美国优先营养素的识别:针对营养不良以解决全生命周期中与饮食相关的疾病
Identification of Priority Nutrients in the US: Targeting Malnutrition to Address Diet-Related Disease Across the Lifespan.
作者信息
Starck Carlene S, Cassettari Tim, Beckett Emma, Duve Emily, Fayet-Moore Flavia
机构信息
FOODiQ Global, Sydney, NSW 2000, Australia.
School of Health Sciences, The University of New South Wales, Sydney, NSW 2033, Australia.
出版信息
Nutrients. 2025 Jun 9;17(12):1957. doi: 10.3390/nu17121957.
Poor diet is a leading modifiable cause of chronic disease in the US. In addition to targeting nutrients of concern (saturated fat, added sugars, and sodium), nutrients with both inadequate intakes and associations with major health outcomes require identification. We aimed to identify priority nutrients to address both malnutrition and diet-related disease in the US population. An established method for identifying priority nutrients across multiple demographic groups was adapted for the US population. This method evaluates and scores nutrients consumed at insufficient or excessive levels, with proposed revised requirements, and shows associations with established health priorities, based on the degree of deviation from recommendations and the number of linked health priorities. Priority nutrients were defined as those scoring in the top 25%. For each priority nutrient, a comparison of intake levels against the Dietary Reference Intake (DRI) was conducted. There were 21 of 24 nutrients with consumption below recommended levels in at least one demographic group. Certain nutrients, such as dietary fiber, vitamin D, and choline, exhibited particularly high inadequacy rates, exceeding 90% throughout different life stages. The highest priority nutrients included vitamin D, vitamin E, calcium, magnesium, and dietary fiber, with vitamin D, omega-3 fatty acids, zinc, folate, and potassium showing priority for specific demographic groups. Comparing current intake levels with those known to benefit health priorities indicated that higher intakes of vitamin D, vitamin E, and calcium could be beneficial. Ten essential nutrients play a role in the prevention of diet-related disease, yet are consumed inadequately across the US population, suggesting that the prioritization of these nutrients can help to address the burden of chronic disease. Priority nutrients should be considered in diet and nutrition policies and guidelines.
不良饮食是美国慢性病的一个主要可改变病因。除了关注令人担忧的营养素(饱和脂肪、添加糖和钠)外,还需要识别摄入量不足且与主要健康结果相关的营养素。我们旨在确定美国人群中解决营养不良和饮食相关疾病的优先营养素。一种在多个人口群体中识别优先营养素的既定方法被应用于美国人群。该方法根据与建议值的偏离程度和相关健康优先事项的数量,对摄入水平不足或过量的营养素进行评估和评分,并显示其与既定健康优先事项的关联。优先营养素被定义为得分在前25%的营养素。对于每种优先营养素,将摄入量水平与膳食参考摄入量(DRI)进行了比较。在至少一个人口群体中,24种营养素中有21种的摄入量低于推荐水平。某些营养素,如膳食纤维、维生素D和胆碱,在不同生命阶段的摄入不足率特别高,超过了90%。优先级最高的营养素包括维生素D、维生素E、钙、镁和膳食纤维,维生素D、ω-3脂肪酸、锌、叶酸和钾针对特定人口群体显示出优先级。将当前摄入量水平与已知对健康优先事项有益的摄入量水平进行比较表明,增加维生素D、维生素E和钙的摄入量可能有益。十种必需营养素在预防饮食相关疾病中发挥作用,但在美国人群中的摄入量不足,这表明对这些营养素进行优先排序有助于应对慢性病负担。饮食和营养政策及指南中应考虑优先营养素。