Recommended Dietary Allowances

推荐膳食津贴
  • 文章类型: Journal Article
    许多研究已经调查了健康的饮食和营养素。各国政府和科学家以通俗易懂的方式向公众传达了他们的发现,这在实现公民福祉方面发挥了关键作用。一些国家已经公布了饮食参考摄入量(DRI),虽然一些学术组织提供了关于饮食方法的科学证据,比如传统饮食。最近,引入了更多用户友好的方法;健康星级评级系统和优化的Nutri密集膳食是澳大利亚和日本的例子,分别。这两个组织都采用了一种结合轻推的新颖方法。这篇综述总结了有关食品政策的科学交流,指导方针,以及日本和其他国家的新方法。在食品政策部分,我们讨论了政府发布的DRIs和基于食品的指南的利弊。众所周知的饮食方法,比如地中海饮食,北欧饮食,日本传统饮食,和《饮食柳叶刀》指南,也进行了审查。最后,我们讨论了未来的科学交流方法,比如轻推。
    Numerous studies have investigated healthy diets and nutrients. Governments and scientists have communicated their findings to the public in an easy-to-understand manner, which has played a critical role in achieving citizens\' well-being. Some countries have published dietary reference intakes (DRIs), whereas some academic organizations have provided scientific evidence on dietary methods, such as traditional diets. Recently, more user-friendly methods have been introduced; the Health Star Rating system and Optimized Nutri-Dense Meals are examples from Australia and Japan, respectively. Both organizations adopt a novel approach that incorporates nudges. This review summarizes the science communication regarding food policies, guidelines, and novel methods in Japan and other countries. In the food policies section, we discuss the advantages and disadvantages of the DRIs and food-based guidelines published by the government. Dietary methods widely known, such as The Mediterranean diet, Nordic diet, Japanese traditional diet, and the EAT-Lancet guidelines, were also reviewed. Finally, we discussed future methods of science communications, such as nudge.
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  • 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: Journal Article
    非传染性疾病(NCDs)造成了重大的全球卫生挑战,不健康的饮食被认为是一个主要的危险因素。钠和钾,是人体健康必需的矿物质,在各种身体功能中起重要作用,它们的摄入量不平衡会对健康产生重大影响,特别是关于高血压和心血管疾病。这篇综述汇编了来自全球著名卫生组织的膳食钠和钾摄入量建议,并将全球指南与日本的膳食参考摄入量(DRI)指南进行了比较。世界卫生组织(WHO)等组织的钠和钾摄入指南,美国心脏病学会(ACC)和美国心脏协会(AHA),美国人饮食指南(DGA)欧洲食品安全局(EFSA)和日本展览变体的DRI。与其他亚洲国家相比,日本历史上较高的钠目标与东南亚的传统腌制食品有助于高钠摄入量。相反,日本的低钾目标与亚洲其他国家提倡富含水果和蔬菜的饮食形成鲜明对比。日本正在努力与全球建议保持一致,这反映了一种考虑社会习惯的分级方法。虽然协调国际努力至关重要,通过为文化和饮食习惯习惯定制指南,欣赏区域多样性至关重要。实施以科学研究为依据的针对具体情况的指导方针,有助于促进健康饮食和减轻非传染性疾病负担的全球努力。推荐钠和钾的每日饮食摄入目标的全球指南显示出差异。这些差异受到多种因素的影响,包括文化饮食习惯,社会经济地位,健康优先事项,和可用的科学研究。每个人口都应遵循其所在地区的建议。
    Non-communicable diseases (NCDs) cause a significant global health challenge, with unhealthy diets identified as a major risk factor. Sodium and potassium, which are essential minerals for human health, play important roles in various bodily functions, and an imbalance in their intake can have significant health implications, particularly concerning hypertension and cardiovascular diseases. This review compiles dietary sodium and potassium intake recommendations from prominent global health organizations and compares global guidelines to Japan\'s Dietary Reference Intake (DRI) guidelines. Sodium and potassium intake guidelines from organizations such as the World Health Organization (WHO), American College of Cardiology (ACC) and American Heart Association (AHA), Dietary Guidelines for Americans (DGA), European Food Safety Authority (EFSA), and DRI for Japanese exhibit variations. Compared to other Asian countries, Japan\'s historically higher sodium goal aligns with Southeast Asia where traditional preserved foods contribute to high sodium intake. Contrarily, Japan\'s lower potassium goal contrasts with other countries in Asia promoting a diet rich in fruits and vegetables. The ongoing effort by Japan to align with global recommendations reflects a gradation approach considering social habits. While harmonizing international efforts is essential, appreciating regional diversities is paramount through tailoring guidelines to cultural and dietary habit practices. Implementing context-specific guidelines informed by scientific research can contribute to global efforts in promoting healthy diets and reducing the burden of NCDs. Global guidelines that recommended the daily dietary intake goal for sodium and potassium exhibit variations. These disparities are influenced by diverse factors, including cultural dietary habits, socioeconomic status, health priorities, and available scientific research. Each population should follow the recommendations of their region.
