Harmon Brook E, Carter Mollie, Hurley Thomas G, Shivappa Nitin, Teas Jane, Hébert James R
a Division of Social and Behavioral Sciences, School of Public Health, University of Memphis , Memphis , Tennessee , USA.
Nutr Cancer. 2015;67(6):933-40. doi: 10.1080/01635581.2015.1055369. Epub 2015 Jul 25.
Despite nutrient adequacy concerns, macrobiotic diets are practiced by many individuals with cancer and other life-threatening illnesses. This study compared the nutrient composition and inflammatory potential of a macrobiotic diet plan with national dietary recommendations and intakes from a nationally representative sample. Nutrient comparisons were made using the 1) macrobiotic diet plan outlined in the Kushi Institute's Way to Health; 2) recommended dietary allowances (RDA); and 3) National Health and Nutrition Examination Survey (NHANES) 2009-2010 data. Comparisons included application of the recently developed dietary inflammatory index (DII). Analyses focused on total calories, macronutrients, 28 micronutrients, and DII scores. Compared to NHANES data, the macrobiotic diet plan had a lower percentage of energy from fat, higher total dietary fiber, and higher amounts of most micronutrients. Nutrients often met or exceeded RDA recommendations, except for vitamin D, vitamin B12, and calcium. Based on DII scores, the macrobiotic diet was more anti-inflammatory compared to NHANES data (average scores of -1.88 and 1.00, respectively). Findings from this analysis of a macrobiotic diet plan indicate the potential for disease prevention and suggest the need for studies of real-world consumption as well as designing, implementing, and testing interventions based on the macrobiotic approach.
尽管存在营养充足性方面的担忧，但许多癌症患者和其他患有危及生命疾病的人仍采用宏量营养素饮食法。本研究将一种宏量营养素饮食计划的营养成分和炎症潜力与国家饮食建议以及来自具有全国代表性样本的摄入量进行了比较。营养比较使用了以下三种数据：1）古志研究所《健康之道》中概述的宏量营养素饮食计划；2）推荐膳食摄入量（RDA）；3）2009 - 2010年国家健康和营养检查调查（NHANES）数据。比较内容包括应用最近开发的饮食炎症指数（DII）。分析重点关注总热量、宏量营养素、28种微量营养素和DII分数。与NHANES数据相比，宏量营养素饮食计划的脂肪能量占比更低，膳食纤维总量更高，大多数微量营养素含量也更高。除了维生素D、维生素B12和钙之外，其他营养素通常达到或超过了RDA建议值。根据DII分数，与NHANES数据相比，宏量营养素饮食更具抗炎性（平均分数分别为 -1.88和1.00）。对宏量营养素饮食计划的这一分析结果表明其具有疾病预防潜力，并提示需要对实际食用情况进行研究，以及基于宏量营养素方法设计、实施和测试干预措施。
