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Nutrition and health in China, 1949 to 1989. 中国的营养与健康,1949年至1989年。
Pub Date : 1990-01-01
S S Kantha

Since the establishment of a new social order in 1949, China's attempts to feed and nurture its large population has been a topic of serious study in many disciplines. This review focuses on dietary sources of Chinese population and incidence, increase and decline of important diet related health disorders in China during the last four decades. Literature published since 1949 on goiter, rickets, riboflavin deficiency, beri beri, vision impairment, favism, cancer, atherosclerosis and coronary heart disease, hypertension, dental and smoking related diseases, diabetes mellitus, pancreatitis, lactose intolerance, mineral deficiency, Kashin-Beck disease, parasitic diseases and genetic disorders are reviewed. Also presented selectively are reports related to ethnodietetics, health care, maternal health and pediatric care as well as longevity. In the 1980s, total caloric intake of Chinese population showed a 19% increase on a daily basis from that of late 1940s. In overall terms, plant derived foods supplied 93% of energy, 87% of protein and 55% of fat to the Chinese. Among the animal foods, pork remains the most common and least expensive form of meat, contributing more than 90% of China's total meat production excluding poultry and fish. In 1949, the life expectancy in China was only 36 years. In early 1980s, it has increased to 68 years. This increase in life expectancy is attributed mostly to improved nutrition and lowering of mortality due to decrease in infectious diseases. Though population, disease and mortality statistics of modern China are spotty and sometimes questionable, common consensus among the researchers is that since 1949 the public health situation in China has improved tremendously.

自1949年建立新的社会秩序以来,中国如何养活和养育其庞大的人口一直是许多学科认真研究的课题。本文综述了近40年来中国人口的饮食来源和主要饮食相关疾病的发病率、增减情况。综述了1949年以来发表的关于甲状腺肿、佝偻病、核黄素缺乏症、脚气病、视力障碍、肥胖、癌症、动脉粥样硬化和冠心病、高血压、牙科和吸烟相关疾病、糖尿病、胰腺炎、乳糖不耐症、矿物质缺乏、大骨节病、寄生虫病和遗传性疾病的文献。还选择性地介绍了与民族营养学、保健、产妇保健和儿科保健以及长寿有关的报告。20世纪80年代,中国人口的日总热量摄入比20世纪40年代末增加了19%。总的来说,植物性食物为中国人提供了93%的能量、87%的蛋白质和55%的脂肪。在动物性食品中,猪肉仍然是最常见和最便宜的肉类,占中国肉类总产量的90%以上,不包括家禽和鱼类。1949年,中国人的平均寿命只有36岁。到20世纪80年代初,寿命增加到68年。预期寿命的增加主要是由于营养的改善和传染病减少造成的死亡率的降低。尽管现代中国的人口、疾病和死亡率统计数据参差不齐,有时还存在问题,但研究人员的共识是,自1949年以来,中国的公共卫生状况有了巨大的改善。
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引用次数: 0
Nutrition concerns in Bangladesh: the focus for improvement. 孟加拉国的营养问题:改善的重点。
Pub Date : 1990-01-01
L O Schulz, J Csete

The results of efforts to identify the prevailing nutritional deficiency disorders in Bangladesh and major topics of local scientific investigation influencing those nutrient disorders are reviewed. Primary areas of emphasis include studies addressing nutritional status (especially vitamin A); factors influencing diarrheal incidence, morbidity and mortality; child nutrition; the influence of seasonal variations; and the implementation of successful intervention programs. Programmatic implications of the findings are presented.

综述了确定孟加拉国普遍存在的营养缺乏症的努力结果以及影响这些营养缺乏症的当地科学调查的主要主题。主要重点领域包括研究营养状况(特别是维生素A);影响腹泻发病率、发病率和死亡率的因素;儿童营养;季节变化的影响;以及实施成功的干预方案。提出了调查结果对方案的影响。
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引用次数: 0
Micronutrient supplements: toxicity and drug interactions. 微量营养素补充剂:毒性和药物相互作用。
Pub Date : 1990-01-01
N W Flodin

Self-prescribed use of single micronutrients in excessive or pharmacologic dosage, without professional medical supervision, is on the increase. This raises potential problems of chronic toxicity and adverse interactions with prescribed and over-the-counter drugs. These questions are of special concern in the elderly, who utilize micronutrient supplements the most and at the same time have the greatest incidence of chronic illness and take the largest amount and variety of drugs. This review examines the toxicity and drug interactions of the thirteen vitamins and the trace elements chromium, selenium, and zinc.

