| | - Giovanni Luca Romano
- Department of Medicine and Surgery, “Kore” University of Enna, 94100 Enna, Italy; (M.B.); (F.A.); (R.A.); (G.L.R.); (R.M.); (M.B.)
| | - Giovanni Giurdanella
- Department of Medicine and Surgery, “Kore” University of Enna, 94100 Enna, Italy; (M.B.); (F.A.); (R.A.); (G.L.R.); (R.M.); (M.B.)
| | - Roberta Malaguarnera
- Department of Medicine and Surgery, “Kore” University of Enna, 94100 Enna, Italy; (M.B.); (F.A.); (R.A.); (G.L.R.); (R.M.); (M.B.)
| | - Maria Bellomo
- Department of Medicine and Surgery, “Kore” University of Enna, 94100 Enna, Italy; (M.B.); (F.A.); (R.A.); (G.L.R.); (R.M.); (M.B.)
| | - Adriana Carol Eleonora Graziano
- Department of Medicine and Surgery, “Kore” University of Enna, 94100 Enna, Italy; (M.B.); (F.A.); (R.A.); (G.L.R.); (R.M.); (M.B.)
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Zhou P, Song H, Lau PWC, Shi L, Wang J. Effectiveness of a Parent-Based eHealth Intervention for Physical Activity, Dietary Behavior, and Sleep Among Preschoolers: Protocol for a Randomized Controlled Trial. JMIR Res Protoc 2024; 13:e58344. [PMID: 39264108 PMCID: PMC11444123 DOI: 10.2196/58344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2024] [Revised: 06/10/2024] [Accepted: 07/15/2024] [Indexed: 09/13/2024] Open
Abstract
BACKGROUND Preschoolers' lifestyles have become physically inactive and sedentary, their eating habits have become unhealthy, and their sleep routines have become increasingly disturbed. Parent-based interventions have shown promise to improve physical activity (PA), improve dietary behavior (DB), and reduce sleep problems among preschoolers. However, because of the recognized obstacles of face-to-face approaches (eg, travel costs and time commitment), easy access and lower costs make eHealth interventions appealing. Previous studies that examined the effectiveness of parent-based eHealth for preschoolers' PA, DB, and sleep have either emphasized 1 variable or failed to balance PA, DB, and sleep modules and consider the intervention sequence during the intervention period. There is an acknowledged gap in parent-based eHealth interventions that target preschoolers raised in Chinese cultural contexts. OBJECTIVE This study aims to investigate the effectiveness of a parent-based eHealth intervention for PA, DB, and sleep problems among Chinese preschoolers. METHODS This 2-arm, parallel, randomized controlled trial comprises a 12-week intervention with a 12-week follow-up. A total of 206 parent-child dyads will be randomized to either an eHealth intervention group or a control group. Participants allocated to the eHealth intervention group will receive 12 interactive modules on PA, DB, and sleep, with each module delivered on a weekly basis to reduce the sequence effect on variable outcomes. The intervention is grounded in social cognitive theory. It will be delivered through social media, where parents can obtain valid and updated educational information, have a social rapport, and interact with other group members and facilitators. Participants in the control group will receive weekly brochures on PA, DB, and sleep recommendations from kindergarten teachers, but they will not receive any interactive components. Data will be collected at baseline, 3 months, and 6 months. The primary outcome will be preschoolers' PA. The secondary outcomes will be preschoolers' DB, preschoolers' sleep duration, preschoolers' sleep problems, parents' PA, parenting style, and parental feeding style. RESULTS Parent-child dyads were recruited in September 2023. Baseline and posttest data collection occurred from October 2023 to March 2024. The follow-up data will be obtained in June 2024. The results of the study are expected to be published in 2025. CONCLUSIONS The parent-based eHealth intervention has the potential to overcome the barriers of face-to-face interventions and will offer a novel approach for promoting a healthy lifestyle among preschoolers. If this intervention is found to be efficacious, the prevalence of unhealthy lifestyles among preschoolers may be alleviated at a low cost, which not only has a positive influence on the health of individuals and the well-being of the family but also reduces the financial pressure on society to treat diseases caused by poor lifestyle habits. TRIAL REGISTRATION ClinicalTrials.gov NCT06025019; https://clinicaltrials.gov/study/NCT06025019. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) DERR1-10.2196/58344.
