Personalized nutrition

个性化营养
  • 文章类型: Randomized Controlled Trial
    这项研究的目的是评估一种基于微信小程序的个性化饮食干预的可行性和有效性,旨在促进更健康的饮食摄入。双臂平行,随机化,对照试验是在真实世界的情况下进行的,共有153名参与者(干预组,n=76;对照组,n=77),在上海持续了4个月,中国。干预组可以在工作日午餐时间通过小程序获得可视化的营养评估,对照组不接受干预措施。通过小程序共捕获3413份午餐饮食摄入记录。线性混合模型用于评估干预效果随时间的变化。在基线,参与者午餐时间饮食摄入的特点是植物性食物摄入不足(86.9%的参与者)和动物性食物摄入过多(79.7%的参与者).干预开始后,干预组动物/植物食物比例显着下降(β=-0.03/周,p=0.024)和畜禽肉类消费量(β=-1.80克/周,p=0.035),以及蔬菜和水果消费量的临界显着增加(β=3.22克/周,p=0.055)和植物性食品(β=3.26克/周,与对照组相比,p=0.057)在午餐时的时间。基于小程序的个性化饮食干预在提高膳食摄入量方面是可行和有效的,因此,可能可以在现实世界中管理体重问题。
    The objective of this study was to assess the feasibility and effectiveness of a novel WeChat applet-based personalized dietary intervention aimed at promoting healthier dietary intakes. A two-arm parallel, randomized, controlled trial was conducted in a real-world scenario and involved a total of 153 participants (the intervention group, n = 76; the control group, n = 77), lasting for 4 months in Shanghai, China. The intervention group had access to visualized nutrition evaluations through the applet during workday lunch time, while the control group received no interventions. A total of 3413 lunch dietary intake records were captured through the applet. Linear mixed models were utilized to assess the intervention effects over time. At baseline, the participants\' lunchtime dietary intakes were characterized by insufficient consumption of plant foods (86.9% of the participants) and excessive intake of animal foods (79.7% of the participants). Following the commencement of the intervention, the intervention group showed a significant decrease in the animal/plant food ratio (β = -0.03/week, p = 0.024) and the consumption of livestock and poultry meat (β = -1.80 g/week, p = 0.035), as well as a borderline significant increase in the consumption of vegetables and fruits (β = 3.22 g/week, p = 0.055) and plant foods (β = 3.26 g/week, p = 0.057) over time at lunch compared to the control group. The applet-based personalized dietary intervention was feasible and effective in improving dietary intakes and, consequently, possibly may manage body weight issues in real-world scenarios.
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  • 文章类型: Clinical Trial Protocol
    背景:中国的营养服务需求巨大。先前的研究表明,个性化营养(PN)干预是有效的。本研究的目的是确定人工智能(AI)支持的新型PN方法的有效性和可行性。
    方法:这项研究是双臂平行的,随机化,真实世界场景中的对照试验。参与者将在员工食堂享用午餐。在第一阶段,总共170名符合条件的参与者将按1:1的比例被分配到干预组或对照组.干预组将被指示使用智能手机小程序记录他们的午餐,并在用餐3个月后达到基于实时AI的菜肴营养评估和PN评估信息。对照组将不会收到营养信息,但会被要求通过小程序记录他们的午餐。膳食模式,干预后,预计体重或血压会优化。在第二阶段,该小程序将免费提供给学习食堂的所有食客(约800人),为期一年。每周至少使用2天的小程序将被视为干预组,而其他人将被视为对照组。预计在此期间后身体代谢正常化。广义线性混合模型将用于识别饮食,人体测量和代谢变化。
    结论:这种新颖的方法将提供基于AI的实时菜肴营养评估和餐后PN评估,以帮助具有营养信息的用户做出明智的食物选择。这项研究是在现实生活中设计的,有助于将试验干预转化为现实世界的实践。
    背景:该试验已在中国临床试验注册中心注册(ChiCTR2100051771;注册日期:2021年3月10日)。
    Nutrition service needs are huge in China. Previous studies indicated that personalized nutrition (PN) interventions were effective. The aim of the present study is to identify the effectiveness and feasibility of a novel PN approach supported by artificial intelligence (AI).
