
职业与健康 ›› 2026, Vol. 42 ›› Issue (21): 3020-3024.
• 综述 • 上一篇
收稿日期:2025-09-25
修回日期:2026-01-23
出版日期:2026-11-01
发布日期:2026-09-04
通信作者:
张倩,E-mail:zhangqian@sxbqeh.com.cn
作者简介:张艺华,女,在读硕士研究生,研究方向为食疗护理。
基金资助:
ZHANG Yihua1, WANG Xiumei1,2, NIU Qingmei1, ZHANG Qian1,2(
)
Received:2025-09-25
Revised:2026-01-23
Online:2026-11-01
Published:2026-09-04
Contact:
ZHANG Qian,E-mail:zhangqian@sxbqeh.com.cn
摘要:
肥胖作为多种慢性疾病的重要风险因素,现已成为全球公共卫生的重大挑战。研究表明,其核心病理生理机制与慢性低度炎症及氧化应激的加剧密切相关。膳食中的抗氧化物质,如维生素C、维生素E及多酚类化合物等,可通过减轻氧化损伤、调节代谢、改善胰岛素抵抗及发挥抗炎作用,成为干预肥胖及相关代谢并发症的潜在策略。本文对氧化应激在肥胖发生与发展中的关键作用进行综述,总结膳食抗氧化物质在临床干预中的研究证据,以期为通过膳食途径防治肥胖及相关代谢疾病提供参考依据。
中图分类号:
张艺华, 王秀梅, 牛青梅, 张倩. 膳食抗氧化物质在肥胖管理中的作用研究进展. [J]职业与健康, 2026, 42(21): 3020-3024.
ZHANG Yihua, WANG Xiumei, NIU Qingmei, ZHANG Qian. Research progress on the role of dietary antioxidants in obesity management. [J]OCCUPATION AND HEALTH, 2026, 42(21): 3020-3024.
| [1] | World Health Organization. Prevention of cardiovascular disease:Guidelines for assessment and management of total cardiovascular risk[EB/OL]. (2007)[2025-12-20]. https://iris.who.int/handle/10665/43685. |
| [2] |
WANG Y, ZHAO L, GAO L, et al. Health policy and public health implications of obesity in China[J]. Lancet Diabetes Endocrinol, 2021, 9(7):446-461.
DOI URL |
| [3] | 刘月姣. 《中国居民营养与慢性病状况报告(2020年)》发布[J]. 中国食物与营养, 2020, 26(12):2. |
| [4] |
QUEK J, CHAN K E, WONG Z Y, et al. Global prevalence of non-alcoholic fatty liver disease and non-alcoholic steatohepatitis in the overweight and obese population:A systematic review and meta-analysis[J]. Lancet Gastroenterol Hepatol, 2023, 8(1):20-30.
DOI URL |
| [5] |
GALLO G, DESIDERI G, SAVOIA C. Update on obesity and cardiovascular risk:From pathophysiology to clinical management[J]. Nutrients, 2024, 16(16):2781.
DOI URL |
| [6] |
JANTAPE T, KONGWATTAKUL K, ARRIBAS S M, et al. Maternal obesity alters placental and umbilical cord plasma oxidative stress,a cross-sectional study[J]. Int J Mol Sci, 2024, 25(19):10866.
DOI URL |
| [7] |
CIOFFI F, GIACCO A, PETITO G, et al. Altered mitochondrial quality control in rats with metabolic dysfunction-associated fatty kiver fisease(MAFLD) induced by high-fat feeding[J]. Genes, 2022, 13(2):315.
DOI URL |
| [8] |
XIA W, VEERAGANDHAM P, CAO Y, et al. Obesity causes mitochondrial fragmentation and dysfunction in white adipocytes due to RalA activation[J]. Nat Metab, 2024, 6(2):273-289.