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  • 文章类型: Journal Article
    作者代表全谷物倡议提出了全谷物作为成分和全谷物食品的拟议全球定义。全谷物是健康和可持续饮食的重要支柱。国际公认的关于全谷物作为食品成分和全谷物食品的可信定义是必要的,以确保所有全球利益相关者都有共同的标准,消费者发现它们很清楚,可信,和有用的。基于广泛接受,现有的定义和新的发展,全球全谷物倡议定义工作组,学术界的专家,政府机构和行业,为全球应用开发定义。定义文件的关键陈述如下:“全谷物应由完整的,地面,破裂,去除不可食用的部分如船体和外壳后,剥落或以其他方式加工的内核;所有解剖部件,包括胚乳,细菌,麸皮和麸皮必须以与完整籽粒相同的相对比例存在,“和”全谷物食品应含有至少50%的全谷物成分,基于干重。基于干重,含有25-50%全谷物成分的食物,可以对全谷物的存在提出包装前索赔,但不能在产品名称中指定为“全谷物”。”该定义文件已得到该领域领先的国际科学协会的批准。我们敦促将这些共识的“全谷物倡议”定义作为国家监管机构和全球健康促进组织在营养教育和食品标签中使用的定义的基础。
    Proposed global definitions of whole grain as an ingredient and whole grain food are presented by the authors on behalf of the Whole Grain Initiative. Whole grains are an important pillar of healthy and sustainable diets. Internationally accepted credible definitions of whole grains as food ingredients and whole-grain foods are necessary to ensure that all global stakeholders have shared standards, and that consumers find them clear, credible, and useful. Based on widely accepted, existing definitions and new developments, the Definitions Working Group of the global Whole Grain Initiative, with experts from academia, government agencies and industry, developed definitions for global application. The key statements of the definition documents are as follows: \"Whole grains shall consist of the intact, ground, cracked, flaked or otherwise processed kernel after the removal of inedible parts such as the hull and husk; all anatomical components, including the endosperm, germ, and bran must be present in the same relative proportions as in the intact kernel\" and \"A whole-grain food shall contain at least 50% whole-grain ingredients based on dry weight. Foods containing 25-50% whole-grain ingredients based on dry weight, may make a front-of-pack claim on the presence of whole grain but cannot be designated \'whole grain\' in the product name\". The definition documents have been ratified by the leading international scientific associations in this area. We urge that these consensus Whole Grain Initiative definitions be adopted as the basis for definitions used by national regulatory authorities and for health promotion organisations worldwide to use in nutrition education and food labelling.
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  • 文章类型: Journal Article
    目标:医院的食物供应受到多重约束(膳食生产,组织,健康安全,环境方面)影响提供给患者的餐盘。多种饮食会增加复杂性并导致不食用膳食。为了避免营养不良,似乎有必要为医院的食物和饮食提出指导方针。
    方法:这些指南是使用德尔菲法制定的,根据HAS(法国卫生局)的建议,基于专家的正式共识,并由AFDN(法国营养师营养师协会)和SFNCM(法国临床营养与代谢学会)的一组从业者和营养师领导。
    结果:二十三条建议被认为是适当的,并得到了由50名国家专家组成的小组的验证。经过三轮磋商,修改和最终强有力的协议。这些建议旨在在成年人中定义:1-与医院中的食物和饮食相关的统一词汇;2-定量和定性食物命题;3-营养处方;4-饮食模式和患者适应;5-简化限制以减少不必要的饮食,并且没有科学证据;6-强调针对高危和营养不良患者的丰富和适应饮食的位置。
    结论:这些指南将使餐饮服务和医疗保健团队能够合理化医院食品和治疗性食品处方,以便专注于个人需求和美味食品。应该尽一切努力创造遵循这些建议的膳食,同时促进菜肴的味道质量及其呈现,使患者重新发现在医院吃饭的乐趣。
    OBJECTIVE: Hospital food provision is subject to multiple constraints (meal production, organization, health safety, environmental respect) which influence the meal tray offered to the patient. Multiple diets can add complexity and contribute to non-consumption of the meal. To avoid undernutrition, it appeared necessary to propose guidelines for foods and diets in hospitals.
    METHODS: These guidelines were developed using the Delphi method, as recommended by the HAS (French Health Authority), based on a formal consensus of experts and led by a group of practitioners and dieticians from the AFDN (French Association of Nutritionist Dieticians) and SFNCM (French Society of Clinical Nutrition and Metabolism).
