Dietary Patterns for Prevention and Treatment of Cardiometabolic Disease： Interpretation and Thinking Based on Traditional Chinese Medicine Theory

WANG Wenting; LIU Yanfei; CHEN Keji; LIU Yue

doi:10.13422/j.cnki.syfjx.20231596

您当前的位置：

首页 >

文章列表页 >

Dietary Patterns for Prevention and Treatment of Cardiometabolic Disease： Interpretation and Thinking Based on Traditional Chinese Medicine Theory

更新时间：2023-09-08

- Dietary Patterns for Prevention and Treatment of Cardiometabolic Disease： Interpretation and Thinking Based on Traditional Chinese Medicine Theory
- Chinese Journal of Experimental Traditional Medical Formulae Vol. 29, Issue 19, Pages: 220-227(2023)
- 作者机构：
  
  国家中医心血管病临床医学研究中心，中国中医科学院西苑医院，北京 100091
- 作者简介：
- 基金信息：
- DOI：10.13422/j.cnki.syfjx.20231596
  CLC： R22;R242;R2-031;R541.4;R749.1
- Published：05 October 2023，
  
  Published Online：13 February 2023，
  
  Received：16 November 2022，
- 稿件说明：
扫描看全文
王文婷,刘艳飞,陈可冀等.饮食模式防治代谢性心血管病——基于中医药理论的解读与思考[J].中国实验方剂学杂志,2023,29(19):220-227.

WANG Wenting,LIU Yanfei,CHEN Keji,et al.Dietary Patterns for Prevention and Treatment of Cardiometabolic Disease： Interpretation and Thinking Based on Traditional Chinese Medicine Theory[J].Chinese Journal of Experimental Traditional Medical Formulae,2023,29(19):220-227.
王文婷,刘艳飞,陈可冀等.饮食模式防治代谢性心血管病——基于中医药理论的解读与思考[J].中国实验方剂学杂志,2023,29(19):220-227. DOI： 10.13422/j.cnki.syfjx.20231596.

WANG Wenting,LIU Yanfei,CHEN Keji,et al.Dietary Patterns for Prevention and Treatment of Cardiometabolic Disease： Interpretation and Thinking Based on Traditional Chinese Medicine Theory[J].Chinese Journal of Experimental Traditional Medical Formulae,2023,29(19):220-227. DOI： 10.13422/j.cnki.syfjx.20231596.

摘要

代谢性心血管病（CMD）是一组代谢异常和心血管损害存在因果关系的临床综合征。尽管采取了强有力的药物干预和临床治疗方法，其发病率和死亡率仍居高不下。迫切需要有效的、以证据为基础的综合管理措施，以提高患者的寿命和生活质量。从《黄帝内经》中提出“食养尽之”的食养概念到饮食限制、植物性饮食、江南饮食等现代饮食模式的广泛应用，饮食调养在未病先防、已病早治、瘥后调摄中均发挥着重要作用。该文系统梳理了饮食模式的中医理论渊源，阐述了饮食限制等现代饮食模式防治CMD的前沿证据与机制，探索将传统中医药理论与饮食模式相结合的防治策略，以期建立食养医三位一体的中西医结合饮食新模式，为CMD的临床管理提供新思路和新方向。

Abstract

Cardiometabolic disease （CMD） is a clinical syndrome in which there is a causal relationship between metabolic abnormalities and cardiovascular damage. The incidence and mortality rates of CMD remain high despite the use of potent pharmacologic interventions and clinical therapeutic approaches. There is an urgent need for effective evidence-based comprehensive management measures to improve patients' lifespan and quality of life. From the concept of "nourishing through food" proposed in the

Huangdi's Internal Classic

（

Huang Di Nei Jing

） to the widespread application of modern dietary patterns such as dietary restriction， plant-based diets， and Jiangnan cuisine， dietary regulation plays a significant role in preventing diseases， early treatment of existing diseases， and recovery. This article systematically reviewed the traditional Chinese medicine （TCM） theory related to dietary patterns， elucidated the cutting-edge evidence and mechanisms of modern dietary patterns like dietary restriction in preventing and treating CMD， and explored the strategy of integrating TCM theory with dietary patterns， aiming to establish a new food-nutrition-medicine approach that combines traditional Chinese and western medicine and provide novel insights and directions for the clinical management of CMD.

关键词

饮食模式代谢性心血管病食疗中西医结合

Keywords

dietary patterncardiometabolic diseasenutritional therapyintegrated traditional Chinese and western medicine

references

GOVINDARAJAN G，WHALEY-CONNELL A，MUGO M，et al.The cardiometabolic syndrome as a cardiovascular risk factor［J］.Am J Med Sci，2005，330（6）：311-318.

