van Ommen Ben, van den Broek Tim, de Hoogh Iris, van Erk Marjan, van Someren Eugene, Rouhani-Rankouhi Tanja, Anthony Joshua C, Hogenelst Koen, Pasman Wilrike, Boorsma André, Wopereis Suzan
TNO (The Netherlands Organization for Applied Scientific Research), Zeist, the Netherlands.
Habit LLC, Oakland, California, USA.
Nutr Rev. 2017 Aug 1;75(8):579-599. doi: 10.1093/nutrit/nux029.
Personalized nutrition is fast becoming a reality due to a number of technological, scientific, and societal developments that complement and extend current public health nutrition recommendations. Personalized nutrition tailors dietary recommendations to specific biological requirements on the basis of a person's health status and goals. The biology underpinning these recommendations is complex, and thus any recommendations must account for multiple biological processes and subprocesses occurring in various tissues and must be formed with an appreciation for how these processes interact with dietary nutrients and environmental factors. Therefore, a systems biology-based approach that considers the most relevant interacting biological mechanisms is necessary to formulate the best recommendations to help people meet their wellness goals. Here, the concept of "systems flexibility" is introduced to personalized nutrition biology. Systems flexibility allows the real-time evaluation of metabolism and other processes that maintain homeostasis following an environmental challenge, thereby enabling the formulation of personalized recommendations. Examples in the area of macro- and micronutrients are reviewed. Genetic variations and performance goals are integrated into this systems approach to provide a strategy for a balanced evaluation and an introduction to personalized nutrition. Finally, modeling approaches that combine personalized diagnosis and nutritional intervention into practice are reviewed.
由于一些技术、科学和社会发展对当前公共卫生营养建议起到补充和扩展作用,个性化营养正迅速成为现实。个性化营养根据个人的健康状况和目标,将饮食建议量身定制为特定的生物学需求。支撑这些建议的生物学原理很复杂,因此任何建议都必须考虑到在各种组织中发生的多个生物过程和子过程,并且必须在了解这些过程如何与膳食营养素和环境因素相互作用的基础上形成。因此,有必要采用一种基于系统生物学的方法,考虑最相关的相互作用生物机制,以制定最佳建议,帮助人们实现健康目标。在此,将“系统灵活性”的概念引入个性化营养生物学。系统灵活性允许在环境挑战后对维持体内平衡的代谢和其他过程进行实时评估,从而能够制定个性化建议。对常量营养素和微量营养素领域的例子进行了综述。将基因变异和性能目标整合到这种系统方法中,以提供一种平衡评估的策略,并介绍个性化营养。最后,对将个性化诊断和营养干预结合到实践中的建模方法进行了综述。