DOI |
| [9] | 陈兴光, 舒丽梅, 随伟红, 等. 黄酮类成分改善代谢综合征的作用及机制研究进展[J]. 中草药, 2025, 56(23):8803-8815. |
| [10] |
STANEK A, GRYGIEL-GÓRNIAK B, BROŻYNA-TKACZYK K, et al. The influence of dietary interventions on arterial stiffness in overweight and obese subjects[J]. Nutrients, 2023, 15(6):1440.
DOI URL |
| [11] |
PÉREZ-TORRES I, CASTREJÓN-TÉLLEZ V, SOTO M E, et al. Oxidative stress, plant natural antioxidants,and obesity[J]. Int J Mol Sci, 2021, 22(4):1786.
DOI URL |
| [12] |
AHMED B, SULTANA R, GREENE M W. Adipose tissue and insulin resistance in obese[J]. Biomed Pharmacother, 2021, 137:111315.
DOI PMID |
| [13] |
SHI H, KOKOEVA M V, INOUYE K, et al. TLR4 links innate immunity and fatty acid-induced insulin resistance[J]. J Clin Invest, 2006, 116(11):3015-3025.
DOI PMID |
| [14] |
QING Z, XIAO H W, XI M W, et al. Vitamin C deficiency aggravates tumor necrosis factor α-induced insulin resistance[J]. Eur J Pharmacol, 2018, 829:1-11.
DOI PMID |
| [15] |
SUREN GARG S, KUSHWAHA K, DUBEY R, et al. Association between obesity,inflammation and insulin resistance:Insights into signaling pathways and therapeutic interventions[J]. Diabetes Res Clin Pract, 2023, 200:110691.
DOI URL |
| [16] |
BIZEREA-MOGA T O, PITULICE L, BIZEREA-SPIRIDON O, et al. Exploring the Link between Oxidative Stress,Selenium Levels,and Obesity in Youth[J]. Int J Mol Sci, 2024, 25(13):7276.
DOI URL |
| [17] |
MA K, ZHANG Y, ZHAO J, et al. Endoplasmic reticulum stress:Bridging inflammation and obesity-associated adipose tissue[J]. Front Immunol, 2024, 15:1381227.
DOI URL |
| [18] | MOCHIDA K, NAKATOGAWA H. ER-phagy:Selective autophagy of the endoplasmic reticulum[J]. EMBO Rep, 2022, 23(8):e55192. |
| [19] | 安文亭, 李众擎, 王飞, 等. 白藜芦醇通过线粒体自噬调节动物肠道氧化损伤的作用及机制[J]. 猪业科学, 2025, 42(11):72-74. |
| [20] |
KOHLI S K, KHANNA K, BHARDWAJ R, et al. Nitric oxide,salicylic acid and oxidative stress:Is it a perfect equilateral triangle?[J]. Plant Physiol Biochem, 2022, 184:56-64.
DOI URL |
| [21] | 王芳, 周鹏, 王沛坚. 氧化应激致衰老相关内皮功能障碍及潜在的内源性可干预靶点[J]. 成都医学院学报, 2014, 9(3):362-366. |
| [22] | 余辉, 李宾, 甘受益. LOX-1、eNOS及FFA信号通路调控冠状动脉慢血流微循环障碍的作用机制研究[J]. 中国循证心血管医学杂志, 2025, 17(2):208-212. |
| [23] |
WANG Z, LI S, GE S, et al. Review of distribution,extraction methods,and health benefits of bound phenolics in food plants[J]. J Agric Food Chem, 2020, 68(11):3330-3343.
DOI URL |
| [24] |
MOUSAVI S M, MILAJERDI A, VARKANEH H K, et al. The effects of curcumin supplementation on body weight,body mass index and waist circumference:A systematic review and dose-response meta-analysis of randomized controlled trials[J]. Crit Rev Food Sci Nutr, 2020, 60(1):171-180.