RALSTON J，NUGENT R.Toward a broader response to cardiometabolic disease［J］.Nat Med， 2019，25（11）：1644-1646.

MIRANDA J J，BARRIENTOS-GUTIÉRREZ T，CORVALAN C，et al.Understanding the rise of cardiometabolic diseases in low- and middle-income countries［J］.Nat Med，2019，25（11）：1667-1679.

HAN Y，HU Y，YU C，et al.Lifestyle，cardiometabolic disease，and multimorbidity in a prospective Chinese study［J］.Eur Heart J，2021，42（34）：3374-3384.

2020 Dietary Guidelines Advisory Committee，Dietary Patterns Subcommittee.Dietary patterns and risk of cardiovascular disease：A systematic review［EB/OL］.（2020-07-15）［2022-07-28］.https：//www.ncbi.nlm.nih.gov/books/NBK578519/https://www.ncbi.nlm.nih.gov/books/NBK578519/.

SHAN Z，LI Y，BADEN M Y，et al.Association between healthy eating patterns and risk of cardiovascular disease［J］.JAMA Intern Med，2020，180（8）：1090-1100.

徐里军，易燕明.《黄帝内经》养生思想研究［D］.南昌：江西师范大学，2019.

宗文静，赵凯维，张玉辉，等.《黄帝内经》饮食养生理论研究［J］.中国中医基础医学杂志，2022，28（8）：1210-1212，1295.

李路广，叶进.《伤寒杂病论》饮食辨治思想探析［J］.中国中医急症，2019，28（7）：1286-1288，1296.

沈明月，张焱.《内经》“五谷为养”思想的合理性膳食研究［D］.长春：长春中医药大学，2016.

黄童郁，蔡玲玲，董巧稚，等.浅谈中医五味与饮食五味［J］.中医临床研究，2017，9（6）：3-4.

周路红，宋志萍.李时珍对“谨和五味”饮食养生方法的贡献［J］.时珍国医国药，2015，26（1）：179-180.

张伟，马骁，程浩，等.高糖饮食与炎症性疾病研究进展［J］.四川大学学报：医学版，2022，53（3）：538-542.

王松，宋金萍，郭丽荣.高盐饮食对血压影响的研究进展［J］.心肺血管病杂志，2018，37（2）：169-171.

赵锟，毛宇康，李勇，等.高盐饮食对心脏重构的影响［J］.心血管康复医学杂志，2021，30（4）：378-382.

钱文文，辛宝，马诚，等.孙思邈“淡食”养生观与老年传统食养［J］.西部中医药，2021，34（7）：80-81.

陈美惠.张仲景养生思想及养生方法研究［D］.北京：北京中医药大学，2002.

胡芳.旴江医家饮食养生思想研究［D］.南昌：江西中医药大学， 2022.

单峰，黄璐琦，郭娟，等.药食同源的历史和发展概况［J］.生命科学，2015，27（8）：1061-1069.

杨光，苏芳芳，陈敏.药食同源起源与展望［J］.中国现代中药，2021，23（11）：1851-1856.

林基伟，孙晓生.张仲景食疗方特点及其现代运用［J］.新中医，2015，47（2）：245-247.

张群芳.孙思邈食疗学术思想研究［D］.南昌：江西中医药大学，2022.

GREEN C L，LAMMING D W，FONTANA L.Molecular mechanisms of dietary restriction promoting health and longevity［J］.Nat Rev Mol Cell Biol，2022，23（1）：56-73.

WANG Z，CUI Y，WEN L，et al.Dietary restriction against Parkinson's disease：What we know so far［J］.Nutrients，2022，14（19）：4108.

MOST J，TOSTI V，REDMAN L M，et al.Calorie restriction in humans：An update［J］.Ageing Res Rev，2017，39：36-45.

LONGO V D，ANDERSON R M.Nutrition，longevity and disease：From molecular mechanisms to interventions［J］.Cell，2022，185（9）：1455-1470.

WALFORD R L，HARRIS S B，GUNION M W.The calorically restricted low-fat nutrient-dense diet in Biosphere 2 significantly lowers blood glucose，total leukocyte count，cholesterol，and blood pressure in humans［J］.Proc Natl Acad Sci USA，1992，89（23）：11533-11537.

FONTANA L，VILLAREAL D T，WEISS E P，et al.Calorie restriction or exercise：Effects on coronary heart disease risk factors.A randomized，controlled trial［J］.Am J Physiol Endocrinol Metab，2007，293（1）：E197-E202.

KRAUS W E，BHAPKAR M，HUFFMAN K M，et al.2 years of calorie restriction and cardiometabolic risk （CALERIE）：Exploratory outcomes of a multicentre，phase 2，randomised controlled trial［J］.Lancet Diabetes Endocrinol，2019，7（9）：673-683.

