These studies should be conducted [10]. Since these concepts and approaches are
These studies should be conducted [10]. Since these concepts and approaches are not well tested, G N will consider publishing results of studies analyzing individuals or groups identified by various clustering methods as long as the design can be justified and the results AZD-8055 web robust.Women’s health researchRisk factors calculated from population studies, most simply derived by comparing some measureable phenotype between control versus case (or intervention), are the average risk for the population (specifically, population attributable risk (PAR) [82]). Using an example from genetics, the PAR means that the incidence of a given disease or phenotype would change if the SNP or allele was eliminated in the population. Hence, PARs should not be considered as “personal risk factors.” Unfortunately, this important distinction is frequently disregarded. Given the limitations of randomized clinical trials (RCTs), case intervention, and cohort studies for nutrition research (see [3, 32]), new experimental designs are needed to develop individual risk or benefit factors based on predictor variables from human clinical studies. N-of-1 studies are emerging as an experimental approach that first characterizes and then sorts individuals with similar metabolic profiles (e.g., [28, 44, 87]). While characterization and clustering can be done with baseline data, the response to acute challenges (e.g., mixed meal [92]) or short-term (e.g., weeks) interventions may be more informative given the variability in homeostasis between individuals [109]. Each individual serves as her/his own control, which eliminates ascertainment bias. This approach was first used in psychology studies [90] and then applied to clinical research [30, 31]. A trivial example is to compare individual male versus female or groups of males and females, although discovery-based algorithms (e.g., machine learning) may identify metabolic clusters based on all available dataThe US government passed the National Institute of Health Revitalization Act in 1993 (http://orwh.od.nih.gov/about/pdf/NIH-Revitalization-Act-1993.pdf ) that required women and minorities to be included in federally funded clinical studies, with exceptions only when justified. Women had been largely excluded from many health research studies as a protective measure against unintended harm to the individual PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/25447644 and her fetus [64]. Significant differences have been measured in a large number of biochemical and physiological systems that are consistent with sex-specific genetic profiles [77, 110]. These dissimilarities are in addition to the metabolic changes caused by exposure to hormones during the menstrual cycle and changes in hormone levels during pregnancy and lactation. Circulating levels of progesterone and estrogen are lowest during the early follicular phase when differences between a male and a female are probably least affected by hormone levels [1]. The result of sexual dimorphisms in metabolite levels [66] particularly in response to hormonal variations may lead to biased nutritional recommendations for men and women of all age groups. While a review of sexual dimorphic differences between sexes is beyond the scope of this editorial, we also highlight the increasing awareness that fluctuating hormone levels during the menstrual cycle alter, for example, macronutrient metabolism [13], metabolic profiles [104], cardiometabolic markers [86], lipid kinetics [84], and the immune cell repertoire [50]. A recent review (of.