Chen P Z, Wang H
Key Laboratory of Food Safety Research, Institute for Nutritional Sciences, Shanghai Institutes for Biological Sciences, Chinese Academy of Sciences, Shanghai 200031, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2016 Dec 6;50(12):1036-1042. doi: 10.3760/cma.j.issn.0253-9624.2016.12.004.
Precision medicine has been increasingly incorporated into clinical practice and is enabling a new era for disease prevention and treatment. As an important constituent of precision medicine, precision nutrition has also been drawing more attention during physical examinations. The main aim of precision nutrition is to provide safe and efficient intervention methods for disease treatment and management, through fully considering the genetics, lifestyle (dietary, exercise and lifestyle choices), metabolic status, gut microbiota and physiological status (nutrient level and disease status) of individuals. Three major components should be considered in precision nutrition, including individual criteria for sufficient nutritional status, biomarker monitoring or techniques for nutrient detection and the applicable therapeutic or intervention methods. It was suggested that, in clinical practice, many inherited and chronic metabolic diseases might be prevented or managed through precision nutritional intervention. For generally healthy populations, because lifestyles, dietary factors, genetic factors and environmental exposures vary among individuals, precision nutrition is warranted to improve their physical activity and reduce disease risks. In summary, research and practice is leading toward precision nutrition becoming an integral constituent of clinical nutrition and disease prevention in the era of precision medicine.
精准医学已越来越多地融入临床实践,并开启了疾病预防和治疗的新时代。作为精准医学的重要组成部分,精准营养在体检过程中也受到了更多关注。精准营养的主要目标是通过充分考虑个体的基因、生活方式(饮食、运动和生活方式选择)、代谢状况、肠道微生物群和生理状态(营养水平和疾病状态),为疾病治疗和管理提供安全有效的干预方法。精准营养应考虑三个主要组成部分,包括充足营养状况的个体标准、生物标志物监测或营养检测技术以及适用的治疗或干预方法。有人认为,在临床实践中,许多遗传性和慢性代谢性疾病可能通过精准营养干预得到预防或管理。对于一般健康人群,由于个体之间的生活方式、饮食因素、遗传因素和环境暴露各不相同,精准营养有助于提高他们的身体活动水平并降低疾病风险。总之,研究和实践正促使精准营养成为精准医学时代临床营养和疾病预防的一个不可或缺的组成部分。