    This study is a two-arm parallel, randomized, controlled trial in real world scenario. The participants will be enrolled among who consume lunch at a staff canteen. In Phase I, a total of 170 eligible participants will be assigned to either intervention or control group on 1:1 ratio. The intervention group will be instructed to use the smartphone applet to record their lunches and reach the real-time AI-based information of dish nutrition evaluation and PN evaluation after meal consumption for 3 months. The control group will receive no nutrition information but be asked to record their lunches though the applet. Dietary pattern, body weight or blood pressure optimizing is expected after the intervention. In phase II, the applet will be free to all the diners (about 800) at the study canteen for another one year. Who use the applet at least 2 days per week will be regarded as the intervention group while the others will be the control group. Body metabolism normalization is expected after this period. Generalized linear mixed models will be used to identify the dietary, anthropometric and metabolic changes.
    This novel approach will provide real-time AI-based dish nutrition evaluation and PN evaluation after meal consumption in order to assist users with nutrition information to make wise food choice. This study is designed under a real-life scenario which facilitates translating the trial intervention into real-world practice.
    This trial has been registered with the Chinese Clinical Trial Registry (ChiCTR2100051771; date registered: 03/10/2021).
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  • 文章类型: Journal Article
    淀粉基材料具有粘弹性,粘性成膜,面团假塑性,和流变特性,具有结构特征(晶体结构,双螺旋结构,和分层结构)适用于三维(3D)食品印刷油墨。3D食品打印技术在定制个性化和精准营养方面具有显著优势,扩大配料的范围,设计独特的食物外观,简化食品供应链。精准营养旨在考虑个体营养需求和个体差异,其中包括特殊的食品产品设计和个性化的精确营养,从而扩大未来的粮食资源,然后简化食品供应链,引起食品工业的广泛关注。不同类型的淀粉基材料具有不同的结构和流变性能,满足不同的3D食品打印技术要求。适用于3D食品打印技术的淀粉基材料可以准确地输送和释放活性物质或药物。这些活性物质或药物对肠道微生物组和糖尿病有一定的调节作用,从而保持个性化和准确的营养。
    Starch-based materials have viscoelasticity, viscous film-forming, dough pseudoplasticity, and rheological properties, which possess the structural characteristics (crystal structure, double helix structure, and layered structure) suitable for three-dimensional (3D) food printing inks. 3D food printing technology has significant advantages in customizing personalized and precise nutrition, expanding the range of ingredients, designing unique food appearances, and simplifying the food supply chain. Precision nutrition aims to consider individual nutritional needs and individual differences, which include special food product design and personalized precise nutrition, thus expanding future food resources, then simplifying the food supply chain, and attracting extensive attention in food industry. Different types of starch-based materials with different structures and rheological properties meet different 3D food printing technology requirements. Starch-based materials suitable for 3D food printing technology can accurately deliver and release active substances or drugs. These active substances or drugs have certain regulatory effects on the gut microbiome and diabetes, so as to maintain personalized and accurate nutrition.
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  • 文章类型: Journal Article
    饮食是通过不同食物成分塑造肠道中常驻微生物结构和功能的关键决定因素,营养比例,和卡路里。饮食对宿主代谢和生理的影响可以通过肠道菌群介导。肠道菌群衍生的代谢物已被证明可以调节葡萄糖和脂质代谢,能源消耗,和免疫系统。另一方面,新的证据表明,基线肠道菌群可以预测饮食干预的疗效,突出肠道微生物群可以作为个性化营养的生物标志物。在这次审查中,不同膳食成分和膳食模式中肠道菌群的变化,并总结了饮食-微生物群串扰的潜在机制,以了解饮食和肠道微生物群对代谢稳态影响的相互作用。
    Diet is a pivotal determinant in shaping the structure and function of resident microorganisms in the gut through different food components, nutritive proportion, and calories. The effects of diet on host metabolism and physiology can be mediated through the gut microbiota. Gut microbiota-derived metabolites have been shown to regulate glucose and lipid metabolism, energy consumption, and the immune system. On the other hand, emerging evidence indicates that baseline gut microbiota could predict the efficacy of diet intervention, highlighting gut microbiota can be harnessed as a biomarker in personalized nutrition. In this review, the alterations of gut microbiota in different dietary components and dietary patterns, and the potential mechanisms in the diet-microbiota crosstalk are summarized to understand the interactions of diet and gut microbiota on the impact of metabolic homeostasis.