    RESULTS: Twenty-three recommendations were deemed appropriate and validated by a panel of 50 national experts, following three rounds of consultations, modifications and final strong agreement. These recommendations aim to define in adults: 1-harmonized vocabulary related to food and diets in hospitals; 2-quantitative and qualitative food propositions; 3-nutritional prescriptions; 4-diet patterns and patient adaptations; 5-streamlining of restrictions to reduce unnecessary diets and without scientific evidence; 6-emphasizing the place of an enriched and adapted diet for at-risk and malnourished patients.
    CONCLUSIONS: These guidelines will enable catering services and health-care teams to rationalize hospital food and therapeutic food prescriptions in order to focus on individual needs and tasty foods. All efforts should be made to create meals that follow these recommendations while promoting the taste quality of the dishes and their presentation such that the patient rediscovers the pleasure of eating in the hospital.
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  • 文章类型: Journal Article
    BACKGROUND: There are numerous guidelines developed for bone health. Yet, it is unclear whether the differences in guideline development methods explain the variability in the recommendations for vitamin D and calcium intake. The objective of this systematic review was to collate and compare recommendations for vitamin D and calcium across bone health guidelines, assess the methods used to form the recommendations, and explore which methodological factors were associated with these guideline recommendations.
    METHODS: We searched MEDLINE, EMBASE, CINAHL, and other databases indexing guidelines to identify records in English between 2009 and 2019. Guidelines or policy statements on bone health or osteoporosis prevention for generally healthy adults aged ≥40 years were eligible for inclusion. Two reviewers independently extracted recommendations on daily vitamin D and calcium intake, supplement use, serum 25 hydroxyvitamin D [25(OH)D] level, and sunlight exposure; assessed guideline development methods against 25 recommended criteria in the World Health Organization (WHO) handbook for guideline development; and, identified types identified types of evidence underpinning the recommendations.
    RESULTS: we included 47 eligible guidelines from 733 records: 74% of the guidelines provided vitamin D (200~600-4000 IU/day) and 70% provided calcium (600-1200 mg/day) recommendations, 96% and 88% recommended vitamin D and calcium supplements, respectively, and 70% recommended a specific 25(OH)D concentration. On average, each guideline met 10 (95% CI: 9-12) of the total of 25 methodological criteria for guideline development recommended by the WHO Handbook. There was uncertainty in the association between the methodological criteria and the proportion of guidelines that provided recommendations on daily vitamin D or calcium. Various types of evidence, including previous bone guidelines, nutrient reference reports, systematic reviews, observational studies, and perspectives/editorials were used to underpin the recommendations.
    CONCLUSIONS: There is considerable variability in vitamin D and calcium recommendations and in guideline development methods in bone health guidelines. Effort is required to strengthen the methodological rigor of guideline development and utilize the best available evidence to underpin nutrition recommendations in evidence-based guidelines on bone health.
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  • 文章类型: Journal Article
    暂无摘要。
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  • 文章类型: Journal Article
    The objective of the current modeling analysis was three-fold: (1) to examine usual nutrient intakes in children when eggs are added into dietary patterns that typically do not contain eggs; (2) to examine usual nutrient intakes with the addition of eggs in the Child and Adult Care Food Program (CACFP) school breakfast; and (3) to examine nutrient adequacy when eggs are included in routine breakfast patterns and with the addition of eggs to the CACFP school breakfast program. Dietary recall data from the National Health and Nutrition Examination Survey 2011-2016 (children aged 1-18 years-old; n = 9254; CACFP n = 159) were used in the analysis. The usual intakes of pantothenic acid, riboflavin, selenium, and vitamin D increased ≥10 percent (relative to the baseline values) with the addition of one egg at breakfast. The usual intakes of protein and vitamin A at breakfast were also increased by more than 10 percent compared to the baseline values with the addition of two eggs. Similar outcomes were observed with the addition of eggs to the CACFP school breakfast. The percent of children above the adequate intake for total choline increased to 43.6 and 57.8% with one and two eggs, respectively, compared to 22.6% at the baseline. The addition of eggs at breakfast can contribute to nutrient intakes and overall dietary adequacy and play a role in public health initiatives aimed at increasing the intake of under-consumed nutrients and nutrients of concern.