DOI URL |
| [25] | 李益明, 张玲, 邢小珍, 等. 维生素C联合维生素E对血液透析患者抗氧化力、炎症反应状态的影响[J]. 海南医学院学报, 2017, 23(19):2635-2637,2641. |
| [26] | 那日苏, 张海峰. 维生素C通过调节PPAR-α靶基因抑制高脂饮食诱导非酒精性脂肪肝小鼠[J]. 中国现代应用药学, 2021, 38(22):2791-2795. |
| [27] | 周清. 维生素C改善TNF-α诱导的胰岛素抵抗的作用及其机制研究[D]. 杭州: 浙江大学, 2018. |
| [28] | 常文露, 汪求真, 吕凯光, 等. 维生素E与镁对肥胖大鼠红细胞稳定性及抗氧化能力的影响[J]. 卫生研究, 2016, 45(6):945-950. |
| [29] |
OJULARI O V, LEE S G, NAM J O. Therapeutic effect of seaweed derived xanthophyl carotenoid on obesity management;overview of the last decade[J]. Int J Mol Sci, 2020, 21(7):2502.
DOI URL |
| [30] | 何秀英, 薛婷, 黄惠彬. 抗氧化营养素与代谢综合征关系研究:基于孟德尔随机化[J]. 福建医药杂志, 2025, 47(2):25-30. |
| [31] |
MAMUN M A A, RAKIB A, MANDAL M, et al. Polyphenols:Role in modulating immune function and obesity[J]. Biomolecules, 2024, 14(2):221.
DOI URL |
| [32] |
DZAH C S, ASANTE-DONYINAH D, LETSYO E, et al. Dietary polyphenols and obesity:A review of polyphenol effects on lipid and glucose metabolism,mitochondrial homeostasis,and starch digestibility and absorption[J]. Plant Foods Hum Nutr, 2023, 78(1):1-12.
DOI |
| [33] |
BURKE A C, SUTHERLAND B G, TELFORD D E, et al. Intervention with citrus flavonoids reverses obesity and improves metabolic syndrome and atherosclerosis in obese Ldlr-/- mice[J]. J Lipid Res, 2018, 59(9):1714-1728.
DOI URL |
| [34] | 陈焱, 封俨宸, 廖紫云, 等. 葛根素调节肥胖机制的研究进展[J]. 中草药, 2025, 56(11):4103-4114. |
| [35] | 郭玮钰, 沈浩然, 秦小静, 等. 槲皮素-3-O-β-D-葡萄糖醛酸苷通过促进白色脂肪棕色化改善高脂小鼠肥胖的作用[J]. 中国粮油学报, 2025, 40(11):75-81. |
| [36] |
MONGIOÌ L M, LA VIGNERA S, CANNARELLA R, et al. The role of resveratrol administration in human obesity[J]. Int J Mol Sci, 2021, 22(9):4362.
DOI URL |
| [37] | 吉喆, 曹卉, 王丽, 等. 姜黄素联合有氧运动对大鼠肝脏脂肪变性的改善作用及机制[J]. 营养学报, 2025, 47(3):277-284. |
| [38] |
WANG W, LIU L, SHAN R, et al. Associations between dietary copper intake,general obesity and abdominal obesity risk:A nationwide cohort study in China[J]. Front Nutr, 2022, 9:1009721.
DOI URL |
| [39] | 李文梅, 俞捷, 胡斌丽, 等. 凤冈锌硒茶对肥胖大鼠的清脂效果[J]. 山东医药, 2018, 58(13):31-33. |
| [40] | 穆志丹, 梁晨, 陈名阳, 等. 锌通过调节Keap1/Nrf2/HO-1通路对肥胖小鼠肾脏损伤的影响[J]. 医学理论与实践, 2025, 38(7):1081-1085,1093. |
| [41] | 马梦陆, 孙婉玉, 刘娟, 等. 硒麦芽面对肥胖高血糖大鼠糖脂代谢的影响[J]. 医药前沿, 2024, 14(8):13-18. |
| [42] |
ZAVROS A, ANDREOU E, APHAMIS G, et al. The effects of zinc and selenium co-supplementation on resting metabolic rate,thyroid function,physical fitness,and functional capacity in overweight and obese people under a hypocaloric diet:A randomized,double-blind,and placebo-controlled trial[J]. Nutrients, 2023, 15(14):3133.
