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临床饮食处方评估。

Clinical assessment for diet prescription.

机构信息

MAGI EUREGIO, Bolzano, Italy.

MAGI'S LAB, Rovereto (TN), Italy.

出版信息

J Prev Med Hyg. 2022 Oct 17;63(2 Suppl 3):E102-E124. doi: 10.15167/2421-4248/jpmh2022.63.2S3.2753. eCollection 2022 Jun.

DOI:10.15167/2421-4248/jpmh2022.63.2S3.2753
PMID:36479490
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9710416/
Abstract

Accurate nutritional assessment based on dietary intake, physical activity, genetic makeup, and metabolites is required to prevent from developing and/or to treat people suffering from malnutrition as well as other nutrition related health issues. Nutritional screening ought to be considered as an essential part of clinical assessment for every patient on admission to healthcare setups, as well as on change in clinical conditions. Therefore, a detailed nutritional assessment must be performed every time nutritional imbalances are observed or suspected. In this review we have explored different techniques used for nutritional and physical activity assessment. Dietary Intake (DI) assessment is a multidimensional and complex process. Traditionally, dietary intake is assessed through self-report techniques, but due to limitations like biases, random errors, misestimations, and nutrient databases-linked errors, questions arise about the adequacy of self-reporting dietary intake procedures. Despite the limitations in assessing dietary intake (DI) and physical activity (PA), new methods and improved technologies such as biomarkers analysis, blood tests, genetic assessments, metabolomic analysis, DEXA (Dual-energy X-ray absorptiometry), MRI (Magnetic resonance imaging), and CT (computed tomography) scanning procedures have made much progress in the improvement of these measures. Genes also plays a crucial role in dietary intake and physical activity. Similarly, metabolites are also involved in different nutritional pathways. This is why integrating knowledge about the genetic and metabolic markers along with the latest technologies for dietary intake (DI) and physical activity (PA) assessment holds the key for accurately assessing one's nutritional status and prevent malnutrition and its related complications.

摘要

需要基于饮食摄入、身体活动、基因构成和代谢物进行准确的营养评估,以预防营养不良以及其他与营养相关的健康问题的发生和/或治疗患有这些问题的人群。营养筛查应被视为每个入院患者临床评估以及临床状况变化的重要组成部分。因此,每当观察到或怀疑存在营养失衡时,必须进行详细的营养评估。在这篇综述中,我们探讨了用于营养和身体活动评估的不同技术。饮食摄入 (DI) 评估是一个多维且复杂的过程。传统上,饮食摄入是通过自我报告技术来评估的,但由于存在偏见、随机误差、估计错误和与营养数据库相关的错误等限制,人们对自我报告饮食摄入程序的充分性提出了质疑。尽管在评估饮食摄入 (DI) 和身体活动 (PA) 方面存在局限性,但新方法和改进技术,如生物标志物分析、血液测试、基因评估、代谢组学分析、DEXA(双能 X 射线吸收法)、MRI(磁共振成像)和 CT(计算机断层扫描)扫描程序,在这些措施的改进方面取得了很大进展。基因在饮食摄入和身体活动中也起着至关重要的作用。同样,代谢物也参与不同的营养途径。这就是为什么将有关基因和代谢标志物的知识与饮食摄入 (DI) 和身体活动 (PA) 评估的最新技术相结合是准确评估营养状况、预防营养不良及其相关并发症的关键。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13f2/9710416/1266b934a450/jpmh-2022-02-e102-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13f2/9710416/1266b934a450/jpmh-2022-02-e102-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13f2/9710416/1266b934a450/jpmh-2022-02-e102-g001.jpg

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