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可穿戴技术的发展及其在测量营养素摄入方面的潜力:迈向精准营养。

The development of wearable technologies and their potential for measuring nutrient intake: Towards precision nutrition.

机构信息

Department of Biomedical Engineering, Biosensor National Special Laboratory, Key Laboratory for Biomedical Engineering of Education Ministry, Zhejiang University, Hangzhou, China.

出版信息

Nutr Bull. 2022 Dec;47(4):388-406. doi: 10.1111/nbu.12581. Epub 2022 Sep 22.

Abstract

Appropriate food intake and nutritional status are crucial for the maintenance of health and disease prevention. Conventional dietary assessment is mainly based on comparisons of nutrient intakes with reference intakes, failing to meet the needs of personalised nutritional guidance based on individual nutritional status. Given their capability of providing insights into health information non-invasively in real time, wearable technologies offer great opportunities for nutrition monitoring. Nutrient metabolic profiles can be monitored immediately and continuously which could potentially offer the possibility for the tracking and guiding of nutrient intake. Here, we review and highlight the recent advances in wearable sensors from the perspective of sensing technologies for nutrient detection in biofluids. The integration of biosensors with wearable devices serves as an ideal platform for the analysis of biofluids including sweat, saliva and tears. The wearable sensing systems applied to the analysis of typical nutrients and important metabolites are demonstrated in terms of carbohydrates, proteins, lipids, vitamins, minerals and others. Taking advantage of their high flexibility and lightweight, wearable sensors have been widely developed for the in situ quantitative detection of metabolic biomarkers. The technical principles, detection methods and applications are summarised. The challenges and future perspectives for wearable nutrition monitoring devices are discussed including the need to better determine relationships among nutrient metabolic profile, nutrient intake and food intake. With the development of materials, sensing techniques and manufacturing processes, wearable technologies are paving the way towards personalised precision nutrition, although there is still a long way to go before they can be utilised for practical clinical applications. Joint research efforts between nutrition scientists, doctors, engineers and sensor researchers are essential to further accelerate the realisation of reliable and practical wearable nutrition monitoring platforms.

摘要

适当的食物摄入和营养状况对于维持健康和预防疾病至关重要。传统的饮食评估主要基于营养素摄入量与参考摄入量的比较,无法满足基于个体营养状况的个性化营养指导的需求。鉴于可穿戴技术能够实时无创地提供健康信息,因此它们为营养监测提供了巨大的机会。可以立即和连续监测营养素代谢谱,这有可能为跟踪和指导营养素摄入提供可能性。在这里,我们从生物流体中营养检测的传感技术角度回顾和强调了可穿戴传感器的最新进展。将生物传感器与可穿戴设备集成是分析生物流体(包括汗液、唾液和眼泪)的理想平台。可穿戴传感系统在分析典型营养素和重要代谢物方面的应用,展示了碳水化合物、蛋白质、脂类、维生素、矿物质等方面的应用。可穿戴传感器具有高灵活性和轻重量的优势,已广泛开发用于代谢生物标志物的原位定量检测。概述了它们的技术原理、检测方法和应用。讨论了可穿戴营养监测设备面临的挑战和未来展望,包括需要更好地确定营养素代谢谱、营养素摄入和食物摄入之间的关系。随着材料、传感技术和制造工艺的发展,可穿戴技术正在为个性化精准营养铺平道路,尽管在将其实际应用于临床实践之前还有很长的路要走。营养科学家、医生、工程师和传感器研究人员之间的联合研究对于进一步加速可靠和实用的可穿戴营养监测平台的实现至关重要。

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