ARD J D，GOWER B，HUNTER G，et al.Effects of calorie restriction in obese older adults：The CROSSROADS randomized controlled trial［J］.J Gerontol A Biol Sci Med Sci，2017，73（1）：73-80.

SPADARO O，YOUM Y，SHCHUKINA I，et al.Caloric restriction in humans reveals immunometabolic regulators of health span［J］.Science，2022，375（6581）：671-677.

LI M，WANG S，LI Y，et al.Gut microbiota-bile acid crosstalk contributes to the rebound weight gain after calorie restriction in mice［J］.Nat Commun，2022，13（1）：2060.

SHENG Y，XIA F，CHEN L，et al.Differential responses of white adipose tissue and brown adipose tissue to calorie restriction during aging［J］.J Gerontol A Biol Sci Med Sci，2021，76（3）：393-399.

LONGO V D，DI TANO M，MATTSON M P，et al.Intermittent and periodic fasting，longevity and disease［J］.Nat Aging，2021，1（1）：47-59.

ZHANG H，ZHANG W，YUN D，et al.Alternate-day fasting alleviates diabetes-induced glycolipid metabolism disorders：Roles of FGF21 and bile acids［J］.J Nutr Biochem，2020，83：108403.

XU S，JIANG Y，ZHANG Y，et al.Dietary recommendations for fasting days in an alternate-day intermittent fasting pattern：A randomized controlled trial［J］.Nutrition，2022，102：111735.

CHAIR S Y，CAI H，CAO X，et al.Intermittent fasting in weight loss and cardiometabolic risk reduction：A randomized controlled trial［J］.J Nurs Res，2022，30（1）：e185.

MARTENS C R，ROSSMAN M J，MAZZO M R，et al.Short-term time-restricted feeding is safe and feasible in non-obese healthy midlife and older adults［J］.Geroscience，2020，42（2）：667-686.

HAJEK P，PRZULJ D，PESOLA F，et al.A randomised controlled trial of the 5：2 diet［J］.PLoS One，2021，16（11）：e0258853.

LIU D，HUANG Y，HUANG C，et al.Calorie restriction with or without time-restricted eating in weight loss［J］.N Engl J Med，2022，386（16）：1495-1504.

MANOOGIAN E，ZADOURIAN A，LO H C，et al.Feasibility of time-restricted eating and impacts on cardiometabolic health in 24-h shift workers：The Healthy Heroes randomized control trial［J］.Cell Metab，2022，34（10）：1442-1456.e7.

DANTAS MACHADO A C，BROWN S D，LINGARAJU A，et al.Diet and feeding pattern modulate diurnal dynamics of the ileal microbiome and transcriptome［J］.Cell Rep，2022，40（1）：111008.

XIE Z，SUN Y，YE Y，et al.Randomized controlled trial for time-restricted eating in healthy volunteers without obesity［J］.Nat Commun，2022，13（1）：1003.

JAMSHED H，BEYL R A，DELLA MANNA D L，et al.Early time-restricted feeding improves 24-hour glucose levels and affects markers of the circadian clock，aging，and autophagy in humans［J］.Nutrients，2019，11（6）：1234.

JAMSHED H，STEGER F L，BRYAN D R，et al.Effectiveness of early time-restricted eating for weight loss，fat loss，and cardiometabolic health in adults with obesity：A randomized clinical trial［J］.JAMA Intern Med，2022，182（9）：953-962.

KAHLEOVA H，LEVIN S，BARNARD N.Cardio-metabolic benefits of plant-based diets［J］.Nutrients，2017，9（8）：848.

KEY T J，PAPIER K，TONG T.Plant-based diets and long-term health：Findings from the EPIC-Oxford study［J］.Proc Nutr Soc，2022，81（2）：190-198.

KAHLEOVA H，PETERSEN K F，SHULMAN G I，et al.Effect of a low-fat vegan diet on body weight，insulin sensitivity，postprandial metabolism，and intramyocellular and hepatocellular lipid levels in overweight adults：A randomized clinical trial［J］.JAMA Netw Open，2020，3（11）：e2025454.

KAHLEOVA H，TURA A，HILL M，et al.A plant-based dietary intervention improves beta-cell function and insulin resistance in overweight adults：A 16-week randomized clinical trial［J］.Nutrients，2018，10（2）：189.

SHAH B，NEWMAN J D，WOOLF K，et al.Anti-inflammatory effects of a vegan diet versus the american heart association-recommended diet in coronary artery disease trial［J］.J Am Heart Assoc，2018，7（23）：e011367.

FADNES L T，ØKLAND J M，HAALAND Ø A，et al.Estimating impact of food choices on life expectancy：A modeling study［J］.PLoS Med，2022，19（2）：e1003889.