在没有专业医疗监督的情况下,自行规定使用过量或药理学剂量的单一微量营养素的情况正在增加。这引发了潜在的慢性毒性问题以及与处方药和非处方药的不良相互作用。这些问题在老年人中特别值得关注,老年人使用微量营养素补充剂最多,同时慢性病发病率最高,服用药物的数量和种类也最多。本文综述了13种维生素和微量元素铬、硒和锌的毒性和药物相互作用。
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引用次数: 0
Dietary standards and goals for the People's Republic of China with special emphasis on nutritional requirements of Chinese infants. 中华人民共和国膳食标准和目标,特别强调中国婴儿的营养需求。
Pub Date : 1990-01-01
X C Chen

A recent dietary survey shows that protein, energy and the majority of the mineral and vitamin intakes of the people in China are sufficient to meet their physiologic requirements. However, the dietary energy derived from cereals appear to be high and the dietary protein derived from animal foods is low. Thus, to improve the nutritional status of the Chinese people, a greater consumption of animal food is encouraged. The goal of an adequate adult diet is to maintain optimal health through a balanced intake of energy and all the essential nutrients. This can be achieved in China by the increase in food production through agriculture, fishery and animal husbandry, and by national planning utilizing the Recommended Dietary Allowances as the standard. Children are the future of our country. Hence, research on child nutrition should receive priority, particularly in the area of protein and energy requirements of pre-school children.

最近的一项膳食调查显示,中国人的蛋白质、能量以及大部分矿物质和维生素的摄入量足以满足他们的生理需求。然而,来自谷物的膳食能量似乎很高,而来自动物性食物的膳食蛋白质却很低。因此,为了改善中国人的营养状况,鼓励更多地消费动物性食品。成年人适当饮食的目标是通过均衡摄入能量和所有必需营养素来保持最佳健康。在中国,通过农业、渔业和畜牧业增加粮食产量,并以膳食建议摄入量为标准进行国家规划,可以实现这一目标。儿童是我们国家的未来。因此,对儿童营养的研究应得到优先考虑,特别是在学龄前儿童蛋白质和能量需求方面。
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引用次数: 0
A review of the hormone prolactin during lactation. 催乳素在哺乳期的研究进展。
Pub Date : 1990-01-01
K M Ostrom

The principal lactogenic hormone, prolactin, secreted by the anterior pituitary is critical to the establishment of lactation, milk macronutrient content and milk production. The concentration of circulating prolactin increases during pregnancy so that by the end of gestation, levels are 10 to 20 times over normal amounts. However, prolactin is prevented from exerting its effect on milk secretion by elevated levels of progesterone. Following clearance of progesterone and estrogen at parturition, copious milk secretion begins. The minimal hormonal requirements for normal lactation to occur are prolactin, insulin and hydrocortisone. Prolactin stabilizes and promotes transcription of casein mRNA; may stimulate synthesis of alpha-lactalbumin, the regulatory protein of the lactose synthetase enzyme system; and increases lipoprotein lipase activity in the mammary gland. Prolactin levels decrease as lactation is established but nursing stimulates prolactin release from the pituitary which promotes continued milk production. Prolactin is secreted into milk at levels representative of the average circulating concentration. The physiological significance of milk prolactin to the infant is uncertain. Prolactin exists in three heterogenic forms which possess varying biological activity. The monomer with a molecular weight of 23 kDa is found in greatest quantity and is the principal biologically active form. The pattern of heterogeneity changes during pregnancy to favor even more monomer in proportion to the dimer. However, during lactation, the proportion of the monomer in circulation decreases in response to selective uptake of the monomer by the mammary gland. Over 90 percent of the prolactin in milk is present as the monomer. Prolactin may exert some of its biological effect by a shift in the ratio of active to less active forms of the molecule.

主要的泌乳激素,催乳素,由垂体前叶分泌,对泌乳的建立,牛奶常量营养素含量和产奶量至关重要。在怀孕期间,循环催乳素的浓度会增加,因此在妊娠结束时,催乳素的浓度是正常水平的10到20倍。然而,催乳素由于黄体酮水平升高而无法发挥其对乳汁分泌的作用。在分娩时,随着黄体酮和雌激素的清除,大量的乳汁分泌开始。正常泌乳所需的最低激素是催乳素、胰岛素和氢化可的松。催乳素稳定并促进酪蛋白mRNA的转录;可能刺激乳糖合成酶系统的调节蛋白- α -乳蛋白的合成;增加了乳腺中脂蛋白脂肪酶的活性。泌乳素水平随着泌乳的建立而下降,但哺乳会刺激垂体释放泌乳素,从而促进持续的产奶量。泌乳素分泌到牛奶中的水平代表了平均循环浓度。乳汁催乳素对婴儿的生理意义尚不确定。催乳素以三种异质形式存在,具有不同的生物活性。分子量为23 kDa的单体数量最多,是主要的生物活性形式。在怀孕期间,异质性的模式发生了变化,在比例上倾向于更多的单体和二聚体。然而,在哺乳期,循环中单体的比例减少,以响应乳腺对单体的选择性摄取。牛奶中超过90%的催乳素以单体形式存在。催乳素可能通过分子活性形式与低活性形式的比例变化来发挥其某些生物学效应。
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引用次数: 0
Physical activity and energy expenditure in undernutrition. 营养不良时的身体活动和能量消耗。
Pub Date : 1990-01-01
G B Spurr

