奶酪摄入与健康寿命终止风险的关联及其代谢机制研究
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南京医科大学

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国家自然科学基金项目(面上项目,重点项目,重大项目),国家科技重大专项


Cheese Intake and the Risk of Healthspan Terminated: Association and Metabolic Mechanisms
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The National Natural Science Foundation of China (General Program, Key Program, Major Research Plan), National Science and Technology Major Project

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    摘要:

    目的:健康寿命(healthspan)是指个体在无严重慢性疾病或功能障碍时,维持良好身心状态的时间。近年来,饮食因素在延长健康寿命中的作用备受关注。奶酪作为一种健康食品,其对健康寿命的影响及潜在机制尚不明确。本研究旨在探讨奶酪摄入量与健康寿命之间的关联,并进一步探索其潜在的代谢机制。方法:研究采用巢式病例对照设计,基于英国生物样本库(UK Biobank, UKB)中8项健康寿命终止(healthspan terminated,HST)子事件来定义健康寿命终止,共纳入93 214名健康寿命终止个体,并按性别、年龄以1:3匹配279 642名对照者。采用条件逻辑回归评估奶酪摄入量与健康寿命终止之间的关联,采用孟德尔随机化(mendelian randomization,MR)评估因果关联,并通过两步MR和观察性中介分析探讨代谢物在其中的中介效应。结果:研究结果表明,奶酪摄入量与健康寿命呈正相关(Ptrend<0.05)。与从不摄入奶酪的个体相比,高频次奶酪摄入(>5次/周)的个体健康寿命终止风险较低(OR=0.93,95% CI:0.89-0.98)。这一发现通过MR分析得到了进一步验证。此外,中介分析显示,奶酪摄入对健康寿命的保护作用可能部分通过调节血浆高密度脂蛋白胆固醇(high density lipoprotein cholesterol,HDL-C)和葡萄糖水平实现,其中HDL-C和葡萄糖分别介导了6.33%和14.82%的效应。结论:奶酪摄入可能通过降低血浆葡萄糖水平和提高血浆HDL-C水平来改善健康寿命。作为健康饮食的重要组成部分,建议将奶酪纳入日常饮食结构中。

    Abstract:

    Objective: Healthspan refers to the length of time an individual maintains good physical and mental health without serious chronic diseases or functional impairments. In recent years, the role of dietary factors in extending healthspan has received extensive attention. Cheese is considered as a healthy food but its effect on healthspan and remains unknown. This study aims to clarify the association between cheese intake and healthspan, and and further explore the underlying metabolic mechanisms. Methods: This study employed a nested case-control design and defined healthspan terminated (HST) based on eight reported sub-events of HST in UK Biobank (UKB). 93 214 HST participants and 279 642 controls were included. Conditional logistic regressions was used to evaluate the association between cheese intake and HST, and Mendelian randomization (MR) was used to assess the causal effect. Furthermore, we explored the mediating role of metabolites in this relationship by Two-step MR and observational analysis. Results: Cheese intake is a protective factor for healthspan (Ptrend<0.05). Specifically, participants with high cheese intake (>5 times/week) had a lower risk of HST (OR=0.93, 95% CI: 0.89-0.98) compared to those who never intake cheese. MR analysis confirmed this protective effect. Mediation analysis suggested that plasma high density lipoprotein cholesterol (HDL-C) and glucose mediated 6.33% and 14.82% of this effect, respectively. Conclusion: These findings suggested that cheese intake might improve the healthspan by decreasing plasma glucose and increasing plasma HDL-C. As an important component of healthy diet, cheese intake might be recommended in our daily diet structure.

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  • 收稿日期:2025-03-21
  • 最后修改日期:2025-05-08
  • 录用日期:2025-07-02
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