营养与饮食 Medicine & Health

28 个科学问题 · 医学健康 Medicine & Health

本页目录

炎症性肠病患者的营养策略有哪些?

What nutrition strategies help inflammatory bowel disease?

IBD 活动期常需低渣、低纤维饮食减轻肠道刺激,缓解期逐步恢复均衡营养。注意纠正贫血、维生素D和钙缺乏。个体反应差异大,宜在营养科指导下调整。
Active IBD often needs low-residue, low-fiber food to reduce irritation, then a gradual return to balance in remission. Correct anemia, vitamin D, and calcium deficits. Responses vary, so adjust under a nutritionist.
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《默克家庭医学手册》Merck Manual Home Health Handbook 中译版,人民卫生出版社

The Merck Manual Home Health Handbook, Chinese ed., PMPH

#炎症性肠病 #低渣 #营养

慢性肾病患者如何限制蛋白质摄入?

How do chronic kidney disease patients restrict protein?

非透析期 CKD 患者常需适度低蛋白饮食以减轻肾脏负担,同时保证热量避免营养不良。优选优质蛋白如蛋、奶、鱼。具体限量应由肾内科与营养科共同制定。
Non-dialysis CKD patients often need moderately low protein to ease kidney load while keeping calories to avoid malnutrition. Prefer high-quality protein like eggs, dairy, fish. Exact limits should be set by nephrology and nutrition together.
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《默克家庭医学手册》Merck Manual Home Health Handbook 中译版,人民卫生出版社

The Merck Manual Home Health Handbook, Chinese ed., PMPH

#慢性肾病 #低蛋白 #营养管理

什么是代谢综合征?为什么它值得重视?

What is metabolic syndrome, and why does it matter?

代谢综合征是指腹型肥胖、血压升高、空腹血糖升高、甘油三酯升高和HDL胆固醇偏低这5项中满足至少3项的状态,核心病理是胰岛素抵抗和内脏脂肪堆积。它使2型糖尿病和心血管疾病的风险成倍增加。好消息是它高度可逆:减重5%-10%、规律有氧运动、改善饮食结构就能显著改善各项指标,常作为治疗第一步。
Metabolic syndrome is defined as meeting at least three of five criteria: abdominal obesity, elevated blood pressure, elevated fasting glucose, high triglycerides, and low HDL cholesterol. Its core pathology is insulin resistance and visceral fat accumulation, and it roughly doubles the risk of type 2 diabetes and cardiovascular disease. The good news is that it is highly reversible: losing 5–10% of body weight, regular aerobic exercise, and improving diet can substantially improve every component, and are usually the first step in treatment.
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《默克家庭医学手册》Merck Manual Home Health Handbook 中译版,人民卫生出版社

The Merck Manual Home Health Handbook, Chinese ed., PMPH

#代谢综合征 #胰岛素抵抗 #生活方式干预

维生素过量也会中毒吗?

Can excess vitamins also be toxic?

脂溶性维生素 A、D、E、K 可在体内蓄积,过量补充会中毒,如维生素A致肝损、维生素D致高钙。水溶性如维C过量多随尿排出但也可能结石。补充应基于检测和医嘱。
Fat-soluble vitamins A, D, E, K accumulate and can poison when over-supplemented, e.g. A harms the liver, D raises calcium. Water-soluble like C mostly excrete but can still cause stones. Supplement by testing and medical advice.
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《默克家庭医学手册》Merck Manual Home Health Handbook 中译版,人民卫生出版社

The Merck Manual Home Health Handbook, Chinese ed., PMPH

#维生素过量 #脂溶性 #中毒

什么是营养风险筛查,住院患者为何要做?

What is nutrition risk screening and why for inpatients?

