Nutrigenomics and Malnutrition: Advances in Prevention and Therapeutic Strategies

Authors

  • Amber Tehseen Department of Nutrition and Dietetics, The University of Faisalabad, Faisalabad, Pakistan
  • Irda ul Murtaza Department of Nutrition and Dietetics, The University of Faisalabad, Faisalabad, Pakistan
  • Maliha Qasim Department of Nutrition and Dietetics, The University of Faisalabad, Faisalabad, Pakistan
  • Rabia Arshad Department of Nutrition and Dietetics, The University of Faisalabad, Faisalabad, Pakistan
  • Kiran Aslam Department of Nutritional Sciences, Govt. Graduate College of Home Economics Faisalabad, Pakistan
  • Haleema Qadir Department of Nutrition and Dietetics, The University of Faisalabad, Faisalabad, Pakistan
  • Maryam Samar Iqbal Department of Nutritional Sciences Government College Women University Faisalabad, Pakistan
  • Laiba Naseer Department of Nutritional Sciences Government College Women University Faisalabad, Pakistan
  • Anum Nazir Department of Nutrition and Dietetics, The University of Faisalabad, Faisalabad, Pakistan

DOI:

https://doi.org/10.70749/ijbr.v4i5.3246

Keywords:

Nutrigenomics, Malnutrition, Gene-nutrient Interactions, Epigenetics, Precision nutrition, Micronutrient deficiency, Personalized dietary therapy, Gut microbiome, MTHFR, FADS1/FADS2, Undernutrition, Therapeutic strategies.

Abstract

Malnutrition, in all of its forms, including undernutrition, micronutrient deficiency, and nutritional imbalance caused by obesity, is one of the world's most serious health issues. Even after many years of interventions by public health professionals, conventional dietary guidelines have not been very effective because they do not account for the vast differences in genetics and epigenetics that influence nutrient metabolism and responses in individuals. Nutrigenomics is an area of study that investigates the interactions between diet and genes, providing a completely different perspective on malnutrition. This narrative overview summarizes the molecular mechanisms by which nutrients regulate gene expression. How genetic polymorphisms influence food requirements and metabolism, and how epigenetic changes relate dietary intake to long-term phenotypic impacts. Nutrigenomics is specifically studied in regard to protein-energy malnutrition, micronutrient deficiencies (iron, zinc, vitamin D, and folate), and the growing global prevalence of malnutrition-related metabolic disorders. The review also investigates how machine learning, multi-omics technologies, and gut microbiome-gene interactions have advanced precision feeding strategies. According to current research, single nucleotide polymorphisms in genes such as MTHFR, FADS1/FADS2, FTO, TCF7L2, VDR, and GC have a considerable impact on both the risk of malnutrition and the therapeutic efficiency of dietary therapy. Epigenetic programming provides actionable preventive targets during critical developmental windows, particularly via methyl-donor pathways. Personalized dietary recommendations, microbiome-integrated nutritional algorithms, and genotype-guided supplements are examples of translational techniques with high clinical potential. According to the article, the next logical step in combating malnutrition is to incorporate nutrigenomic ideas into global nutrition policy, clinical practice, and therapeutic design. This will necessitate interdisciplinary collaboration, equitable access to genomic tools, and robust ethical frameworks to ensure benefit for various groups.

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References

1. UNICEF. The state of food security and nutrition in the world 2023. 2023.

https://doi.org/10.4060/cc3017en

2. Corella D, Ordovas JM. Nutrigenomics in cardiovascular medicine. Circulation: Cardiovascular Genetics. 2009;2(6):637-51.

https://doi.org/10.1161/circgenetics.109.891366

3. Fenech M, El-Sohemy A, Cahill L, Ferguson LR, French T-AC, Tai ES, et al. Nutrigenetics and nutrigenomics: viewpoints on the current status and applications in nutrition research and practice. Lifestyle Genomics. 2011;4(2):69-89.

https://doi.org/10.1159/000327772

4. Garrod AE. The incidence of alkaptonuria: a study in chemical individuality. Molecular Medicine. 1996;2(3):274-82.

https://doi.org/10.1007/bf03401625

5. Zhang Z, Zhang G, Zhang S, Zhao J. Fructooligosaccharide reduces weanling pig diarrhea in conjunction with improving intestinal antioxidase activity and tight junction protein expression. Nutrients. 2022;14(3):512.

https://doi.org/10.3390/nu14030512

6. Kaput J, Rodriguez RL. Nutritional genomics: the next frontier in the postgenomic era. Physiological genomics. 2004;16(2):166-77.

https://doi.org/10.1152/physiolgenomics.00107.2003

7. Jump DB, Botolin D, Wang Y, Xu J, Christian B, Demeure O. Fatty acid regulation of hepatic gene transcription. The Journal of nutrition. 2005;135(11):2503-6.

https://doi.org/10.1093/jn/135.11.2503

8. Hanhineva K, Törrönen R, Bondia-Pons I, Pekkinen J, Kolehmainen M, Mykkänen H, et al. Impact of dietary polyphenols on carbohydrate metabolism. International journal of molecular sciences. 2010;11(4):1365-402.

https://doi.org/10.3390/ijms11041365

9. Saxton RA, Sabatini DM. mTOR signaling in growth, metabolism, and disease. Cell. 2017;168(6):960-76.

https://doi.org/10.1016/j.cell.2017.02.004

10. Hara T, Takeda T-a, Takagishi T, Fukue K, Kambe T, Fukada T. Physiological roles of zinc transporters: molecular and genetic importance in zinc homeostasis. The journal of physiological sciences. 2017;67(2):283-301.

