Nutritional Requirements

营养要求
  • 文章类型: Journal Article
    微量营养素在人类健康中起着关键作用,参与能量代谢,豁免权,细胞功能,增长,和发展。由于多种因素,所有年龄段的个体都会出现微量营养素的缺乏,包括饮食不足,疾病状态,和超重/肥胖。印度医学研究理事会(ICMR)国家营养研究所(NIN)印度人营养需求专家组(2023年)的指南规定了大量营养素和微量营养素的推荐膳食配额(RDA)。此外,健康的饮食对整体健康至关重要,应该是解决微量营养素缺乏的第一步。当饮食不足时,可以提供微量营养素补充剂来补偿。召集了印度医生专家小组,以制定在印度人口中补充微量营养素的途径。本共识声明承认,不同人群对特定微量营养素的需求各不相同,并确保这些微量营养素的充足摄入可以改善健康结果。小组为饮食不足时的饮食习惯和微量营养素补充提供了建议。在初级保健一级解决微量营养素缺乏症可以预防慢性缺乏症及其后果。这份共识声明可以作为医生监测和解决缺陷的入门书,从而帮助个人保持健康。
    Micronutrients play a key role in human health, being involved in energy metabolism, immunity, cellular functioning, growth, and development. Deficiencies in micronutrients occur in individuals of all ages due to several factors, including inadequate diets, disease states, and overweight/obesity. Guidelines from the Indian Council of Medical Research (ICMR) National Institute of Nutrition (NIN) Expert Group on Nutrient Requirements for Indians (2023) have specified the Recommended Dietary Allowances (RDA) for macronutrients and micronutrients. In addition, a healthy diet is crucial for overall health and should be the first step toward addressing micronutrient deficiencies. When diet is inadequate, micronutrient supplements can be provided to compensate. An expert panel of Indian doctors was convened to develop a pathway toward micronutrient supplementation among the Indian population. This Consensus Statement recognizes that different populations have varying needs for specific micronutrients, and ensuring adequate intake of such micronutrients can improve health outcomes. The panel provided recommendations for dietary practices and micronutrient supplementation when diet is inadequate. Addressing micronutrient deficiencies at the primary care level can prevent chronic deficiencies and their consequences. This Consensus Statement can serve as a primer for physicians to monitor and address deficiencies and thus help individuals maintain their health.
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    文章类型: Editorial
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  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    2019年冠状病毒病(COVID-19)大流行已经使全球医院系统不堪重负,导致在重症监护病房(ICU)内照顾危重患者的经验较少。已经制定了许多指南来指导营养护理。
    确定COVID-19收治的重症成人营养支持实践的关键指南或实践建议,描述建议之间的异同,并讨论对临床实践的启示。
    进行了文献综述,以确定国际营养学会或饮食协会所属或认可的指南,其中包括对COVID-19危重成年患者的营养管理的建议。数据提取了营养护理的预定义关键方面,包括营养处方,delivery,监测和劳动力建议,以及关键的相似性和差异,以及对临床实践的启示进行了总结。
    确定了10个临床实践指南。类似的建议包括:使用高蛋白,限制体积的肠内配方在胃内递送,并在ICU早期开始,并逐渐引入,同时考虑到非营养卡路里,以避免过度进食。对俯卧位患者的具体建议很常见,未插管的患者被列为高营养风险人群.主要差异包括使用间接量热法指导能量目标,并建议使用胃残留量(GRV)来监测喂养耐受性。
    总的来说,存在关于配方类型和喂养路线的常见建议,主要差异在于间接量热法和GRV的使用,这反映了国际ICU营养指南。
    The Coronavirus Disease 2019 (COVID-19) pandemic has overwhelmed hospital systems globally, resulting in less experienced staff caring for critically ill patients within the intensive care unit (ICU). Many guidelines have been developed to guide nutrition care.
    To identify key guidelines or practice recommendations for nutrition support practices in critically ill adults admitted with COVID-19, to describe similarities and differences between recommendations, and to discuss implications for clinical practice.
    A literature review was conducted to identify guidelines affiliated with or endorsed by international nutrition societies or dietetic associations which included recommendations for the nutritional management of critically ill adult patients with COVID-19. Data were extracted on pre-defined key aspects of nutritional care including nutrition prescription, delivery, monitoring and workforce recommendations, and key similarities and discrepancies, as well as implications for clinical practice were summarized.
    Ten clinical practice guidelines were identified. Similar recommendations included: the use of high protein, volume restricted enteral formula delivered gastrically and commenced early in ICU and introduced gradually, while taking into consideration non-nutritional calories to avoid overfeeding. Specific advice for patients in the prone position was common, and non-intubated patients were highlighted as a population at high nutritional risk. Major discrepancies included the use of indirect calorimetry to guide energy targets and advice around using gastric residual volumes (GRVs) to monitor feeding tolerance.
    Overall, common recommendations around formula type and route of feeding exist, with major discrepancies being around the use of indirect calorimetry and GRVs, which reflect international ICU nutrition guidelines.