营养风险筛查用量表评估患者入院时营养不良及风险,以便尽早给予营养支持。营养不良会拖慢伤口愈合、增加感染和住院天数。NRS-2002 是常用工具之一。
Nutrition risk screening uses scales to assess malnutrition risk at admission so support starts early. Poor nutrition slows wound healing and raises infection and length of stay. NRS-2002 is a common tool.
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《默克家庭医学手册》Merck Manual Home Health Handbook 中译版,人民卫生出版社

The Merck Manual Home Health Handbook, Chinese ed., PMPH

#营养风险 #筛查 #住院

为什么维生素D这么受关注?

Why is so much attention paid to vitamin D?

维生素D最重要的作用是促进钙的吸收和骨矿化,严重缺乏会让孩子患佝偻病、让成人骨软化或加重骨质疏松。它主要由皮肤在阳光照射下合成,饮食来源有限,因此在北方冬季或室内活动多的人群中常见不足。常规人群适量日晒和食物补充即可,是否需要额外补充应结合检测结果咨询医生。
Vitamin D's key role is promoting calcium absorption and bone mineralization; severe deficiency causes rickets in children and osteomalacia or worsening osteoporosis in adults. It is mostly synthesized in skin exposed to sunlight, with limited dietary sources, so deficiency is common in northern winters and among indoor lifestyles. Reasonable sun exposure and food intake suffice for most people; extra supplements should follow a doctor's advice based on testing.
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《默克家庭医学手册》Merck Manual Home Health Handbook 中译版,人民卫生出版社

The Merck Manual Home Health Handbook, Chinese ed., PMPH

#维生素D #佝偻病 #骨骼健康

地中海饮食为什么被认为对健康有益?

Why is the Mediterranean diet considered healthy?

地中海饮食以橄榄油为主要脂肪来源,配大量蔬菜水果、全谷物、豆类和坚果,鱼类适量、红肉和加工食品很少。著名的大型随机试验(PREDIMED)显示,坚持这种饮食能显著降低心血管事件风险。它也被认为是符合“抗炎”原则的可持续饮食模式。
The Mediterranean diet features olive oil as the main fat, plenty of vegetables, fruits, whole grains, legumes, and nuts, moderate fish, and little red meat or processed food. The landmark PREDIMED randomized trial showed it significantly reduces cardiovascular events. It is widely viewed as a sustainable, anti-inflammatory eating pattern.
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出处备注:此条未指向带版次的可引用著作(通识性内容、机构文件或未展开的英文书名),本库不提供独立书目出处;如需精确引用,需由编辑补全具体篇目与版次。

NEJM(PREDIMED 研究)

NEJM (PREDIMED trial)

#地中海饮食 #橄榄油 #心血管健康

什么是低血糖生成指数食物?

What are low glycemic index foods?

低GI食物消化慢,血糖上升平缓,如燕麦、豆类和多数蔬菜。高GI食物如白米饭、甜点则令血糖快速升高。选择低GI有助血糖控制和饱腹。
Low-GI foods digest slowly and raise blood sugar gently, like oats, legumes, and most vegetables. High-GI foods like white rice and sweets spike glucose quickly. Low-GI choices aid glucose control and fullness.
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《默克家庭医学手册》Merck Manual Home Health Handbook 中译版,人民卫生出版社

The Merck Manual Home Health Handbook, Chinese ed., PMPH

#升糖指数 #血糖 #碳水

肠内营养和肠外营养分别适用什么情况?

When are enteral and parenteral nutrition used?

肠内营养经消化道供给,适用于胃肠功能尚存者,更符合生理。肠外营养经静脉,用于肠道无法使用时。长期肠外营养有感染和代谢并发症风险。
Enteral nutrition uses the gut and fits those with working digestion, being more physiological. Parenteral nutrition is intravenous for when the gut cannot be used. Long-term parenteral use carries infection and metabolic risks.
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《默克家庭医学手册》Merck Manual Home Health Handbook 中译版,人民卫生出版社

The Merck Manual Home Health Handbook, Chinese ed., PMPH

#肠内营养 #肠外营养 #支持治疗

增肌人群怎样安排蛋白质摄入?

How should people building muscle plan protein intake?

