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Inflammation and nutritional science for programs/policies and interpretation of research evidence (INSPIRE)

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Author: Raiten, D.J. · Sakr Ashour, F.A. · Ross, A.C. · Meydani, S.N. · Dawson, H.D. · Stephensen, C.B. · Brabin, B.J. · Suchdev, P.S. · Ommen, B. van · Ahluwalia, N. · Ahmed, T. · Allen, L. · Beck, M. · Blanchard, H. · Brindle, E. · Brown, K. · Calder, P. · Checkley, W. · Claycombe, K. · Coles, C. · Esamai, F. · Friis, H. · Gardner, E. · Grinspoon, S. · Guerrant, R. · Hellerstein, M. · Hunt, J. · King, J. · Klasing, K. · Kramer, B. · Koski, K. · Northrop-Clewes, C. · Pfeiffer, C. · Prentice, A. · Ramirez-Zea, M. · Rheenan, P. van · Rink, L. · Srinivasa, S. · Benn, C.S. · Stephensen, C. · Suchdev, P. · Sullivan, K. · Thurnham, D. · Varadhan, R. · Van Der Ven, A. · Walston, J. · Xia, J.
Type:article
Date:2015
Source:Journal of Nutrition, 5, 145, 1039S-1108S
Identifier: 526101
doi: doi:10.3945/jn.114.194571
Keywords: Biology · Assessment of micronutrient biomarkers · BOND and inflammation/infection · Immune function and nutrients · Inflammation and nutrition · Nutrition biomarkers · Albumin · Alpha tocopherol · Antiinflammatory agent · Biological marker · C reactive protein · Calcitonin · Cyanocobalamin · Folic acid · Hemoglobin · Immunoglobulin enhancer binding protein · Interleukin 2 · Interleukin 6 · Iodine · Iron · Nonsteroid antiinflammatory agent · Procalcitonin · Retinoic acid · Retinol · Steroid · Tumor necrosis factor · Tumor necrosis factor alpha · Vitamin D · Vitamin D deficiency · Vitamin supplementation · Zinc · Acute phase response · Acute stress · Adaptive immunity · Anemia · Asthma · Cell activity · Chronic inflammation · Chronic obstructive lung disease · Chronic stress · DNA polymorphism · Drug exposure · Enteropathy · Epigenetics · Evidence based practice · Fetus disease · Health care policy · Health program · Immune response · Immune system · Infant disease · Inflammation · Inflammatory disease · Innate immunity · Iron deficiency · Leukocyte · Malaria · Malnutrition · Mastitis · Medical research · Meta analysis (topic) · Mixed infection · Multicenter study (topic) · Muscle atrophy · Non communicable disease · Nonhuman · Nutrient · Nutritional science · Nutritional status · Obesity · Organizational structure · Oxidative stress · Parasitosis · Phase 1 clinical trial (topic) · Point of care testing · Practice guideline · Pregnancy complication · Pregnancy outcome · Prematurity · Protein calorie malnutrition · Randomized controlled trial (topic) · Regulatory T lymphocyte · Research priority · Retinol deficiency · Risk assessment · Signal transduction · Stunting · Systematic review (topic) · Underweight · Zinc deficiency · Biomedical Innovation · Healthy Living · Life · MSB - Microbiology and Systems Biology · ELSS - Earth, Life and Social Sciences

Abstract

An increasing recognition has emerged of the complexities of the global health agenda-specifically, the collision of infections and noncommunicable diseases and the dual burden of over- and undernutrition. Of particular practical concern are both 1) the need for a better understanding of the bidirectional relations between nutritional status and the development and function of the immune and inflammatory response and 2) the specific impact of the inflammatory response on the selection, use, and interpretation of nutrient biomarkers. The goal of the Inflammation and Nutritional Science for Programs/Policies and Interpretation of Research Evidence (INSPIRE) is to provide guidance for those users represented by the global food and nutrition enterprise. These include researchers (bench and clinical), clinicians providing care/treatment, those developing and evaluating programs/interventions at scale, and those responsible for generating evidence-based policy. The INSPIRE process included convening 5 thematic working groups (WGs) charged with developing summary reports around the following issues: 1) basic overview of the interactions between nutrition, immune function, and the inflammatory response; 2) examination of the evidence regarding the impact of nutrition on immune function and inflammation; 3) evaluation of the impact of inflammation and clinical conditions (acute and chronic) on nutrition; 4) examination of existing and potential new approaches to account for the impact of inflammation on biomarker interpretation and use; and 5) the presentation of new approaches to the study of these relations. EachWGwas tasked with synthesizing a summary of the evidence for each of these topics and delineating the remaining gaps in our knowledge. This review consists of a summary of the INSPIRE workshop and the WG deliberations. © 2015 American Society for Nutrition.