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  • 文章类型: Journal Article
    食品加固,或者获取食物的动机,可以预测选择和消费。蔬菜消费量远低于成人的推荐量,因此,了解如何增加蔬菜强化可以为如何增加消费提供有价值的见解。
    我们试图确定每日食用美国人饮食指南(DGA)推荐的蔬菜摄入量是否会导致超重和肥胖成年人对蔬菜强化的敏感性。
    BMI≥25kg/m2的健康成年人,每天食用≤1杯当量蔬菜,被随机分配到蔬菜干预组(VI;n=55)或注意力对照组(AC;n=55)。VI包括每天提供DGA建议的数量和类型的蔬菜(〜270克/天),持续8周。参与者再随访8周以评估持续消费。通过共振拉曼光散射光谱法(RRS)每周测量顺应性。使用计算机选择范例在第0、8、12和16周测试蔬菜补强。
    在VI组中,RRS强度从第0周增加到第8周(从22,990增加到37,220),在第16周恢复到基线(27,300)。在AC组中没有观察到变化。处理(P=0.974)和时间(P=0.14)对蔬菜强化没有主要影响,处理x时间交互作用(P=0.44)。性别没有调节作用(P=0.07)。年龄(P=0.60),BMI(P=0.46),延迟贴现(P=0.24),6-正丙基硫氧嘧啶品尝者状态(P=0.15),或膳食对蔬菜强化变化的抑制作用(P=0.82)。
    这些研究结果表明,提供多种蔬菜以满足DGA建议8周对蔬菜强化没有影响,并强调了增加成人蔬菜消费的困难。该试验在clinicaltrials.gov注册为NCT02585102。
    Food reinforcement, or the motivation to obtain food, can predict choice and consumption. Vegetable consumption is well below recommended amounts for adults, so understanding how to increase vegetable reinforcement could provide valuable insight into how to increase consumption.
    We sought to determine whether daily consumption of the Dietary Guidelines for Americans (DGA) recommendations for vegetable intake induces sensitization of vegetable reinforcement in adults with overweight and obesity.
    Healthy adults with a BMI ≥ 25 kg/m2 who consumed ≤1 cup-equivalent of vegetables/day were randomly assigned to a vegetable intervention (VI; n = 55) or an attention control (AC; n = 55) group. The VI consisted of the daily provision of vegetables in the amounts and types recommended by the DGA (∼270 g/day) for 8 weeks. Participants were followed for an additional 8 weeks to assess sustained consumption. Compliance was measured weekly by resonance Raman light-scattering spectroscopy (RRS). Vegetable reinforcement was tested at weeks 0, 8, 12, and 16 using a computer choice paradigm.
    In the VI group, RRS intensity increased from week 0 to 8 (from 22,990 to 37,220), returning to baseline by week 16 (27,300). No change was observed in the AC group. There was no main effect of treatment (P = 0.974) or time (P = 0.14) and no treatment x time interaction (P = 0.44) on vegetable reinforcement. There was no moderating effect of sex (P = 0.07), age (P = 0.60), BMI (P = 0.46), delay discounting (P = 0.24), 6-n-propylthiouracil taster status (P = 0.15), or dietary disinhibition (P = 0.82) on the change in vegetable reinforcement.
    These findings suggest no effects of the provision of a variety of vegetables to meet DGA recommendations for 8 weeks on vegetable reinforcement and highlight the difficulty in increasing vegetable consumption in adults. This trial was registered at clinicaltrials.gov as NCT02585102.
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  • 文章类型: Journal Article
    UNASSIGNED: Nutrition patterns in pregnancy play a decisive role in the well-being of the mother and the fetus.
    UNASSIGNED: The aim of this review was to summarize and compare guidelines and recommendations on nutrition in pregnancy.
    UNASSIGNED: A descriptive review of major guidelines on antenatal nutrition was conducted, including the most recently published guidelines, namely, by the Australian Government Department of Health (2018); the Canadian Nutrition Working Group and Society of Obstetricians and Gynaecologists of Canada (2016); the World Health Organization (2016); the Institute of Obstetricians and Gynaecologists, Royal College of Physicians of Ireland (2016); the International Federation of Gynecology and Obstetrics (2015); the Academy of Nutrition and Dietetics (2014); and the National Institute for Health and Care Excellence (2008).
    UNASSIGNED: There is almost universal agreement regarding macronutrient requirements during pregnancy. The WHO, FIGO, and the NICE guidelines make no recommendation on fluid intake. Almost all guidelines state that weight gain during pregnancy should be closely monitored. Folic acid supplementation is universally recommended from the preconception period, but there are controversies regarding other vitamins\' supplementation. Multiple micronutrient supplementation could be an option in specific settings according only to the FIGO. Probiotics are not routinely recommended in pregnancy.
    UNASSIGNED: There is wide agreement among the reviewed guidelines regarding nutrition in pregnancy, but still there are controversies. Evaluation and classification of influential guidelines can be beneficial for establishing a universal consensus on nutrition during pregnancy, in order to achieve more favorable perinatal outcomes.