The most accurate measurement of energy expenditure (EE) in free-living individual subjects is by the doubly-labelled water technique. The minute-by-minute heart rate (fH) method, while not yet suitable for individuals, will give excellent measurements of EE in small groups of subjects as well as the pattern of EE while wearing the fH recorder. In adults, the few studies available indicate that chronic energy deficiency (CED) results in decreased energy expenditure. In pre-school children, CED results in decreased activity as a first line of defense against decreased rate of growth. In marginally malnourished school children, the lower levels of EE are the results of their smaller size. However, they are unable to cope with situations of increased activity above ordinary levels. The relative effort exerted by control and undernourished boys and girls 6-16 y of age averaged approximately 25% VO2 max during 12 h of school days. There was a -3% change with age but there were no sex or nutritional status effects on average % VO2 max. It is suggested that this relative constancy in % VO2max in such disparate groups may be indicative of some physiological regulation of activity levels.

在自由生活的个体受试者中,最准确的能量消耗(EE)测量是通过双标签水技术。每分钟心率(fH)方法虽然还不适合个人使用,但可以很好地测量小组受试者的情绪表达,以及佩戴fH记录仪时的情绪表达模式。在成人中,很少有研究表明慢性能量缺乏(CED)会导致能量消耗减少。在学龄前儿童中,CED导致活动减少,这是抵御生长速度下降的第一道防线。在轻度营养不良的学龄儿童中,情感表达水平较低是他们体型较小的结果。但是,他们无法应付超出正常水平的活动增加的情况。对照组和营养不良的6-16岁男孩和女孩在上学的12小时内所付出的相对努力平均约为最大摄氧量的25%。随年龄变化-3%,但性别和营养状况对平均最大摄氧量百分比没有影响。这表明,在这些不同的群体中,% VO2max的相对恒定可能表明一些生理调节的活动水平。
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引用次数: 0
Regulation of metallothionein gene expression. 金属硫蛋白基因表达的调控。
Pub Date : 1990-01-01
G K Andrews

The metallothioneins are small, cysteine-rich proteins that have the capacity for high affinity binding of heavy metal ions, and whose synthesis is regulated by metal ion concentrations. These properties suggest that they play pivotal roles in the metabolism of the relatively nontoxic essential metals (zinc and copper), as well as toxic heavy metals (cadmium), a concept supported by a variety of studies of cells in culture, as well as in intact animals. Expression of the metallothionein genes may have important implications in the nutritional status of the animal, in its response to stresses (inflammation, heavy metal toxicity), and in embryonic, fetal and neonatal development. The complementary DNAs and genes that encode the metallothioneins have been cloned and analyzed from a wide variety of eukaryotes. Striking features of the metallothioneins include: their high degree of amino acid sequence similarity (including conservation in the placement of cysteine residues in the molecule reflecting their function in metal binding); a conserved tripartite gene structure; and their transcriptional induction by metal ions, as well as other hormonal and environmental stimuli. The precise mechanisms and biochemical pathways by which cells transduce environmental signals into transcriptional induction of the metallothionein genes are beginning to be defined. Recent studies indicate that metal effects are exerted via positive trans-acting factors induced to interact with cis-acting DNA sequences in the promoter, in turn leading to transcriptional induction. However, the metallothionein gene promoter is structurally complex, and contains binding sites for a variety of nuclear proteins that likely regulate basal as well as induced levels of expression of these genes. Recent studies also suggest the possible involvement of post-transcriptional processes in the regulation of metallothionein levels in the cell. Furthermore, evidence of striking differences in the levels of metallothionein gene expression among various cell types in vivo have recently been documented. Although several detailed reviews of the metallothioneins have been published recently, this review will focus, in large part, on the molecular biology of the metallothioneins, with particular emphasis on recent advances in our understanding of the mechanisms regulating expression of these interesting and important genes. Given the large volume of literature on the metallothioneins and the space limitations of this review, it is impossible to comprehensively cite the studies of each of my colleagues who have contributed so much to this field. Instead the reader is often directed to reviews of this subject for much of the earlier literature, and emphasis is placed on more current publications in this field.