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  • 文章类型: Journal Article
    UNASSIGNED: Introduction: moderate to vigorous physical activity, limiting sedentary behaviors, and getting adequate rest are lifestyle factors that help prevent overweight and obesity. However, there are few studies that relate all of these factors to weight status, body composition, and diet quality in school children. Objective: to assess the differences in anthropometric status and diet quality in a group of Spanish schoolchildren, according to their level of adherence to the 24-hour movement guidelines. Methods: a total of 367 schoolchildren aged 7-11 years were studied. Anthropometric, dietary, and movement patterns were collected. Subsequently, they were divided into three groups based on their adherence to the extant guidelines: low adherence (BA), medium adherence (AM) and high adherence (AA). Results: only 15 % of the schoolchildren met the guidelines. The percentage of overweight was higher in the BA group than in the AM and AA groups. The BA group also had a lower fibre intake; a lower contribution to the recommendations for vitamins B6, B12 and C, selenium and magnesium; and a higher intake of saturated fatty acids. The schoolchildren who did not meet screen time recommendations had a higher odds ratio for overweight/obesity (OR = 1.92 (1.10-3.36); p = 0.022). Conclusion: schoolchildren who adhere to 2 or more movement guideline recommendations had less overweight and a diet of better nutritional quality. Non-compliance with the screen time recommendation leads to a higher risk of overweight or obesity.
    UNASSIGNED: Introducción: la actividad física moderada o vigorosa, la limitación de los comportamientos sedentarios y el descanso adecuado son factores del estilo de vida que ayudan a prevenir el sobrepeso y la obesidad. Sin embargo, existen pocos trabajos que relacionen el conjunto de estos factores con la situación ponderal, la composición corporal y la calidad de la dieta en escolares. Objetivo: conocer las diferencias en cuanto a situación antropométrica y calidad de la dieta de un grupo de escolares españoles en función del nivel de adherencia a las guías de movimiento de 24 horas. Métodos: se han estudiado 367 escolares de 7-11 años de edad. Se recogieron datos antropométricos, dietéticos y de comportamientos de movimiento. Posteriormente se dividieron en tres grupos sobre la base de su adherencia a las guías: baja adherencia (BA), adherencia media (AM) y alta adherencia (AA). Resultados: solo un 15 % de los escolares cumplía con las guías. El porcentaje de sobrepeso era mayor en el grupo BA que en el AM y el AA. El grupo BA también presentaba una menor ingesta de fibra; una menor contribución a las recomendaciones de vitaminas B6, B12 y C, selenio y magnesio; y una mayor ingesta de ácidos grasos saturados. Los escolares que incumplían la recomendación referente al tiempo de pantalla tenían mayor riesgo de desarrollar sobrepeso u obesidad (OR = 1,92 (1,10-3,36); p = 0,022). Conclusión: los escolares que se adhieren a 2 o más recomendaciones de las guías de movimiento presentan menos sobrepeso y una mejor calidad nutricional de la dieta. El incumplimiento de la recomendación de tiempo de pantalla supone un mayor riesgo de sobrepeso u obesidad.
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  • 文章类型: Historical Article
    根据几十年的研究,有强有力的证据支持正在进行的饮食建议,以减少SFAs的摄入量,最近,用不饱和脂肪代替SFAs,包括PUFA和MUFA。流行病学研究表明,用不饱和脂肪替代SFAs,但不是精制的碳水化合物和添加的糖,与冠心病事件和死亡的减少有关。有很多来自对照临床研究的证据表明,SFAs会增加LDL胆固醇,心血管疾病发展的主要原因。当每种(非蛋白质)膳食常量营养素等热地替代SFA时,PUFA降低LDL-胆固醇的作用最大,其次是MUFA,然后是总碳水化合物。高饱和脂肪全脂乳制品的新研究,特别是发酵乳制品,证明了心脏代谢疾病的一些好处。然而,与不饱和脂肪的食物来源相比,全脂乳制品会增加LDL胆固醇。因此,目前关于减少SFA并用不饱和脂肪替代SFA的饮食建议应继续作为健康食品膳食模式的基础.
    Based on decades of research, there is strong evidence that supports ongoing dietary recommendations to decrease intakes of SFAs and, more recently, to replace SFAs with unsaturated fat, including PUFAs and MUFAs. Epidemiologic research has shown that replacement of SFAs with unsaturated fat, but not refined carbohydrate and added sugars, is associated with a reduction in coronary heart disease events and death. There is much evidence from controlled clinical studies demonstrating that SFAs increase LDL cholesterol, a major causal factor in the development of cardiovascular disease. When each (nonprotein) dietary macronutrient isocalorically replaces SFA, the greatest LDL-cholesterol-lowering effect is seen with PUFA, followed by MUFA, and then total carbohydrate. New research on full-fat dairy products high in saturated fat, particularly fermented dairy foods, demonstrates some benefits for cardiometabolic diseases. However, compared with food sources of unsaturated fats, full-fat dairy products increase LDL cholesterol. Thus, current dietary recommendations to decrease SFA and replace it with unsaturated fat should continue to the basis for healthy food-based dietary patterns.
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