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  • 文章类型: Consensus Development Conference
    Despite the worldwide popularity of running as a sport for children, relatively little is known about its impact on injury and illness. Available studies have focused on adolescent athletes, but these findings may not be applicable to preadolescent and pubescent athletes. To date, there are no evidence or consensus-based guidelines identifying risk factors for injury and illness in youth runners, and current recommendations regarding suitable running distances for youth runners at different ages are opinion based. The International Committee Consensus Work Group convened to evaluate the current science, identify knowledge gaps, categorise risk factors for injury/illness and provide recommendations regarding training, nutrition and participation for youth runners.
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  • 文章类型: Consensus Development Conference
    OBJECTIVE: Dysphagia is a common clinical symptoms among older adults. The incidence of dysphagia is high, and it can easily cause complications such as aspiration, aspiration pneumonia, and malnutrition; affect clinical outcomes; and even become life-threatening. Nutrition for patients with dysphagia is considered the first problem to address in dysphagia intervention. Currently, China has no standard for food classification and nutrition management for patients with dysphagia.
    METHODS: The Dysphagia Rehabilitation Specialty Committee of Chinese Association of Rehabilitation Medicine and the Elderly Nutrition Committee of Chinese Nutrition Society organized and led Chinese experts in related fields to publish the \"Chinese Expert Consensus on Dysphagia and Nutrition Management 2019.\" The goals of the publication were twofold: (1) to establish and improve Chinese dietary standards for dysphagia, and (2) to promote the development of special food industries for dysphagia.
    RESULTS: This report systematically explains the content of nutrition management for patients with dysphagia and can serve as a reference for medical and food industry in related fields.
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  • 文章类型: Journal Article
    巴西关于造血干细胞移植营养的共识:移植物抗宿主病已由巴西社会委员会批准,26个巴西造血干细胞移植中心的参与。它描述了移植物抗宿主病病例的主要营养方案,造血干细胞移植的主要并发症。
    The Brazilian Consensus on Nutrition in Hematopoietic Stem Cell Transplantation: Graft- versus -host disease was approved by Sociedade Brasileira de Transplante de Medula Óssea , with the participation of 26 Brazilian hematopoietic stem cell transplantation centers. It describes the main nutritional protocols in cases of Graft- versus -host disease, the main complication of hematopoietic stem cell transplantation.
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  • 文章类型: Journal Article
    语言学的人类学,食物,和营养科学在对危地马拉食品指南(GFG)进行批判性审视方面具有关键作用。这些GFG被传达给土著社区,以解释他们的饮食模式以及在文化背景下对这些食物组的结构认知解释。我们对食物的理解是由语言所代表的认知结构决定的。由于食物是人类文化认同的基础,从玛雅土著群体的角度理解食物和食物类别应该是健康的基本支柱,食物,和营养。这项研究的目的是探索GFG,并根据认知结构的相似性和差异将它们与食物组的K'iche'理解进行比较。这项研究是通过半结构化访谈和参与者观察在Nahualá(西危地马拉)的K\'iche\'玛雅家庭中进行的,以比较和对比在K\'iche\'食物组上收集的数据和相应的认知结构与先前在GFG上发表的发现。这些发现通过实地调查得到了证实,尽管子类别的一些细微差别已经改变,并且对2种食物组施加了显着的压力:wa(玉米基食物)和ri\'kil(非玉米基食物)。研究得出的结论是,通过K\'iche\'语言传达的食物组及其使用的认知结构和理解与等级显着不同,通过GFG传达的食品组技术描述。为了加强食物和营养的公共卫生方法,土著知识必须得到尊重,学会了,并集成到GFG中。
    The anthropology of linguistics, food, and nutrition sciences has a key role with regard to taking a critical look at the Guatemalan Food Guidelines (GFG). These GFG are communicated to native communities to interpret their eating patterns and the structural cognitive interpretation of these food groups in a cultural context. Our understanding of food is informed by cognitive structure represented by language. Since food is fundamental in human cultural identities, understanding food and food categories from the perspective of Mayan indigenous groups should be a fundamental pillar of health, food, and nutrition. The purpose of this research was to explore the GFG and compare them to K\'iche\' understandings of food groups in terms of cognitive structural similarities and differences. The research was carried out in the field by way of semi-structured interviews and participant observation among K\'iche\' Mayan families in Nahualá (Western Guatemala) to compare and contrast data collected on K\'iche\' food groups and corresponding cognitive structure with previously published findings on the GFG. These findings were confirmed through fieldwork, though some of the nuances of subcategories have changed, and significant stress was placed on 2 food groups: wa (corn-based food) and ri\'kil (non-corn-based food). The research concludes that the cognitive structure and understanding of food groups and their uses communicated through K\'iche\' language differ significantly from the hierarchical, technical description of food groups communicated through the GFG. In order to strengthen public health approaches to food and nutrition, indigenous knowledge must be respected, learned, and integrated into GFG.
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