Jolly Christopher A
Division of Nutritional Sciences, The University of Texas, Austin, Texas 78712, USA.
Curr Opin Clin Nutr Metab Care. 2005 Jul;8(4):382-7. doi: 10.1097/01.mco.0000172577.56396.7a.
Dietary supplementation and other dietary regimens have become increasingly popular in the US population. Information regarding how different dietary constituents interact when consumed simultaneously is needed. This review examines the recent literature on how different dietary constituents may interact physiologically when consumed in combination. Furthermore, the potential human relevance of calorie restriction and nonclassical function of vitamin E is discussed.
Long-term calorie restriction in monkeys has shown similar beneficial effects as has been shown in rodents. Limited calorie restriction studies in humans have shown promise in reducing the incidence of heart disease and breast cancer. The combination of calorie restriction and omega-3 fatty acids may be a more potent antiinflammatory diet than either regimen alone. The type of fiber that is most protective against colon cancer may be dependent on the type of dietary fat consumed simultaneously. Vitamin E derivatives that possess no antioxidant activity may be potent inhibitors of cancer, but not normal, cell growth.
Dietary modification has shown its greatest beneficial effect when started prior to or immediately after the onset of disease. Also, understanding how the subtypes or isoforms of nutrients function is important since their physiological effects may be drastically different. It is important to understand the entire dietary profile of an individual when making dietary recommendations because one nutrient, or dietary ingredient, may enhance or cancel out the beneficial effects of another dietary ingredient.
膳食补充剂和其他饮食方案在美国人群中越来越受欢迎。我们需要了解不同膳食成分同时摄入时如何相互作用。本综述探讨了近期有关不同膳食成分组合摄入时可能发生生理相互作用的文献。此外,还讨论了热量限制的潜在人体相关性以及维生素E的非经典功能。
对猴子进行长期热量限制已显示出与对啮齿动物研究相似的有益效果。在人类中进行的有限热量限制研究已显示出有望降低心脏病和乳腺癌的发病率。热量限制与ω-3脂肪酸相结合可能比单独采用任何一种方案更能有效抗炎。对结肠癌最具保护作用的纤维类型可能取决于同时摄入的膳食脂肪类型。不具有抗氧化活性的维生素E衍生物可能是癌症而非正常细胞生长的有效抑制剂。
在疾病发作之前或之后立即开始饮食调整已显示出最大的有益效果。此外,了解营养素的亚型或异构体如何发挥作用很重要,因为它们的生理效应可能大不相同。在提出饮食建议时,了解个体的整体饮食情况很重要,因为一种营养素或膳食成分可能会增强或抵消另一种膳食成分的有益效果。