DOI URL |
| [1] | 张加生, 张敏. 诺如病毒环境监测的研究进展[J]. 职业与健康, 2026, 42(9): 1272-1276. |
| [2] | 张新轩, 齐鑫鑫, 从美丽, 刘金存, 孙红光, 刘涛. 6:2多氟烷基磷酸二酯通过Keap1/Nrf2/HO-1通路对大鼠和小鼠的甲状腺损伤效应比较研究[J]. 职业与健康, 2026, 42(8): 1057-1064. |
| [3] | 刘忠尖, 王晓红, 王晶晶, 何玉萍, 王秀梅, 李东. 微波辐射暴露对男性生殖健康的影响及黄芪甲苷的治疗效果研究[J]. 职业与健康, 2026, 42(7): 912-916. |
| [4] | 吴雅婷, 贺亚楠, 陆清莲, 陈佳仪, 郑敏, 赵春艳. 上海市浦东新区≥40岁医护人员膳食模式与衰弱的相关分析[J]. 职业与健康, 2026, 42(7): 938-944. |
| [5] | 徐伟, 龚娉, 李梦雅, 窦英茹. 介入手术中医务人员辐射暴露现状及防护措施的研究进展[J]. 职业与健康, 2026, 42(6): 859-864. |
| [6] | 张维, 孙福强, 李伟, 王栋, 刘佳祥, 王文茜. 河北省11个地市市售玉米面中交链孢霉毒素检测方法及膳食暴露评估[J]. 职业与健康, 2026, 42(3): 330-334. |
| [7] | 王暘婧, 熊莉娟, 王钰涵, 郭雪琴, 刘硕怡. 护士工作控制感的研究进展[J]. 职业与健康, 2026, 42(3): 423-427. |
| [8] | 邱雨菲, 杨芬, 刘佳丽, 陈小烁. 数智化干预在老年人心理健康中的应用进展[J]. 职业与健康, 2026, 42(3): 428-432. |
| [9] | 谢传艺, 汪皖莲, 胡亚丽, 晏定燕, 赵柏青, 李儿. 老年HIV/AIDS多病共存患者多重用药管理的研究进展[J]. 职业与健康, 2026, 42(21): 3003-3008. |
| [10] | 秦国富, 邹柯婷, 赵桂鹏, 张盼, 李永波, 何丰瑞. 西安市市售茶叶11种常见农药残留现状及膳食风险评估[J]. 职业与健康, 2026, 42(20): 2795-2799. |
| [11] | 刘新宇, 张丽杰, 陈禹存, 丁祎, 孙宇婷, 魏鑫. 布鲁菌病流行特征及疾病负担研究进展[J]. 职业与健康, 2026, 42(20): 2875-2880. |
| [12] | 赖宣丞, 邢坤, 聂宏骞, 黎承, 石慧. 海南省市售辣椒制品中真菌毒素膳食暴露风险评估[J]. 职业与健康, 2026, 42(2): 184-188. |
| [13] | 刘艺, 董正惠, 张衬欣, 张莉萍, 马娴. 久坐行为与身体活动对骨质疏松影响的研究进展[J]. 职业与健康, 2026, 42(19): 2727-2731. |
| [14] | 覃文婷, 杨连招, 高慧, 陈玲, 桑树林, 陈艺菀. HIV感染者/AIDS患者心理社会适应的研究进展[J]. 职业与健康, 2026, 42(18): 2587-2592. |
| [15] | 崔雅宁, 朱帆, 韦晓潞, 王轩, 苏茜. 职业倦怠潜在生物标志物的研究进展[J]. 职业与健康, 2026, 42(16): 2284-2289. |
| 阅读次数 | ||||||
|
全文 |
|
|||||
|
摘要 |
|
|||||