金属硫蛋白是一种小的富含半胱氨酸的蛋白质,具有与重金属离子高亲和力结合的能力,其合成受金属离子浓度的调节。这些特性表明,它们在相对无毒的必需金属(锌和铜)以及有毒重金属(镉)的代谢中起着关键作用,这一概念得到了对培养细胞和完整动物的各种研究的支持。金属硫蛋白基因的表达可能在动物的营养状况、应激反应(炎症、重金属中毒)以及胚胎、胎儿和新生儿发育中具有重要意义。编码金属硫蛋白的互补dna和基因已经从多种真核生物中克隆和分析。金属硫蛋白的显著特征包括:它们的氨基酸序列高度相似(包括半胱氨酸残基在分子中的位置守恒,反映了它们在金属结合中的功能);保守的三方基因结构;它们的转录会受到金属离子,以及其他激素和环境刺激的诱导。细胞将环境信号转化为金属硫蛋白基因转录诱导的精确机制和生化途径正在开始被定义。最近的研究表明,金属效应是通过诱导正向反式作用因子与启动子中的顺式作用DNA序列相互作用来发挥的,从而导致转录诱导。然而,金属硫蛋白基因启动子结构复杂,包含多种核蛋白的结合位点,可能调节这些基因的基础和诱导表达水平。最近的研究也表明细胞中金属硫蛋白水平的调控可能涉及转录后过程。此外,最近有证据表明,体内不同细胞类型的金属硫蛋白基因表达水平存在显著差异。虽然最近已经发表了一些关于金属硫蛋白的详细综述,但本文将主要集中在金属硫蛋白的分子生物学上,特别强调我们对这些有趣而重要的基因表达调控机制的最新进展。由于关于金属硫蛋白的文献数量众多,加上本文的篇幅限制,不可能全面地引用我在这一领域做出巨大贡献的每一位同事的研究。相反,读者经常被引导到这个主题的许多早期文献的评论,重点放在更多的当前出版物在这个领域。
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引用次数: 0
The aging gastrointestinal tract: cell proliferation and nutritional adaptation. 老化胃肠道:细胞增殖和营养适应。
Pub Date : 1989-01-01
A P Majumdar, M A Dubick
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引用次数: 0
Listeriosis and its transmission by food. 李斯特菌病及其通过食物传播。
Pub Date : 1989-01-01
L A Shelef

Investigations of recent outbreaks and sporadic cases of listeriosis in North America and other countries have shown that the infection can be foodborne. Pregnant women and their fetuses, the elderly, and immuno-compromised individuals are at increased risk of listeriosis. Listeria monocytogenes, the causative bacterium, is widespread in nature and is found in many foods. It can grow at refrigerator temperatures and is resistant to adverse conditions and to several antibiotics. The generally low levels of the organism found in foods require procedures to optimize their detection and recovery. Occurrence and characteristics of the bacterium, virulence and disease symptoms, transmission to humans, incidence and behavior in foods, and means of controlling growth in foods are reviewed.

对北美和其他国家最近暴发的李斯特菌病和散发病例的调查表明,这种感染可以是食源性的。孕妇及其胎儿、老年人和免疫功能低下的个体患李斯特菌病的风险增加。单核细胞增生李斯特菌是一种致病细菌,在自然界广泛存在,在许多食物中都有发现。它可以在冰箱温度下生长,对不利条件和几种抗生素有抵抗力。在食品中发现的普遍低水平的生物体需要程序来优化其检测和回收。本文综述了细菌的发生和特征、毒力和疾病症状、对人类的传播、食物中的发病率和行为以及控制食物生长的方法。
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引用次数: 0
The impact of iodine deficiency on human resource development. 缺碘对人力资源开发的影响。
Pub Date : 1989-01-01
N Kochupillai

Studies using specific and sensitive techniques, to assess the functional status of thyroid in areas with iodine deficiency and endemic goitre, show large scale prevalence of functional failure among neonates, children and adults. As thyroxine deficiency can impair quality of human resource, poverty and socio-economic backwardness in endemic areas may have a causal nexus with nutritional iodine deficiency. Eradication of NID, therefore, is an essential first step in the socio-economic transformation, through human resource development, of goitre endemias in developing countries.

使用特异性和敏感性技术评估碘缺乏和地方性甲状腺肿地区甲状腺功能状况的研究显示,新生儿、儿童和成人中存在大规模的功能衰竭。由于甲状腺素缺乏会影响人力资源的质量,流行地区的贫困和社会经济落后可能与营养性碘缺乏有因果关系。因此,通过人力资源开发消除发展中国家甲状腺肿地方病,是社会经济转型的重要第一步。
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引用次数: 0
期刊
Progress in food & nutrition science
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