Mallinckrodt Institute of Radiology and Department of Neurology, Washington University School of Medicine, Washington University, St. Louis, Missouri 63130, USA; email:
Brown School, Institute for Public Health, Washington University, St. Louis, Missouri 63130, USA.
Annu Rev Nutr. 2018 Aug 21;38:381-399. doi: 10.1146/annurev-nutr-082117-051652. Epub 2018 Jun 1.
Appraising success in meeting the world's nutritional needs has largely focused on infant mortality and anthropometric measurements with an emphasis on the first 1,000 days (conception to approximately age 2 years). This ignores the unique nutritional needs of the human brain. Although the intrauterine environment and the early postnatal years are important, equally critical periods follow during which the brain's intricate wiring is established for a lifetime of experience-driven remodeling. At the peak of this process during childhood, the human brain may account for 50% of the body's basal nutritional requirement. Thus, the consequences of proper nutritional management of the brain play out over a lifetime. Our motivation in preparing this review was to move the human brain into a more central position in the planning of nutritional programs. Here we review the macro- and micronutrient requirements of the human brain and how they are delivered, from conception to adulthood.
评估满足世界营养需求的成果在很大程度上集中在婴儿死亡率和人体测量上,重点是前 1000 天(受孕到大约 2 岁)。这忽略了人类大脑的独特营养需求。虽然子宫内环境和出生后早期很重要,但同样重要的是紧随其后的时期,在此期间,大脑的复杂布线为一生的经验驱动重塑奠定了基础。在儿童时期这个过程的高峰期,人类大脑可能占身体基础营养需求的 50%。因此,大脑的适当营养管理的后果会影响人的一生。我们编写这篇综述的动机是将人类大脑置于营养计划规划的更核心位置。在这里,我们回顾了从受孕到成年期人类大脑的宏量营养素和微量营养素需求及其输送方式。