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Vitamins in the maintenance of optimum immune functions and in the prevention of phagocyte-mediated tissue damage and carcinogenesis. 维生素在维持最佳免疫功能和预防吞噬细胞介导的组织损伤和致癌作用。
Pub Date : 1995-01-01 DOI: 10.1159/000424736
R Anderson, V L van Antwerpen
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引用次数: 2
Micronutrients, antioxidants and risk of cancer. 微量营养素,抗氧化剂和癌症风险。
Pub Date : 1995-01-01 DOI: 10.1159/000424738
C J Schorah

Currently there is little evidence that vitamins of any type are able to greatly modify the progression of established malignancy with the exception of promyelocytic leukaemia. In contrast, there is considerable laboratory evidence from chemical, cell culture and animal studies that antioxidant vitamins and related micronutrients are able to slow, or possibly prevent the carcinogenic process. There is a good theoretical basis for these findings. Current theories for the mechanism of tumourigenesis suggest that reactive species and prooxidants promote and encourage the process whilst antioxidants are inhibitory and protective. Retinoids and folate with limited or no antioxidant activity may protect DNA in other ways. In man there is support for this role from the extraordinarily high concentrations of ascorbate and possibly alpha-tocopherol at sites where oxidant stress is likely to be most intense, with loss of such antioxidant protection in some conditions which predispose to malignancy. There is also impressive epidemiological agreement, particularly from observational studies, where the lowest fruit and vegetable intake has been consistently associated with increased risk of cancer, especially of the lung and gastrointestinal tract, but much less evidence that such low intakes can encourage the development of cancers which are under hormonal control. Where individual micronutrients have been considered, beta-carotene appears to have the strongest protective effect followed by vitamin C and vitamin E. Whilst the experimental studies have suggested a role for retinoids, this has not been confirmed by the observational studies. Unfortunately, with the exception of oral leukoplakia, studies investigating reversal of premalignant conditions have been disappointing, and two intervention studies aimed at prevention in large populations have produced conflicting results. All this begs the question as to what dietary advice or intervention, if any, should be provided prior to the publication of the many randomized intervention studies that are presently investigating the role of micronutrients in cancer prevention. Gey [73] has produced recommendations for minimum blood concentrations and intakes of antioxidant micronutrients. (ABSTRACT TRUNCATED AT 250 WORDS)

目前,除了早幼粒细胞白血病外,几乎没有证据表明任何类型的维生素能够极大地改变已建立的恶性肿瘤的进展。相比之下,化学、细胞培养和动物研究的大量实验室证据表明,抗氧化维生素和相关微量营养素能够减缓或可能阻止致癌过程。这些发现有很好的理论基础。目前关于肿瘤发生机制的理论表明,活性物质和促氧化剂促进和鼓励这一过程,而抗氧化剂则具有抑制和保护作用。抗氧化活性有限或没有抗氧化活性的类维生素a和叶酸可能以其他方式保护DNA。在人体中,抗坏血酸和α -生育酚的浓度非常高,在氧化应激可能最强烈的部位,在某些易患恶性肿瘤的情况下,这种抗氧化保护的丧失,支持了这一作用。流行病学方面也有令人印象深刻的共识,特别是观察性研究,最低的水果和蔬菜摄入量一直与癌症风险增加有关,尤其是肺癌和胃肠道,但很少有证据表明,如此低的摄入量会促进癌症的发展,而癌症是在激素控制下的。考虑到单个微量营养素,β -胡萝卜素似乎具有最强的保护作用,其次是维生素C和维生素e,虽然实验研究表明类维生素a有作用,但这还没有得到观察性研究的证实。不幸的是,除了口腔白斑外,调查逆转恶性前病变的研究结果令人失望,两项旨在大规模人群预防的干预研究产生了相互矛盾的结果。所有这些都引出了一个问题,即在许多随机干预研究发表之前,应该提供什么样的饮食建议或干预措施,这些研究目前正在调查微量营养素在癌症预防中的作用。Gey[73]提出了抗氧化微量营养素的最低血药浓度和摄入量建议。(摘要删节250字)
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引用次数: 11
Do we need new concepts for establishing recommended dietary allowances? 我们是否需要新的概念来建立推荐膳食摄入量?
Pub Date : 1995-01-01 DOI: 10.1159/000424729
P Walter
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引用次数: 2
Nitrosamines and vitamins. 亚硝胺和维生素。
Pub Date : 1995-01-01 DOI: 10.1159/000424733
P I Reed
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引用次数: 0
Discussions in the United States about recommended daily dietary allowances in the future. 美国关于未来每日推荐膳食摄入量的讨论。
Pub Date : 1995-01-01 DOI: 10.1159/000424744
P A Lachance
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引用次数: 1
Discussions in working groups. 工作组讨论。
Pub Date : 1995-01-01 DOI: 10.1159/000424745
P Walter
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引用次数: 0
Folic acid and the prevention of neural tube defects: the need for public health action. 叶酸与神经管缺陷的预防:公共卫生行动的必要性。
Pub Date : 1995-01-01 DOI: 10.1159/000424735
N J Wald

Fortification of flour with folic acid is simple, economical and safe. Failure to take appropriate regulatory action will mean that tens of thousands of women in Europe will needlessly continue to have pregnancies with neural tube defects.

用叶酸强化面粉是一种简单、经济、安全的方法。如果不采取适当的监管措施,将意味着欧洲数以万计的妇女将不必要地继续患有神经管缺陷的妊娠。
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引用次数: 6
Vitamin intake in Great Britain: association with mortality rates for coronary heart disease. 英国的维生素摄入量:与冠心病死亡率的关系。
Pub Date : 1995-01-01 DOI: 10.1159/000424741
M Ashwell, D Buss
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引用次数: 1
Macronutrient intake in rural Zaïre: measurement by an alternative direct weighing method and food analysis. 农村宏量营养素摄入量Zaïre:替代直接称重法测量和食品分析。
Pub Date : 1994-01-01 DOI: 10.1159/000423776
J Mauron, D Barclay, A Blondel, C Cavadini, H Dirren
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引用次数: 1
Nutrition policy in Europe: design or improvisation? 欧洲的营养政策:设计还是即兴?
Pub Date : 1994-01-01 DOI: 10.1159/000423772
J R Lupien
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引用次数: 0
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Bibliotheca nutritio et dieta
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