抗阻训练者蛋白质需求约每天每公斤体重1.2到2.0克,分散到各餐更利合成。应搭配充足总热量和睡眠,单靠蛋白粉无效。过量蛋白对肾健康者多无额外益处。
Resistance trainers need about 1.2 to 2.0 g protein per kg body weight daily, spread across meals for synthesis. Pair with enough total calories and sleep; powder alone does little. Extra protein gives little added benefit with healthy kidneys.
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《默克家庭医学手册》Merck Manual Home Health Handbook 中译版,人民卫生出版社

The Merck Manual Home Health Handbook, Chinese ed., PMPH

#增肌 #蛋白质 #运动营养

患者需要补充维生素D吗?

Do people need to supplement vitamin D?

维生素D靠日晒和少数食物合成,现代人常不足,尤其日照少者和老人。缺乏与骨软、免疫力下降相关。是否补充和剂量应查血后决定。
Vitamin D comes from sunlight and a few foods; many modern people, especially the elderly and those with little sun, are deficient. Low levels relate to soft bones and weaker immunity. Whether and how much to supplement should follow a blood test.
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出处备注:著录含书名,但缺版次 / 出版社 / 年份中的一部分,需编辑补全后才能做独立比对。

美国国家科学院医学研究所(IOM)《钙与维生素 D 膳食参考摄入量》, 2011

US National Academies (IOM). Dietary Reference Intakes for Calcium and Vitamin D, 2011.

#维生素D #日照 #骨骼

贫血的人饮食要注意什么?

What should a person with anemia watch in their diet?

缺铁性贫血应多吃红肉、动物肝脏、血制品和深绿色蔬菜,并配合维C促进吸收。茶和咖啡中的单宁会抑制铁吸收,宜错开时间。确诊类型和原因更重要。
Iron-deficiency anemia calls for red meat, liver, blood products, and dark greens, paired with vitamin C to aid absorption. Tannins in tea and coffee block iron, so space them apart. Confirming the type and cause matters most.
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《默克家庭医学手册》Merck Manual Home Health Handbook 中译版,人民卫生出版社

The Merck Manual Home Health Handbook, Chinese ed., PMPH

#贫血 #补铁 #饮食

为什么孕早期过量摄入维生素A可能伤害胎儿?

Why can too much vitamin A in early pregnancy harm the fetus?

维生素A的活性形式视黄酸参与胚胎形态发生,母体摄入过量(尤其动物肝脏、鱼肝油及维A补充剂)可穿过胎盘干扰发育,增加颅面、心脏和中枢神经系统的先天畸形风险。WHO建议孕妇以β-胡萝卜素等植物来源满足需要,并避免高剂量维A补充。计划怀孕者应先核对补充剂剂量。
The active form, retinoic acid, drives embryonic patterning, and excess maternal intake—especially from liver, fish-liver oil and supplements—can cross the placenta and disrupt development, raising the risk of craniofacial, heart and neural-tube defects. WHO advises meeting needs mainly from beta-carotene and avoiding high-dose retinol supplements. Women planning pregnancy should check supplement doses in advance.
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《默克家庭医学手册》Merck Manual Home Health Handbook 中译版,人民卫生出版社

The Merck Manual Home Health Handbook, Chinese ed., PMPH

#维生素A #致畸 #孕早期 #β-胡萝卜素

地中海饮食有什么特点?

What are the features of the Mediterranean diet?

地中海饮食以橄榄油、鱼类、全谷物、蔬菜和豆类为主,适量坚果和红酒,少红肉。研究显示它有助于心血管健康和长寿。核心是天然、多样、少加工。
The Mediterranean diet centers on olive oil, fish, whole grains, vegetables, and legumes, with modest nuts and wine and little red meat. Studies link it to heart health and longevity. The core is natural, varied, and minimally processed food.
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《默克家庭医学手册》Merck Manual Home Health Handbook 中译版,人民卫生出版社

The Merck Manual Home Health Handbook, Chinese ed., PMPH

#地中海饮食 #心血管 #健康饮食

妊娠糖尿病如何通过饮食管理?

How is gestational diabetes managed by diet?

