Department of Epidemiology, School of Public Health and Tropical Medicine, Tulane University, New Orleans, Louisiana, USA.
Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Obesity (Silver Spring). 2022 Jul;30(7):1335-1344. doi: 10.1002/oby.23448.
Precision nutrition has emerged as a boiling area of nutrition research, with a particular focus on revealing the individual variability in response to diets that is determined mainly by the complex interactions of dietary factors with the multi-tiered "omics" makeups. Reproducible findings from the observational studies and diet intervention trials have lent preliminary but consistent evidence to support the fundamental role of gene-diet interactions in determining the individual variability in health outcomes including obesity and weight loss. Recent investigations suggest that the abundance and diversity of the gut microbiome may also modify the dietary effects; however, considerable instability in the results from the microbiome research has been noted. In addition, growing studies suggest that a complicated multiomics algorithm would be developed by incorporating the genome, epigenome, metabolome, proteome, and microbiome in predicting the individual variability in response to diets. Moreover, precision nutrition would also scrutinize the role of biological (circadian) rhythm in determining the individual variability of dietary effects. The evidence gathered from precision nutrition research will be the basis for constructing precision health dietary recommendations, which hold great promise to help individuals and their health care providers create precise and effective diet plans for precision health in the future.
精准营养已成为营养研究的热门领域,其特别关注揭示饮食反应中的个体差异,这些差异主要由饮食因素与多层次“组学”构成之间的复杂相互作用决定。来自观察性研究和饮食干预试验的可重复发现提供了初步但一致的证据,支持基因-饮食相互作用在决定包括肥胖和减肥在内的健康结果的个体差异方面的基本作用。最近的研究表明,肠道微生物组的丰度和多样性也可能改变饮食的影响;然而,已经注意到微生物组研究结果存在相当大的不稳定性。此外,越来越多的研究表明,通过将基因组、表观基因组、代谢组、蛋白质组和微生物组纳入预测饮食反应的个体变异性,可以开发出复杂的多组学算法。此外,精准营养还将仔细研究生物(昼夜节律)节奏在决定饮食影响的个体变异性方面的作用。从精准营养研究中收集的证据将是构建精准健康饮食建议的基础,这为帮助个人及其医疗保健提供者在未来为精准健康制定精确有效的饮食计划提供了巨大的希望。