健康长寿:营养和生活方式方面的系统综述

Rodrigo Augusto Carvalho Junqueira, Alexandre Carli Pinto
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摘要

在健康长寿的背景下,生活质量、遗传、环境和生活方式等因素可以决定人类的预期寿命。营养是影响我们健康的关键因素,一些研究表明,营养也有可能延长寿命。目的:对营养学和生活方式对人类寿命的影响进行系统综述,并根据临床研究结果指出主要的饮食和生活方式保健。方法:遵循PRISMA平台的系统评价规则。该研究于2023年4月至7月在Scopus、PubMed、Science Direct、Scielo和b谷歌Scholar数据库中进行。研究质量采用GRADE评分工具,偏倚风险采用Cochrane评分工具进行分析。结果与结论:共纳入文献311篇,评价文献147篇,纳入文献47篇。考虑到Cochrane工具的偏倚风险,总体评估结果为29项研究具有高偏倚风险,51项研究未达到GRADE。大多数研究结果均具有同质性,X2 =87.3%>50%。科学证据表明,褪黑素、辅酶Q10等人体生理生化的营养物质和天然物质控制着免疫系统的功能。许多代谢或慢性疾病都与不良的饮食和生活方式有关。改善饮食质量与降低全因死亡率有关,而多种维生素和多种矿物质补充剂可以延长预期寿命。当久坐但身体活动充足的成年人减少久坐时间并增加身体活动水平时,整体幸福感会得到改善。大流行的结果表明,出现了各种生活方式的改变、缺乏身体活动和心理问题。然而,40岁以上、有孩子、失业以及生活在宏观经济地区的成年人更容易受到不健康行为的影响。通过远程医疗维持饮食干预可以减少饮食习惯和身体活动模式的负面影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Healthy longevity: a systematic review of nutrological and lifestyle aspects
Introduction: In the context of healthy longevity, quality of life, genetic, environmental, and lifestyle factors can determine the life expectancy of human beings. Nutrition is a key component affecting our health, and several studies show that nutrition also has the potential to increase lifespan. Objective: It was to carry out a systematic review of the impacts of nutrology and lifestyle on the longevity of human beings, as well as to point out the main dietary and lifestyle care based on the results of clinical studies. Methods: The systematic review rules of the PRISMA Platform were followed. The research was carried out from April to July 2023 in Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: A total of 311 articles were found, and 147 articles were evaluated and 47 were included in this systematic review. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 29 studies with a high risk of bias and 51 studies that did not meet GRADE. Most studies showed homogeneity in their results, with X2 =87.3%>50%. There is scientific evidence that nutrients and natural substances of human physiology and biochemistry such as melatonin and coenzyme Q10 control the functions of the immune system. Many metabolic or chronic diseases have been implicated with poor diet and lifestyle. Improved diet quality is associated with reduced all-cause mortality, whereas multivitamins and multimineral supplements can improve life expectancy. Overall well-being is improved when sedentary but sufficiently physically active adults reduce sedentary time and increase physical activity levels. The results of the pandemic indicate there have been a variety of lifestyle changes, physical inactivity, and psychological issues. Still, adults over 40 years old, with children, unemployed, and those living in a macroeconomic region were shown to be more exposed to unhealthy behaviors. The maintenance of dietary intervention through telemedicine can reduce the negative impact of eating habits and physical activity patterns.
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