妊娠糖尿病强调分餐、控制碳水总量与升糖速度,配合适度运动监测血糖。目标是达标又满足胎儿营养。多数可通过生活方式控制,少数需胰岛素。
Gestational diabetes emphasizes spaced meals, controlled carb amount and glycemic speed, plus gentle exercise and glucose monitoring. The aim is target levels while feeding the fetus. Most control it by lifestyle; some need insulin.
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《默克家庭医学手册》Merck Manual Home Health Handbook 中译版,人民卫生出版社

The Merck Manual Home Health Handbook, Chinese ed., PMPH

#妊娠糖尿病 #控糖 #分餐

什么是隐形盐,如何减少摄入?

What is hidden salt and how can intake be reduced?

隐形盐指加工食品、酱料、零食中不易察觉的钠,如面包、火腿、酱油。阅读营养标签、选择低钠产品、少用调味品可减少摄入。家庭烹饪控盐最关键。
Hidden salt is sodium in processed foods, sauces, and snacks that is easy to miss, like bread, ham, and soy sauce. Reading labels, choosing low-sodium products, and using less seasoning cut intake. Home cooking control is key.
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《默克家庭医学手册》Merck Manual Home Health Handbook 中译版,人民卫生出版社

The Merck Manual Home Health Handbook, Chinese ed., PMPH

#隐形盐 #钠 #标签阅读

为什么长期生吃淡水鱼虾可能感染华支睾吸虫(肝吸虫)?

Why can eating raw freshwater fish or shrimp lead to Clonorchis sinensis (liver fluke) infection?

华支睾吸虫的囊蚴寄生在淡水鱼、虾体内,人吃了未煮熟的这类食物后,幼虫在肝胆管发育为成虫,可引起胆管炎、胆结石甚至胆管癌。它是东亚流行的食源性寄生虫病,广东、广西等地因鱼生饮食习惯而高发。彻底加热到全熟是最可靠的预防方法。
Clonorchis sinensis encysts in freshwater fish and shrimp; eating them undercooked lets the larvae mature in the bile ducts, causing cholangitis, stones and even cholangiocarcinoma. It is a foodborne parasitic disease common in East Asia, with high rates where raw-fish dishes are popular. Thorough cooking is the most reliable prevention.
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《默克家庭医学手册》Merck Manual Home Health Handbook 中译版,人民卫生出版社

The Merck Manual Home Health Handbook, Chinese ed., PMPH

#华支睾吸虫 #肝吸虫 #食源性寄生虫 #淡水鱼生

生酮饮食的潜在医学风险有哪些?

What are the potential medical risks of a ketogenic diet?

生酮饮食高脂极低碳,短期用于难治性癫痫,但长期可能致血脂异常、肾结石和营养素缺乏。非专业人士自行长期采用需谨慎并监测指标。应在医生指导下进行。
The ketogenic diet is high-fat and very low-carb, used short-term for refractory epilepsy, but long term may cause dyslipidemia, kidney stones, and deficiencies. Non-professionals should be cautious, monitor labs, and do it under medical supervision.
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《默克家庭医学手册》Merck Manual Home Health Handbook 中译版,人民卫生出版社

The Merck Manual Home Health Handbook, Chinese ed., PMPH

#生酮 #癫痫 #代谢风险

什么是食物不耐受和食物过敏的区别?

What is the difference between food intolerance and food allergy?

食物过敏由免疫系统介导,可引发荨麻疹、喘息甚至休克,少量即可发作。不耐受多为消化酶缺乏或敏感,如乳糖不耐受,通常不危及生命。鉴别对处理十分关键。
Food allergy is immune-mediated and can cause hives, wheezing, even shock from tiny amounts. Intolerance is usually enzyme deficiency or sensitivity, like lactose intolerance, and is rarely life-threatening. Distinguishing them guides management.
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出处备注:著录含书名,但缺版次 / 出版社 / 年份中的一部分,需编辑补全后才能做独立比对。

Boyce JA 等《美国食物过敏诊断与管理指南》. Journal of Allergy and Clinical Immunology, 2010(NIAID)

Boyce JA, et al. Guidelines for the Diagnosis and Management of Food Allergy in the United States. J Allergy Clin Immunol. 2010 (NIAID).

