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为营养科学设计新的对话:生命周期视角、U 型思维、整体有机思维和语言精度如何有助于我们理解生物学异质性,并为精准医学开辟新的进展。

Devising a new dialogue for nutrition science: how life course perspective, U-shaped thinking, whole organism thinking, and language precision contribute to our understanding of biological heterogeneity and forge a fresh advance toward precision medicine.

机构信息

Center for Exceptional Longevity Studies, Gerald P. Murphy Cancer Foundation, West Lafayette, IN.

出版信息

J Anim Sci. 2020 Mar 1;98(3). doi: 10.1093/jas/skaa051.

Abstract

The process of designing and implementing individualized health-promoting interventions, nutritional or otherwise, is fraught with great difficulty owing to the heterogeneity inherent in factors that influence healthy longevity. This article proposes that careful attention to three principles-life course perspective, U-shaped thinking, and whole organism thinking-creates an attitudinal framework that can be used to reframe biological heterogeneity into the clinically relevant question: Who will benefit? The search for tools to cope with the complexity of this heterogeneity has been dominated by technological advances, including state-of-the-art "-omics" approaches and machine-based handling of "big data." Here, it is proposed that language precision and nuanced category usage could provide critical tools for coping with heterogeneity, thereby enabling interventionalists to design and implement strategies to promote healthy longevity with greater precision. The lack of a clear understanding of "Who will benefit?" stands as a major obstacle to the design and implementation of nutritional strategies to optimize healthy longevity. This article opens a new dialogue situating the principles of life course perspective, U-shaped thinking, and whole organism thinking, along with cultivating an attitude of language precision at the very core of accelerating creative discovery and refining practical advance in the field of nutrition science.

摘要

由于影响健康长寿的因素存在固有异质性,因此设计和实施个性化健康促进干预措施(包括营养干预措施)的过程充满了极大的困难。本文提出,仔细关注三个原则——生命历程视角、U 型思维和整体思维——可以创建一个态度框架,用于将生物学异质性重新构建为临床相关问题:谁将受益?寻找工具来应对这种异质性的复杂性一直由技术进步主导,包括最先进的“组学”方法和基于机器的“大数据”处理。在这里,有人提出语言精度和细微类别用法可以为应对异质性提供关键工具,从而使干预者能够更精确地设计和实施促进健康长寿的策略。对“谁将受益?”缺乏明确的认识是设计和实施优化健康长寿的营养策略的主要障碍。本文开辟了一个新的对话,将生命历程视角、U 型思维和整体思维的原则,以及培养语言精度的态度置于核心位置,从而加速营养科学领域的创造性发现和实践进展。

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