Olusi S O, Jessop W J
Afr J Med Med Sci. 1977 Sep;6(3):149-56.
This review is a critical evaluation of the various methods of assessing the nutritional state of a community. Greater emphasis has been placed on the more recently developed and highly sensitive immunochemical and immunobiological methods because biochemical and immunological changes occur long before any anthropometric abnormality can be detected. Of the serum proteins the transferrin level would appear to be the most sensitive (and most practical) index of nutritional state. The immunochemical estimation of this protein is therefore recommended in the assessment of nutritional status. When adequate precautions are taken in the handling of specimens complement (C3) levels may also yield valuable information. Of the hormones triiodothyronine (T3) would appear to be the most sensitive as an index of nutritional state. For the rapid monitoring of nutritional programmes it is important that facilitates for these procedures be made as rapidly and widely available as possible.
本综述对评估社区营养状况的各种方法进行了批判性评价。由于生化和免疫变化早在任何人体测量异常被检测到之前就已发生，因此更强调最近开发的高度敏感的免疫化学和免疫生物学方法。在血清蛋白中，转铁蛋白水平似乎是营养状况最敏感（也是最实用）的指标。因此，在评估营养状况时，建议对该蛋白进行免疫化学测定。在处理标本时采取适当预防措施的情况下，补体（C3）水平也可能产生有价值的信息。在激素中，三碘甲状腺原氨酸（T3）似乎是营养状况最敏感的指标。对于营养计划的快速监测，重要的是要使这些检测程序尽可能迅速且广泛地可用。
