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膳食补充剂——为谁服务?关于特定补充剂使用的健康影响的现有知识状况。

Dietary Supplements-For Whom? The Current State of Knowledge about the Health Effects of Selected Supplement Use.

机构信息

Department of Nutrition and Nutritional Value of Food, National Institute of Public Health NIH-National Research Institute, Chocimska St. 24, 00-791 Warsaw, Poland.

出版信息

Int J Environ Res Public Health. 2021 Aug 24;18(17):8897. doi: 10.3390/ijerph18178897.

Abstract

Dietary supplements are products containing nutrients sold in various medicinal forms, and their widespread use may stem from the conviction that a preparation that looks like a drug must have therapeutic properties. The aim of this scoping review is to present what is known about the effects of using selected dietary supplements in the context of chronic diseases, as well as the risks associated with their use. The literature shows that the taking of vitamin and mineral supplements by healthy people neither lowers their risk of cardiovascular diseases nor prevents the development of malignancies. Many scientific societies recognize that omega-3 fatty acids lower blood triglycerides, but whether taking them prevents heart disease is less clear-cut. Taking weight loss supplements is not an effective method of fighting obesity. Often, some supplements are increasingly sold illegally, which is then also associated with the higher risk that they may be adulterated with banned substances, thus making them even more dangerous and potentially life-threatening. Supplements are necessary in cases of nutrient deficiency; however, even though prescription is not required, their use should be recommended and monitored by a physician.

摘要

膳食补充剂是含有各种药用形式营养素的产品,其广泛使用可能源于这样一种信念,即看起来像药物的制剂必须具有治疗特性。本范围综述的目的是介绍关于在慢性疾病背景下使用选定膳食补充剂的效果以及与使用相关的风险的已知信息。文献表明,健康人服用维生素和矿物质补充剂既不能降低其患心血管疾病的风险,也不能预防恶性肿瘤的发展。许多科学协会认识到 ω-3 脂肪酸可降低血液中的甘油三酯,但服用它们是否能预防心脏病尚不清楚。服用减肥补充剂不是治疗肥胖的有效方法。通常,一些补充剂越来越多地被非法销售,这也随之带来更高的风险,即它们可能被掺假禁用物质,从而使它们更危险,甚至可能危及生命。在营养缺乏的情况下,补充剂是必要的;然而,即使不需要处方,也应该由医生推荐和监测其使用。

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