Charles Perkins Centre and School of Life and Environmental Sciences, The University of Sydney, Sydney, New South Wales 2006, Australia; email:
Annu Rev Nutr. 2016 Jul 17;36:603-26. doi: 10.1146/annurev-nutr-071715-051118. Epub 2016 Jun 1.
In contrast to the spectacular advances in the first half of the twentieth century with micronutrient-related diseases, human nutrition science has failed to stem the more recent rise of obesity and associated cardiometabolic disease (OACD). This failure has triggered debate on the problems and limitations of the field and what change is needed to address these. We briefly review the two broad historical phases of human nutrition science and then provide an overview of the main problems that have been implicated in the poor progress of the field with solving OACD. We next introduce the field of nutritional ecology and show how its ecological-evolutionary foundations can enrich human nutrition science by providing the theory to help address its limitations. We end by introducing a modeling approach from nutritional ecology, termed nutritional geometry, and demonstrate how it can help to implement ecological and evolutionary theory in human nutrition to provide new direction and to better understand and manage OACD.
与 20 世纪上半叶在与微量营养素相关疾病方面取得的显著进展形成鲜明对比的是,人类营养科学未能阻止肥胖和相关心血管代谢疾病(OACD)的近期上升。这一失败引发了关于该领域的问题和局限性以及需要进行哪些改变以解决这些问题的辩论。我们简要回顾了人类营养科学的两个广泛历史阶段,然后概述了在解决 OACD 方面该领域进展缓慢所涉及的主要问题。接下来,我们介绍营养生态学领域,并展示其生态进化基础如何通过提供帮助解决其局限性的理论来丰富人类营养科学。最后,我们引入营养生态学中的一种建模方法,称为营养几何,并展示如何将其应用于人类营养中,以提供新的方向,更好地理解和管理 OACD。