LI Y，WANG D D，SATIJA A，et al.Plant-based diet index and metabolic risk in men：Exploring the role of the gut microbiome［J］.J Nutr，2021，151（9）：2780-2789.

CENA H，CALDER P C.Defining a healthy diet：Evidence for the role of contemporary dietary patterns in health and disease［J］.Nutrients，2020，12（2）：334.

WANG J，LIN X，BLOOMGARDEN Z T，et al.The Jiangnan diet，a healthy diet pattern for Chinese［J］.J Diabetes，2020，12（5）：365-371.

LUO Y，WANG J，SUN L，et al.Isocaloric-restricted mediterranean diet and chinese diets high or low in plants in adults with prediabetes［J］.J Clin Endocrinol Metab，2022，107（8）：2216-2227.

WANG Z，DONG X，SONG Q，et al.Jiangnan dietary pattern actively prevents muscle mass loss：Based on a cohort study［J］.J Hum Nutr Diet，2022，35（5）：957-967.

XIE W，WANG Y，SUN J，et al.Protocol of a multicenter，single-blind，randomised，parallel controlled feeding trial evaluating the effect of a Chinese Healthy Heart （CHH） diet in lowering blood pressure and other cardiovascular risk factors［J］.BMJ Open，2020，10（8）：e036394.

WANG Y，FENG L，ZENG G，et al.Effects of cuisine-based chinese heart-healthy diet in lowering blood pressure among adults in China：Multicenter，single-blind，randomized，parallel controlled feeding trial［J］.Circulation，2022，146（4）：303-315.

VARADY K A，CIENFUEGOS S，EZPELETA M，et al.Cardiometabolic benefits of intermittent fasting［J］.Annu Rev Nutr，2021，41：333-361.

KAHLEOVA H，SALAS-SALVADÓ J，RAHELIĆ D，et al.Dietary patterns and cardiometabolic outcomes in diabetes：A summary of systematic reviews and Meta-analyses［J］.Nutrients，2019，11（9）：2209.

林少琴.联合“清湿膳食”餐包的禁食模拟饮食干预痰湿体质超重/肥胖人群的探索研究［D］.广州：广州中医药大学，2020.

LUO W，ZHOU J，YANG X，et al.A Chinese medical nutrition therapy diet accompanied by intermittent energy restriction alleviates type 2 diabetes by enhancing pancreatic islet function and regulating gut microbiota composition［J］.Food Res Int，2022，161：111744.

ABDELRAHIM D，FARIS M E，HASSANEIN M，et al.Impact of ramadan diurnal intermittent fasting on hypoglycemic events in patients with type 2 diabetes：A systematic review of randomized controlled trials and observational studies［J］.Front Endocrinol （Lausanne），2021，12：624423.

陈俣祯，陈芳，朱建平，等.药食同源中药调控氧化应激防治冠心病的研究进展［J］.中草药，2022，53（17）：5582-5592.

赵鹏葳，简敬一，任孟月.药食同源中药治疗肥胖症的有效成分和机制研究进展［J］.广东药科大学学报，2021，37（3）：141-149.

刘双，张红艳，董红敬.果实类药食同源中药多糖化学结构及药理作用研究进展［J］.辽宁中医药大学学报，2022，24（12）：107-113.

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Evaluation of GRADE Clinical Research Evidence of Chinese Patent Medicine Combined with Western Medicine in Treatment of Hypertension with Dyslipidemia

Expert Consensus on Clinical Diseases Responding Specifically to Traditional Chinese Medicine： Pulmonary Nodules

Analysis on Application and Funding Situation of General，Young Scholar and Regional Scholar Programs from NSFC in Field of Integrated Traditional Chinese and Western Medicine in 2023

Expert Consensus on Whole-process Management of Pulmonary Nodules with Integrated Traditional Chinese and Western Medicine

Guidelines for Traditional Chinese Medicine Diagnosis and Treatment of Metastatic Colorectal Cancer

Related Author

WANG Jiaheng

LI Yukun

CUI Liangyu

ZHENG Yilan

ZHAO Zhiwei

REN Cong

JING Tianyue

YIN Tong

Related Institution

Dongzhimen Hospital，Beijing University of Chinese Medicine

Shaanxi University of Chinese Medicine

Institute of Basic Research in Clinical Medicine，China Academy of Chinese Medical Sciences

China Association of Chinese Medicine

State Key Laboratory of Critical Technology in Innovative Chinese Medicine

Postal code：100700
Tel：010-84076882 Email：syfjx_2010@188.com
Technical support is provided by Beijing Founder electronics co., LTD 京ICP备11006657号-10 京公网安备11010802024621
It is recommended to read the content of this site in Chrome&IE9+. Please switch to extreme mode in browser 360.
Cookies We use cookies to help provide and enhance our service and tailor content. By continuing, you agree to the use of cookies.

⁰