#食物过敏 #不耐受 #鉴别

孕妇需要额外补充哪些营养?

Which nutrients do pregnant women need to supplement?

孕期常需补充叶酸以预防神经管缺陷,以及铁和钙支持母体和胎儿。是否额外补充应在产检医生指导下进行。均衡饮食仍是基础。
Pregnancy often requires folic acid to prevent neural tube defects, plus iron and calcium for mother and baby. Extra supplementation should follow prenatal checkup advice. A balanced diet remains the foundation.
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《默克家庭医学手册》Merck Manual Home Health Handbook 中译版,人民卫生出版社

The Merck Manual Home Health Handbook, Chinese ed., PMPH

#孕期营养 #叶酸 #补铁

儿童挑食怎么办?

What can be done about a picky-eating child?

挑食在幼儿中很常见,家长可反复提供多样食物而不强迫进食。把新食物与熟悉食物搭配、让孩子参与备餐有帮助。若长期影响生长应咨询儿科医生。
Picky eating is common in young children; parents can repeatedly offer varied foods without forcing them. Pairing new foods with familiar ones and involving kids in meal prep helps. If growth is affected long term, consult a pediatrician.
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《默克家庭医学手册》Merck Manual Home Health Handbook 中译版,人民卫生出版社

The Merck Manual Home Health Handbook, Chinese ed., PMPH

#儿童挑食 #进食行为 #育儿

多吃盐对身体有什么危害?

What harm does eating too much salt do to the body?

过量食盐会升高血压,增加中风和心脏病风险。世界卫生组织建议成人每天食盐不超过5克。减少加工食品和腌制品摄入是控盐的有效方法。
Excess salt raises blood pressure and increases the risk of stroke and heart disease. The WHO recommends adults eat no more than 5 grams of salt per day. Cutting processed and pickled foods is an effective way to reduce intake.
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《默克家庭医学手册》Merck Manual Home Health Handbook 中译版,人民卫生出版社

The Merck Manual Home Health Handbook, Chinese ed., PMPH

#食盐 #高血压 #饮食控制

钙主要存在于哪些食物?

Which foods are the main sources of calcium?

牛奶、酸奶、奶酪等乳制品是钙的优质来源,豆腐、深绿色蔬菜和带骨小鱼也含钙。维生素D有助于钙吸收,适度晒太阳有帮助。
Dairy products like milk, yogurt, and cheese are excellent calcium sources; tofu, dark leafy greens, and small bony fish also contain it. Vitamin D aids absorption, and modest sun exposure helps.
难度 入门 · 适合 大众 CC BY 4.0 · 已核验 · Verified 2026-08-23 · 2 条独立证据
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《默克家庭医学手册》Merck Manual Home Health Handbook 中译版,人民卫生出版社

The Merck Manual Home Health Handbook, Chinese ed., PMPH

#钙 #骨骼 #乳制品

什么是膳食纤维,为什么要吃?

What is dietary fiber and why should we eat it?

膳食纤维是植物性食物中不被消化的部分,分为可溶性和不可溶性。它能促进肠道蠕动、帮助控制血糖和血脂。全谷物、豆类、蔬菜和水果都是良好来源。
Dietary fiber is the indigestible part of plant foods, divided into soluble and insoluble types. It promotes bowel movement and helps control blood sugar and blood lipids. Whole grains, legumes, vegetables, and fruits are good sources.
难度 入门 · 适合 大众 CC BY 4.0 · 已核验 · Verified 2026-08-23 · 2 条独立证据
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《默克家庭医学手册》Merck Manual Home Health Handbook 中译版,人民卫生出版社

The Merck Manual Home Health Handbook, Chinese ed., PMPH

#膳食纤维 #肠道健康 #全谷物

喝含糖饮料为什么容易胖?