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  • 文章类型: Editorial
    暂无摘要。
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  • 文章类型: Journal Article
    人类对相同饮食的反应可能在很大程度上有所不同,取决于复杂的饮食-宿主-微生物群相互作用。最近的科学进步表明,这种饮食-宿主-微生物群的相互作用可以量化,以制定改善个体健康的策略(个性化营养)。与宿主相关因素(难以操纵)相比,肠道微生物组更容易被饮食暴露所调节,并且通过合成各种生物活性化合物并参与大量和微量营养素的消化和吸收过程,在影响人类健康方面具有重要作用。因此,由饮食诱导的肠道微生物群改变可能被用于有针对性地改善人类健康。然而,有关人类微生物组的“大数据”处理和分析的局限性仍然限制了饮食-宿主-微生物群相互作用转化为改善个性化人类健康的工具的能力。在当前的审查中,总结了在理解特定饮食-宿主-微生物群相互作用方面的最新进展,旨在帮助制定个性化营养策略。
    Human responses to the same diets may vary to a large extent, depending on the complex diet-host-microbiota interactions. Recent scientific advance has indicated that this diet-host-microbiota interaction could be quantified to develop strategies for improving individual health (personalized nutrition). Compared to the host related factors (which are difficult to manipulate), the gut microbiome is more readily modulated by dietary exposures and has important roles in affecting human health via the synthesis of various bioactive compounds and participating in the digestion and absorption process of macro- and micronutrients. Therefore, gut microbiota alterations induced by diets could possibly be utilized to improve human health in a targeted manner. However, limitations in the processing and analysis of \'big-data\' concerning human microbiome still restrict the translational capacity of diet-host-microbiota interactions into tools to improve personalized human health. In the current review, recent advances in terms of understanding the specific diet-host-microbiota interactions were summarized, aiming to help the development of strategies for personalized nutrition.
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  • 文章类型: Journal Article
    UNASSIGNED:对个性化营养(PN)干预的个体差异受多种因素影响,包括遗传背景和肠道微生物群。脂肪量与肥胖相关(FTO)基因是与高脂血症和心血管疾病发生有关的重要因素。然而,很少有研究探讨不同FTO基因型受试者对干预反应的差异,以及肠道微生物群和个体反应之间的关联。
    UNASSIGNED:为了探索与FTO基因多态性相关的不同的脂质代谢结局,干预引起的肠道微生物群分类学特征的改变,以及肠道菌群与脂质代谢结果之间的关联。
    UNASSIGNED:本研究共招募了400名超重或肥胖的成年人,随机分为PN组和对照组,其中318人完成了为期12周的干预。对FTO中rs1121980的单核苷酸多态性(SNP)进行了基因分型。在基线和第12周测定肠道微生物群和血脂。使用Tax4Fun功能预测分析预测微生物群的功能特性。
    UNASSIGNED:具有FTO风险基因型的受试者在基线时的体重和腰围(WC)明显更高。广义线性回归模型表明,体重的减少,体重指数(BMI),WC,身体脂肪百分比,总胆固醇(TCHO),具有FTO风险基因型的受试者和PN组的低密度脂蛋白(LDL)更高。基因型和干预对体重的显著交互作用,BMI,WC,TCHO,对FTO的特定基因型进行分层后发现LDL。干预后,除对照组中具有非风险基因型的受试者外,所有受试者的肠道菌群α多样性均显着增加。肠道菌群,包括Blautia和Firmicutes,可能参与脂质代谢对干预的反应。不同基因型受试者的微生物群的预测功能与脂质代谢相关通路有关,包括脂肪酸的生物合成和降解。
    UNASSIGNED:具有FTO风险基因型的受试者对营养干预有更好的反应,与对照组相比,PN干预在人体测量参数和血脂方面表现出更好的改善。肠道菌群可能参与调节不同基因型受试者对干预的不同脂质代谢反应。
    UNASSIGNED:[Chictr.org.cn],标识符[ChiCTR1900026226]。
    UNASSIGNED: Interindividual differences in response to personalized nutrition (PN) intervention were affected by multiple factors, including genetic backgrounds and gut microbiota. The fat mass and obesity associated (FTO) gene is an important factor related to hyperlipidemia and occurrence of cardiovascular diseases. However, few studies have explored the differences in response to intervention among subjects with different genotypes of FTO, and the associations between gut microbiota and individual responses.
    UNASSIGNED: To explore the differential lipid metabolism outcomes associated with FTO gene polymorphisms in response to PN intervention, the altered taxonomic features of gut microbiota caused by the intervention, and the associations between gut microbiota and lipid metabolism outcomes.
