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主要营养缺乏症。

Main nutritional deficiencies.

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):E93-E101. doi: 10.15167/2421-4248/jpmh2022.63.2S3.2752. eCollection 2022 Jun.

Abstract

Nutrition is the source of energy that is required to carry out all the processes of human body. A balanced diet is a combination of both macro- and micronutrients. "Nutritional inadequacy" involves an intake of nutrients that is lower than the estimated average requirement, whereas "nutritional deficiency" consists of severely reduced levels of one or more nutrients, making the body unable to normally perform its functions and thus leading to an increased risk of several diseases like cancer, diabetes, and heart disease. Malnutrition could be caused by environmental factors, like food scarcity, as well as disease conditions, like anorexia nervosa, fasting, swallowing inability, persistent vomiting, impaired digestion, intestinal malabsorption, or other chronic diseases. Nutritional biomarkers - like serum or plasma levels of nutrients such as folate, vitamin C, B vitamins, vitamin D, selenium, copper, zinc - could be used for the evaluation of nutrient intake and dietary exposure. Macronutrients deficiencies could cause kwashiorkor, marasmus, ketosis, growth retardation, wound healing, and increased infection susceptibility, whereas micronutrient - like iron, folate, zinc, iodine, and vitamin A - deficiencies lead to intellectual impairment, poor growth, perinatal complications, degenerative diseases associated with aging and higher morbidity and mortality. Preventing macro- and micronutrient deficiency is crucial and this could be achieved through supplementation and food-based approaches.

摘要

营养是人体进行所有过程所需的能量来源。均衡饮食是宏量营养素和微量营养素的结合。“营养不足”是指摄入的营养素低于估计的平均需求量,而“营养缺乏”则是指一种或多种营养素的严重减少,使身体无法正常发挥功能,从而增加癌症、糖尿病和心脏病等多种疾病的风险。营养不良可能由环境因素引起,如食物短缺,也可能由疾病引起,如神经性厌食症、禁食、吞咽困难、持续呕吐、消化不良、肠吸收不良或其他慢性疾病。营养生物标志物——如血清或血浆中营养素的水平,如叶酸、维生素 C、B 族维生素、维生素 D、硒、铜、锌——可用于评估营养素摄入和饮食暴露情况。宏量营养素缺乏可导致恶性营养不良、消瘦、酮症、生长迟缓、伤口愈合不良和感染易感性增加,而微量营养素(如铁、叶酸、锌、碘和维生素 A)缺乏可导致智力障碍、生长不良、围产期并发症、与衰老相关的退行性疾病以及更高的发病率和死亡率。预防宏量营养素和微量营养素缺乏至关重要,这可以通过补充剂和基于食物的方法来实现。

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