Nutraceuticals: the link between nutrition and medicine

H. Biesalski
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引用次数: 52

Abstract

Nutrition science during recent decades has been focused on the detection and understanding of deficiencies. With increasing knowledge of the existence and action of vitamins, specific recommendations were given with the aim of avoiding classical deficiency diseases such as xerophthalmia, beriberi, etc. A further step was the epidemiological evidence that diet contributes to the risk of certain diseases. The major finding was the correlation of a high fat intake with several kinds of cancer and cardiovascular disease. The consequences were special lowfat and low-cholesterol foods. However, the increasing knowledge about micronutrients including vitamins, minerals, and further compounds (carotenoids, flavonoids, anthocyans, etc.) on a molecular level together with results from epidemiological studies opens a new and exciting field of nutrition science, nutraceuticals (NC), as a link between nutrition and medicine. Nutraceutical is a term coined in 1979 by Stephen DeFelice (1). According to DeFelice, it is defined “as a food or parts of food, that provide medical or health benefits, including the prevention and treatment of disease.” Subsequently, several other terms (medical food, functional food, nutritional supplements) were used. Nutraceuticals may range from isolated nutrients, dietary supplements, and diets to genetically engineered “designer” foods, herbal products, and processed products, such as cereals, soups, and beverages. The increasing interest in nutraceuticals reflects the fact that consumers hear about epidemiological studies
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营养药品:营养和医学之间的联系
近几十年来,营养科学一直专注于发现和理解营养缺陷。随着对维生素的存在和作用的认识不断增加,提出了具体建议,目的是避免干眼症、脚气等典型缺乏性疾病。更进一步的是流行病学证据表明饮食会增加某些疾病的风险。主要的发现是高脂肪摄入与几种癌症和心血管疾病的相关性。其结果是特殊的低脂和低胆固醇食物。然而,对包括维生素、矿物质和其他化合物(类胡萝卜素、类黄酮、花青素等)在内的微量营养素在分子水平上的认识不断增加,加上流行病学研究的结果,开辟了一个新的、令人兴奋的营养科学领域——营养保健品(NC),作为营养和医学之间的纽带。营养保健品是Stephen DeFelice在1979年创造的一个术语。DeFelice将其定义为“提供医疗或健康益处的食物或食物的一部分,包括预防和治疗疾病。”随后,使用了其他几个术语(医疗食品、功能食品、营养补充剂)。营养保健品的范围从分离的营养素、膳食补充剂和饮食到基因工程“设计”食品、草药产品和加工产品,如谷物、汤和饮料。对营养保健品兴趣的增加反映了消费者听说流行病学研究的事实
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