Hygiene and Occupational Medicine · MU Sofia

22. New trends and perspectives in nutrition science. Nutrigenetics and nutrigenomics.

Introduces nutrition science as the study of nutrients and food components in health and disease, then separates nutrigenetics, covering how genetic variation shapes nutrient metabolism, intolerances, and disease risk, from nutrigenomics, covering how diet affects gene expression and epigenetic change. A worked MTHFR and folate example runs through homocysteine, cardiovascular disease and neural tube defects. The note closes with public health and personalised nutrition applications.

Inside: 1 section · 15 flashcards · 2 min

Topic 22 of 78 in the MU Sofia syllabus for Hygiene and Occupational Medicine (Medicine, Year 4). The free AceMed note covers it in 1 section, about 223 words (2 min of reading), with 15 flashcards.

In this note

  1. New trends and perspectives in nutrition science. Nutrigenetics and nutrigenomics.

New trends and perspectives in nutrition science. Nutrigenetics and nutrigenomics.

1. Nutrition Science: The study of how nutrients and food components influence health, growth, and disease prevention.

2. Nutrigenetics

Focus: How genetic variation affects nutrient metabolism and individual responses to diet.

Applications:

  • Detect food intolerances (e.g. lactose, gluten)
  • Predict risk of obesity, diabetes, and cardiovascular disease based on gene–diet interactions
  • Guide personalized vitamin/mineral supplementation

For example, a mutation in the MTHFR gene reduces enzyme activity, impairing folate metabolism and raising homocysteine levels. This increases the risk of cardiovascular disease and neural tube defects in pregnancy. The intervention is personalized folate supplementation to normalize homocysteine levels

High homocysteine levels cause endothelial damage, which increases the risk of atherosclerosis and cardiovascular disease. Folate deficiency or low folate intake impairs proper neural tube formation during early pregnancy, leading to defects such as spina bifida.

3. Nutrigenomics

Focus: How nutrients and diet influence gene expression, epigenetics, and metabolism.

Mechanisms:

  • Gene regulation: Nutrients interact with transcription factors, turning genes on/off.
  • Epigenetic changes: Diet alters DNA methylation or histone modification—affecting gene activity without changing DNA sequence.

Examples:

  • Anti-inflammatory diets ↓ expression of inflammation-related genes
  • Omega-3 fatty acids downregulate atherosclerosis-related genes
  • Polyphenols (from fruits/vegetables) activate antioxidant and detoxification genes

4. Public Health and Personalized Nutrition Significance

  • Prevents chronic diseases (obesity, diabetes, cardiovascular disease, cancer)
  • Enables personalized interventions for populations with genetic predispositions
  • Supports functional food development based on gene–nutrient interaction

Read the full note free

The whole note is free with an AceMed account, with its 15 flashcards. Premium adds flashcard recall, highlights and Ask AI.