Why do sugary drinks easily lead to weight gain?

含糖饮料热量高但饱腹感弱,容易在不知不觉中摄入过多能量。长期饮用与肥胖、2型糖尿病风险升高相关。用水、无糖茶或苏打水替代更健康。
Sugary drinks are high in calories but weak in satiety, so excess energy sneaks in unnoticed. Long-term use is linked to higher obesity and type 2 diabetes risk. Water, unsweetened tea, or soda water are healthier swaps.
难度 入门 · 适合 大众 CC BY 4.0 · 已核验 · Verified 2026-08-23 · 2 条独立证据
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《默克家庭医学手册》Merck Manual Home Health Handbook 中译版,人民卫生出版社

The Merck Manual Home Health Handbook, Chinese ed., PMPH

#含糖饮料 #肥胖 #血糖

每天应该喝多少水?

How much water should a person drink each day?

一般成年人每天约需1.5到2升水,具体因体重、气温和活动量而异。口渴是身体缺水的信号,但老年人和病人可能不敏感,应定时补水。咖啡、茶和汤等食物也能提供部分水分。
Most adults need about 1.5 to 2 liters of water per day, varying with body size, climate, and activity. Thirst signals dehydration, but older adults and some patients may not feel it, so regular sips are wise. Foods like soup, tea, and coffee also contribute water.
难度 入门 · 适合 大众 CC BY 4.0 · 已核验 · Verified 2026-11-03
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美国国家科学院医学研究所(IOM)《水、钾、钠、氯和硫酸盐的膳食参考摄入量》, 2004;中国居民膳食指南

US National Academies (IOM). Dietary Reference Intakes for Water, 2004; Chinese Dietary Guidelines.

#饮水 #每日水分 #健康习惯

早餐不吃会有什么问题?

What problems come from skipping breakfast?

长期不吃早餐可能导致上午精力不足、午餐过量进食和血糖波动。规律吃早餐与更健康的体重和代谢相关。建议选择含蛋白质和全谷物的早餐。
Regularly skipping breakfast can cause low energy in the morning, overeating at lunch, and blood sugar swings. Eating breakfast regularly is linked to healthier weight and metabolism. Choose a breakfast with protein and whole grains.
难度 入门 · 适合 大众 CC BY 4.0 · 已核验 · Verified 2026-11-03
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中国营养学会《中国居民膳食指南(2022)》

Chinese Nutrition Society. Dietary Guidelines for Chinese Residents (2022).

#早餐 #代谢 #饮食习惯

为什么维生素K2有助于把钙“引向骨骼”而非沉积在血管?

Why does vitamin K2 help direct calcium to bone rather than to vessel walls?

维生素K2是激活骨钙素等钙结合蛋白所必需的辅因子,活化的骨钙素把血钙抓进骨骼,同时抑制血管平滑肌的异常钙化。缺乏时钙更易沉积在动脉壁,与动脉硬化相关。维生素K1主要存在于绿叶菜中,而K2(甲萘醌)主要来自动物性食物与发酵食品(如纳豆);一般饮食常K2不足,需均衡摄取。
Vitamin K2 is the cofactor that activates calcium-binding proteins like osteocalcin, which pulls blood calcium into bone and also checks abnormal calcification of vessel muscle. Without it, calcium more readily lands on artery walls, linking to hardening. Leafy greens are rich in vitamin K1 (phylloquinone), while K2 (menaquinone) comes mainly from animal foods and fermented foods like natto; usual diets often fall short of K2, so balance matters.
难度 入门 · 适合 大众 CC BY 4.0 · 来源待核验 · Source pending review
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出处备注:著录仅给书名,无版次与年份;同一书名常对应多个版次,不臆测具体版本。

美国国立卫生研究院(NIH)膳食补充剂办公室《维生素K》事实清单;《中国居民膳食营养素参考摄入量》

NIH ODS "Vitamin K" Fact Sheet; Chinese DRIs

#维生素K2 #骨钙素 #血管钙化 #钙沉积