    UNASSIGNED: A total of 400 overweight or obese adults were recruited in the study and randomly divided into the PN group and control group, of whom 318 completed the 12-week intervention. The single nucleotide polymorphism (SNP) of rs1121980 in FTO was genotyped. Gut microbiota and blood lipids were determined at baseline and week 12. Functional property of microbiota was predicted using Tax4Fun functional prediction analysis.
    UNASSIGNED: Subjects with the risk genotype of FTO had significantly higher weight and waist circumference (WC) at baseline. Generalized linear regression models showed that the reduction in weight, body mass index (BMI), WC, body fat percentage, total cholesterol (TCHO), and low-density lipoprotein (LDL) was greater in subjects with the risk genotype of FTO and in the PN group. Significant interaction effects between genotype and intervention on weight, BMI, WC, TCHO, and LDL were found after stratifying for specific genotype of FTO. All subjects showed significant increasement in α diversity of gut microbiota after intervention except for those with the non-risk genotype in the control group. Gut microbiota, including Blautia and Firmicutes, might be involved in lipid metabolism in response to interventions. The predicted functions of the microbiota in subjects with different genotypes were related to lipid metabolism-related pathways, including fatty acid biosynthesis and degradation.
    UNASSIGNED: Subjects with the risk genotype of FTO had better response to nutrition intervention, and PN intervention showed better amelioration in anthropometric parameters and blood lipids than the control. Gut microbiota might be involved in modulating differential lipid metabolism responses to intervention in subjects with different genotypes.
    UNASSIGNED: [Chictr.org.cn], identifier [ChiCTR1900026226].
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  • 文章类型: Journal Article
    营养失调已成为主要的公共卫生问题,需要增加针对性的方法。适应个人需求的个性化营养作为改善营养平衡和保持健康的有效方法已经引起了极大的关注。随着基因组学和营养遗传学领域的快速发展,遗传变异的积累已被证明会改变营养补充的效果,提示其在基于基因型的个性化营养中不可或缺的作用。此外,营养物质的代谢,如脂质,尤其是omega-3多不饱和脂肪酸,葡萄糖,维生素A,叶酸,维生素D,铁,相关遗传变异可有效改善钙。这篇综述集中在现有文献中,将关键遗传变异与营养素联系起来,以及这些变异影响某些营养补充剂结果的方式。尽管在这个方向上需要进一步的研究,这些证据为使用遗传信息指导适当的干预措施提供了有价值的见解,从而为常规通用方法向基于基因型的个性化营养的平稳过渡铺平了道路。
    Nutritional disorders have become a major public health issue, requiring increased targeted approaches. Personalized nutrition adapted to individual needs has garnered dramatic attention as an effective way to improve nutritional balance and maintain health. With the rapidly evolving fields of genomics and nutrigenetics, accumulation of genetic variants has been indicated to alter the effects of nutritional supplementation, suggesting its indispensable role in the genotype-based personalized nutrition. Additionally, the metabolism of nutrients, such as lipids, especially omega-3 polyunsaturated fatty acids, glucose, vitamin A, folic acid, vitamin D, iron, and calcium could be effectively improved with related genetic variants. This review focuses on existing literatures linking critical genetic variants to the nutrient and the ways in which these variants influence the outcomes of certain nutritional supplementations. Although further studies are required in this direction, such evidence provides valuable insights for the guidance of appropriate interventions using genetic information, thus paving the way for the smooth transition of conventional generic approach to genotype-based personalized nutrition.
