ABSTRACT
Los avances de la biotecnología y las fascinantes perspectivas de la genómica nutricional en el escenario de la práctica clínica conducen a la consideración de distintos aspectos que impactan en el beneficio integral del ser humano. En ese sentido, la integración de la nutrición personalizada en la atención clínica requiere de un análisis bioético centrado en la unidad de la persona que, con base en su perfil nutrigenético único, contribuya al cuidado de la salud por medio del tratamiento nutricional individualizado. El análisis bioético contempla los principios de totalidad terapéutica, libertad e integridad. Además, el uso de las pruebas nutrigenéticas destaca no solo la confidencialidad de datos, que se presupone, sino que lleva a considerar el derecho a la intimidad.
The advances in biotechnology and the fascinating perspectives of nutritional genomics in clinical practice have led to considering various aspects that impact the comprehensive benefit of the human being. Integrating personalized nutrition in clinical care requires a bioethical analysis focused on the person who, based on their unique nutrigenetic profile, contributes to health care through individualized nutritional treatment. The bioethical analysis contemplates the principles of therapeutic totality, freedom, and integrity. In addition, the use of nutrigenetic tests highlights not only the confidentiality of data, which is assumed, but also the right to privacy.
Os progressos da biotecnologia e as fascinantes perspectivas da genômica nutricional no cenário da prática clínica conduzem à consideração de diferentes aspectos que impactam no benefício integral do ser humano. Nesse sentido, a integração da nutrição personalizada no atendimento clínico requer de uma análise bioética centralizada na unidade da pessoa que, com base em seu perfil nutrigenético único, contribua para o cuidado da saúde por meio do tratamento nutricional individualizado. A análise bioética contempla os princípios de totalidade terapêutica, liberdade e integridade. Além disso, o uso das provas nutrigenéticas destaca não somente a confidencialidade de dados, que se pressupõe, mas sim que leva a considerar o direito à intimidade.
ABSTRACT
Position statement: The Brazilian Society for Food and Nutrition (SBAN) bases the following position statement on acritical analysis of the literature on nutritional genomics and nutrigenetic tests: (1) Nutrigenetic tests are predictive and not diagnostic, should not replace other evaluations required to treatment, and should only be used as an additional tool to nutritional prescription; (2) Nutritionists/registered dietitians and other health professionals must be able to interpret the nutrigenetic tests and properly guide their patients, as well as build their professional practice ongeneral ethical principles and those established by regulatory authorities; (3) It is extremely important to highlight that them is interpretation of nutrigenetic tests can cause psychological and health problems to the patient; (4) Currently, there is insufficient scientific evidence for the recommendation of dietary planning and nutritional supplementation based only on nutrigenetic tests. This position statement has been externally reviewed and approved by the board of SBAN and has not gone through the journal's standard peer review process.
Subject(s)
Humans , Male , Female , Nutrigenomics/ethics , Nutrigenomics/methods , Nutrigenomics/standards , Epigenomics/trendsABSTRACT
A nutritional perspective within pediatric oncology is usually just related to the supportive care aspect during the management of the underlying malignancy. However, nutrition has a far more fundamental importance with respect to a growing, developing child who has cancer as well as viewing cancer from a nutritional cancer control perspective. Nutrition is relevant to all components of cancer control including prevention, epidemiology, biology, treatment, supportive care, rehabilitation, and survivorship. This article briefly describes this perspective of nutrition within a cancer control context and is a summary of the presentation at the “1st International SIOP‑PODC Workshop on Nutrition in Children with Cancer” held in Mumbai.