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Affiliation(s)
- Peng Zhou
- Department of Sport, Physical Education and Health, Faculty of Arts and Social Sciences, Hong Kong Baptist University, Hong Kong, China (Hong Kong)
| | - Huiqi Song
- The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China (Hong Kong)
| | - Patrick W C Lau
- Department of Sport, Physical Education and Health, Faculty of Arts and Social Sciences, Hong Kong Baptist University, Hong Kong, China (Hong Kong)
| | - Lei Shi
- Beijing Normal University-Hong Kong Baptist University United International College, Zhuhai, China
| | - Jingjing Wang
- Mass Sports Research Center, China Institute of Sport Science, Beijing, China
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Woodfin S, Hall S, Ramerth A, Chapple B, Fausnacht D, Moore W, Alkhalidy H, Liu D. Potential Application of Plant-Derived Compounds in Multiple Sclerosis Management. Nutrients 2024; 16:2996. [PMID: 39275311 PMCID: PMC11397714 DOI: 10.3390/nu16172996] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2024] [Revised: 08/23/2024] [Accepted: 08/29/2024] [Indexed: 09/16/2024] Open
Abstract
Multiple sclerosis (MS) is a chronic autoimmune disorder characterized by inflammation, demyelination, and neurodegeneration, resulting in significant disability and reduced quality of life. Current therapeutic strategies primarily target immune dysregulation, but limitations in efficacy and tolerability highlight the need for alternative treatments. Plant-derived compounds, including alkaloids, phenylpropanoids, and terpenoids, have demonstrated anti-inflammatory effects in both preclinical and clinical studies. By modulating immune responses and promoting neuroregeneration, these compounds offer potential as novel adjunctive therapies for MS. This review provides insights into the molecular and cellular basis of MS pathogenesis, emphasizing the role of inflammation in disease progression. It critically evaluates emerging evidence supporting the use of plant-derived compounds to attenuate inflammation and MS symptomology. In addition, we provide a comprehensive source of information detailing the known mechanisms of action and assessing the clinical potential of plant-derived compounds in the context of MS pathogenesis, with a focus on their anti-inflammatory and neuroprotective properties.
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Affiliation(s)
- Seth Woodfin
- Department of Biology and Chemistry, School of Health Sciences, Liberty University, Lynchburg, VA 24515, USA
| | - Sierra Hall
- Department of Biology and Chemistry, School of Health Sciences, Liberty University, Lynchburg, VA 24515, USA
| | - Alexis Ramerth
- Department of Biology and Chemistry, School of Health Sciences, Liberty University, Lynchburg, VA 24515, USA
| | - Brooke Chapple
- Department of Biology and Chemistry, School of Health Sciences, Liberty University, Lynchburg, VA 24515, USA
| | - Dane Fausnacht
- Department of Biology, School of Sciences and Agriculture, Ferrum College, Ferrum, VA 24088, USA
| | - William Moore
- Department of Biology and Chemistry, School of Health Sciences, Liberty University, Lynchburg, VA 24515, USA
| | - Hana Alkhalidy
- Department of Human Nutrition, Foods and Exercise, College of Agriculture and Life Sciences, Virginia Tech, Blacksburg, VA 24061, USA
- Department of Nutrition and Food Technology, Faculty of Agriculture, Jordan University of Science and Technology, P.O. Box 3030, Irbid 22110, Jordan
| | - Dongmin Liu
- Department of Human Nutrition, Foods and Exercise, College of Agriculture and Life Sciences, Virginia Tech, Blacksburg, VA 24061, USA
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49
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Formisano E, Proietti E, Perrone G, Demarco V, Galoppi P, Stefanutti C, Pisciotta L. Characteristics, Physiopathology and Management of Dyslipidemias in Pregnancy: A Narrative Review. Nutrients 2024; 16:2927. [PMID: 39275243 PMCID: PMC11397408 DOI: 10.3390/nu16172927] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2024] [Revised: 08/28/2024] [Accepted: 08/30/2024] [Indexed: 09/16/2024] Open
Abstract
Dyslipidemia is a significant risk factor for atherosclerotic cardiovascular disease (ASCVD). During pregnancy, physiological changes elevate cholesterol and triglyceride levels to support fetal development, which can exacerbate pre-existing conditions and lead to complications such as pre-eclampsia, gestational diabetes, and increased ASCVD risk for both mother and child. Effective management strategies are necessary, especially for pregnant women with inherited forms of dyslipidemia (i.e., familial hypertriglyceridemia, hyperchylomicronemia), where personalized dietary adjustments are crucial for successful pregnancy outcomes. Pharmacological interventions and lipoprotein apheresis may be necessary for severe cases, though their use is often limited by factors such as cost, availability, and potential fetal risks. Despite the promise of advanced therapies, their widespread application remains constrained by limited studies and high costs. Thus, a personalized, multidisciplinary approach is essential for optimizing outcomes. This review provides a comprehensive overview of current strategies and evidence-based practices for managing dyslipidemia during pregnancy, emphasizing the balance of maternal and fetal health. Additionally, it discusses the physiological changes in lipid metabolism during pregnancy and their implications, particularly for women with inherited forms of dyslipidemia.