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  • 文章类型: Review
    饮食限制(DR),包括热量限制(CR),间歇性禁食(IF),和特定食物成分的限制,可以延缓衰老,主要机制包括营养传感途径和肠道菌群的调节。然而,DR方案对寿命的影响仍存在争议,正如一些研究表明,如果,而不是CR或饮食组成,影响寿命,而其他研究表明,限制碳水化合物或蛋白质饮食,而不是CR,决定健康和长寿。许多因素,包括DR相关因素(碳水化合物或蛋白质组成,DR的程度和持续时间),和个体差异(健康状况,性别,基因型,和开始DR的年龄),将被用来解释DR的有争议的抗衰老作用,从而凸显了精准DR干预抗衰老的必要性。由于缺乏准确的衰老分子生物标志物和巨大的个体差异,人类的个性化DR干预具有挑战性。利用机器学习建立基于临床特征数据集的预测模型,肠道微生物组和代谢组,可能是实现精确DR干预的好方法。因此,这篇综述分析了各种DR方案的抗衰老作用,总结了其作用机理和影响因素,并提出了实现个性化DR方案延缓衰老的未来研究方向。
    Dietary restriction (DR), including caloric restriction (CR), intermittent fasting (IF), and restriction of specific food compositions, can delay aging, and the main mechanisms include regulation of nutrient-sensing pathways and gut microbiota. However, the effects of DR regimens on longevity remain controversial, as some studies have demonstrated that IF, rather than CR or diet composition, influences longevity, while other studies have shown that the restricted-carbohydrate or -protein diets, rather than CR, determine health and longevity. Many factors, including DR-related factors (carbohydrate or protein composition, degree and duration of DR), and individual differences (health status, sex, genotype, and age of starting DR), would be used to explain the controversial anti-aging effects of DR, thus highlighting the necessity of precise DR intervention for anti-aging. Personalized DR intervention in humans is challenging because of the lack of accurate aging molecular biomarkers and vast individual variability. Using machine learning to build a predictive model based on the data set of clinical features, gut microbiome and metabolome, may be a good method to achieve precise DR intervention. Therefore, this review analyzed the anti-aging effects of various DR regimens, summarized their mechanisms and influencing factors, and proposed a future research direction for achieving personalized DR regimens for slowing aging.
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  • 文章类型: Journal Article
    超重和肥胖会增加非传染性疾病(NCDs)的风险。个性化营养(PN)方法可以通过关注个人的独特特征来预防非传染性疾病,从而提供量身定制的营养建议/服务。
    我们旨在比较PN干预与传统的“一刀切”干预对超重/肥胖中国成年人健康状况的影响。
    在这项为期12周的随机对照试验中,400名BMI≥24kg/m2的成年人随机分为对照组(CG,n=200)和PN组(PNG,n=200)。CG根据《中国居民膳食指南》和《中国DRIs手册》接受常规健康指导,而PNG经历的PN干预是通过使用基于受试者人体测量的决策树而开发的,血液样本(表型),口腔细胞(基因型),和饮食和体力活动(PA)评估(基线和更新)。
    与常规干预相比,PN干预显著改善了人体测量的临床结果(例如,体重指数(BMI),身体脂肪百分比,腰围)和血液生物标志物(例如,血脂,尿酸,同型半胱氨酸)。临床结果的改善是通过饮食和PA的行为改变来实现的。PNG中的受试者具有较高的中国膳食指南指数值和PA水平。“减肥”的个性化建议,“增加纤维”和“服用多种维生素/矿物质补充剂”是降低BMI和改善血脂状况的主要原因。
    我们提供了第一个证据,证明PN干预比常规营养干预更有利于改善超重/肥胖中国成年人的健康状况。本研究为在中国人群中开发个性化建议提供了一个框架模型。Chictr.org.cn(ChiCTR1900026226)。
    UNASSIGNED: Overweight and obesity increase the risk of noncommunicable diseases (NCDs). Personalized nutrition (PN) approaches may provide tailored nutritional advice/service by focusing on individual\'s unique characteristics to prevent against NCDs.
    UNASSIGNED: We aimed to compare the effect of PN intervention with the traditional \"one size fits all\" intervention on health status in overweight/obese Chinese adults.
    UNASSIGNED: In this 12-week randomized controlled trial, 400 adults with BMI ≥24 kg/m2 were randomized to control group (CG, n = 200) and PN group (PNG, n = 200). The CG received conventional health guidance according to the Dietary Guidelines for Chinese Residents and Chinese DRIs Handbook, whereas the PNG experienced PN intervention that was developed by using decision trees based on the subjects\' anthropometric measurements, blood samples (phenotype), buccal cells (genotype), and dietary and physical activity (PA) assessments (baseline and updated).
    UNASSIGNED: Compared with the conventional intervention, PN intervention significantly improved clinical outcomes of anthropometric (e.g., body mass index (BMI), body fat percentage, waist circumference) and blood biomarkers (e.g., blood lipids, uric acid, homocysteine). The improvement in clinical outcomes was achieved through behavior change in diet and PA. The subjects in the PNG had higher China dietary guidelines index values and PA levels. Personalized recommendations of \"lose weight,\" \"increase fiber\" and \"take multivitamin/mineral supplements\" were the major contributors to the decrease of BMI and improvement of lipid profile.
    UNASSIGNED: We provided the first evidence that PN intervention was more beneficial than conventional nutrition intervention to improve health status in overweight/obese Chinese adults. This study provides a model of framework for developing personalized advice in Chinese population.Chictr.org.cn (ChiCTR1900026226).
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