Carreiro Alicia L, Dhillon Jaapna, Gordon Susannah, Higgins Kelly A, Jacobs Ashley G, McArthur Breanna M, Redan Benjamin W, Rivera Rebecca L, Schmidt Leigh R, Mattes Richard D
Department of Nutrition Science, Purdue University, West Lafayette, Indiana 47907; email:
Department of Food Science, Purdue University, West Lafayette, Indiana 47907.
Annu Rev Nutr. 2016 Jul 17;36:73-103. doi: 10.1146/annurev-nutr-121415-112624.
Each of the macronutrients-carbohydrate, protein, and fat-has a unique set of properties that influences health, but all are a source of energy. The optimal balance of their contribution to the diet has been a long-standing matter of debate. Over the past half century, thinking has progressed regarding the mechanisms by which each macronutrient may contribute to energy balance. At the beginning of this period, metabolic signals that initiated eating events (i.e., determined eating frequency) were emphasized. This was followed by an orientation to gut endocrine signals that purportedly modulate the size of eating events (i.e., determined portion size). Most recently, research attention has been directed to the brain, where the reward signals elicited by the macronutrients are viewed as potentially problematic (e.g., contribute to disordered eating). At this point, the predictive power of the macronutrients for energy intake remains limited.
每种宏量营养素——碳水化合物、蛋白质和脂肪——都有一套独特的特性,这些特性会影响健康,但它们都是能量的来源。它们在饮食中的最佳贡献平衡一直是长期争论的问题。在过去的半个世纪里,关于每种宏量营养素可能影响能量平衡的机制的认识有了进展。在这一时期开始时,人们强调启动进食事件(即决定进食频率)的代谢信号。随后,人们的关注点转向了肠道内分泌信号,据称这些信号会调节进食事件的规模(即决定食物分量大小)。最近,研究注意力转向了大脑,在大脑中,宏量营养素引发的奖励信号被视为可能存在问题(例如,导致饮食失调)。目前,宏量营养素对能量摄入的预测能力仍然有限。