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Affiliation(s)
- Elena Formisano
- Department of Internal Medicine, University of Genoa, 16132 Genoa, Italy
- Dietetics and Clinical Nutrition Unit, IRCCS Policlinic Hospital San Martino, 16132 Genoa, Italy
| | - Elisa Proietti
- Department of Internal Medicine, University of Genoa, 16132 Genoa, Italy
| | - Giuseppina Perrone
- Department of Maternal and Child Health and Urological Sciences, Umberto I Hospital, "Sapienza" University of Rome, 00161 Rome, Italy
| | - Valentina Demarco
- Department of Maternal and Child Health and Urological Sciences, Umberto I Hospital, "Sapienza" University of Rome, 00161 Rome, Italy
| | - Paola Galoppi
- Department of Maternal and Child Health and Urological Sciences, Umberto I Hospital, "Sapienza" University of Rome, 00161 Rome, Italy
| | - Claudia Stefanutti
- Department of Molecular Medicine, Extracorporeal Therapeutic Techniques Unit, Lipid Clinic and Atherosclerosis Prevention Centre, Regional Centre for Rare Diseases, Immunohematology and Transfusion Medicine, Umberto I Hospital, "Sapienza" University of Rome, 00161 Rome, Italy
| | - Livia Pisciotta
- Department of Internal Medicine, University of Genoa, 16132 Genoa, Italy
- Dietetics and Clinical Nutrition Unit, IRCCS Policlinic Hospital San Martino, 16132 Genoa, Italy
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50
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Liu X, Tao R, Guo F, Zhang L, Qu J, Li M, Wu X, Wang X, Zhu Y, Wen L, Wang J. Soybean oil induces neuroinflammatory response through brain-gut axis under high-fat diet. J Tradit Complement Med 2024; 14:522-533. [PMID: 39262663 PMCID: PMC11384091 DOI: 10.1016/j.jtcme.2024.02.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2023] [Revised: 02/17/2024] [Accepted: 02/28/2024] [Indexed: 09/13/2024] Open
Abstract
Neuroinflammation is considered the principal pathogenic mechanism underlying neurodegenerative diseases, and the incidence of brain disorders is closely linked to dietary fat consumption and intestinal health. To investigate this relationship, 60 8-week-old C57BL/6J mice were subjected to a 20-week dietary intervention, wherein they were fed lard and soybean oil, each at 15% and 35% fat energy. At a dietary fat energy level of 35%, inflammation was observed in both the soybean oil and lard groups. Nevertheless, inflammation was more pronounced in the mice that were administered soybean oil. The process by which nerve cell structure is compromised, inflammatory factors are upregulated, brain antioxidant capacity is diminished, and the TLR4/MyD88/NF-κB p65 inflammatory pathway is activated resulting in damage to the brain-gut barrier. This, in turn, leads to a reduction in the abundance of Akkermansia and unclassified_f_Lachnospiraceae, as well as an increase in Dubosiella abundance, ultimately resulting in brain inflammation and damage. These results suggested that soybean oil induces more severe neuroinflammation compared to lard. Our study demonstrated that, at a dietary fat energy level of 35%, compared to soybean oil, lard could be the healthier option, the outcomes would help provide a reference basis for the selection of residents' daily dietary oil.
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Affiliation(s)
- Xiangyan Liu
- Hunan Engineering Research Center of Livestock and Poultry Health Care, College of Veterinary Medicine, Hunan Agricultural University, Changsha, 410128, China
| | - Ran Tao
- Hunan Engineering Research Center of Livestock and Poultry Health Care, College of Veterinary Medicine, Hunan Agricultural University, Changsha, 410128, China
| | - Fangrui Guo
- Hunan Engineering Research Center of Livestock and Poultry Health Care, College of Veterinary Medicine, Hunan Agricultural University, Changsha, 410128, China
| | - Linyu Zhang
- Hunan Engineering Research Center of Livestock and Poultry Health Care, College of Veterinary Medicine, Hunan Agricultural University, Changsha, 410128, China
| | - Jianyu Qu
- Hunan Engineering Research Center of Livestock and Poultry Health Care, College of Veterinary Medicine, Hunan Agricultural University, Changsha, 410128, China
| | - Mengyao Li
- Hunan Engineering Research Center of Livestock and Poultry Health Care, College of Veterinary Medicine, Hunan Agricultural University, Changsha, 410128, China
| | - Xiaoran Wu
- Hunan Engineering Research Center of Livestock and Poultry Health Care, College of Veterinary Medicine, Hunan Agricultural University, Changsha, 410128, China
| | - Xianglin Wang
- Changsha Lvye Biotechnology Co., Ltd., Changsha, 410100, China
| | - Yuanyuan Zhu
- Hunan Engineering Research Center of Livestock and Poultry Health Care, College of Veterinary Medicine, Hunan Agricultural University, Changsha, 410128, China
| | - Lixin Wen
- Hunan Engineering Research Center of Livestock and Poultry Health Care, College of Veterinary Medicine, Hunan Agricultural University, Changsha, 410128, China
| | - Ji Wang
- Hunan Engineering Research Center of Livestock and Poultry Health Care, College of Veterinary Medicine, Hunan Agricultural University, Changsha, 410128, China
- Animal Nutritional Genome and Germplasm Innovation Research Center, College of Animal Science and Technology, Hunan Agricultural University, Changsha, 410128, China
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