https://doi.org/10.1007/s12576-017-0521-4

11. Hsu S, Prince DK, Williams K, Allen NB, Burke GL, Hoofnagle AN, et al. Clinical and biomarker modifiers of vitamin D treatment response: the multi-ethnic study of atherosclerosis. The American Journal of Clinical Nutrition. 2022;115(3):914-24.

https://doi.org/10.1093/ajcn/nqab390

12. Koletzko B, Lattka E, Zeilinger S, Illig T, Steer C. Genetic variants of the fatty acid desaturase gene cluster predict amounts of red blood cell docosahexaenoic and other polyunsaturated fatty acids in pregnant women: findings from the Avon Longitudinal Study of Parents and Children. The American journal of clinical nutrition. 2011;93(1):211-9.

https://doi.org/10.3945/ajcn.110.006189

13. Claussnitzer M, Dankel SN, Kim K-H, Quon G, Meuleman W, Haugen C, et al. FTO obesity variant circuitry and adipocyte browning in humans. New England Journal of Medicine. 2015;373(10):895-907.

14. Prentice A, Schoenmakers I, Laskey MA, De Bono S, Ginty F, Goldberg GR. Symposium on ‘Nutrition and health in children and adolescents’ Session 1: Nutrition in growth and development Nutrition and bone growth and development: A meeting of the Nutrition Society hosted by the Irish Section was held on 14–16 June 2006 at University College Cork, Cork, Republic of Ireland. Proceedings of the Nutrition Society. 2006;65(4):348-60.

https://doi.org/10.1079/pns2006519

15. Shrimpton R, Rokx C. The double burden of malnutrition. A review of global evidence Washington, DC: World Bank. 2012.

16. Hales CN, Barker DJ. The thrifty phenotype hypothesis: Type 2 diabetes. British medical bulletin. 2001;60(1):5-20.

17. Black RE, Victora CG, Walker SP, Bhutta ZA, Christian P, De Onis M, et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. The lancet. 2013;382(9890):427-51.

https://doi.org/10.1016/s0140-6736(13)60937-x

18. Agnihotri N, Rudjord Hillesund E, Bere E, Wills AK, Brantsæter AL, Øverby NC. Development and description of New Nordic Diet scores across infancy and childhood in the Norwegian Mother, Father and Child Cohort Study (MoBa). Maternal & Child Nutrition. 2021;17(3):e13150.

19. Isanaka S, Langendorf C, Berthé F, Gnegne S, Li N, Ousmane N, et al. Routine amoxicillin for uncomplicated severe acute malnutrition in children. New England Journal of Medicine. 2016;374(5):444-53.

https://doi.org/10.1056/nejmoa1507024

20. Singhi P, Saini AG, Malhi P. Child maltreatment in India. Paediatrics and international child health. 2013;33(4):292-300.

21. Subramanian S, Huq S, Yatsunenko T, Haque R, Mahfuz M, Alam MA, et al. Persistent gut microbiota immaturity in malnourished Bangladeshi children. Nature. 2014;510(7505):417-21.

https://doi.org/10.1038/nature13421

22. Damms-Machado A, Weser G, Bischoff SC. Micronutrient deficiency in obese subjects undergoing low calorie diet. Nutrition journal. 2012;11(1):34.

23. Ganz T. Hepcidin, a key regulator of iron metabolism and mediator of anemia of inflammation. Blood. 2003;102(3):783-8.

https://doi.org/10.1182/blood-2003-03-0672

24. Waterland RA, Jirtle RL. Transposable elements: targets for early nutritional effects on epigenetic gene regulation. Molecular and cellular biology. 2003;23(15):5293-300.

25. Dominguez-Salas P, Moore SE, Baker MS, Bergen AW, Cox SE, Dyer RA, et al. Maternal nutrition at conception modulates DNA methylation of human metastable epialleles. Nature communications. 2014;5(1):3746.

https://doi.org/10.1038/ncomms4746

26. Berger SL. The complex language of chromatin regulation during transcription. Nature. 2007;447(7143):407-12.

27. Milagro F, Mansego M, De Miguel C, Martínez J. Dietary factors, epigenetic modifications and obesity outcomes: progresses and perspectives. Molecular aspects of medicine. 2013;34(4):782-812.

https://doi.org/10.1016/j.mam.2012.06.010

28. Mentzel CMJ, Anthon C, Jacobsen MJ, Karlskov-Mortensen P, Bruun CS, Jørgensen CB, et al. Gender and obesity specific microRNA expression in adipose tissue from lean and obese pigs. PloS one. 2015;10(7):e0131650.

29. Jansson-Knodell CL, Rubio-Tapia A. The fashionable gluten-free diet—wear with caution. Oxford University Press; 2021. p. 491-2.

30. Georgieff MK, Brunette KE, Tran PV. Early life nutrition and neural plasticity. Development and psychopathology. 2015;27(2):411-23.

https://doi.org/10.1017/s0954579415000061

31. Hambidge KM, Krebs NF. Zinc deficiency: a special challenge. The Journal of nutrition. 2007;137(4):1101-5.

32. Rosenblatt DS. Inherited disorders of folate and cobalamin. Homocysteine Metabolism: From Basic Science to Clinical Medicine: Springer; 1997. p. 61-8.

33. Prentice A, Goldberg GR, Schoenmakers I. Vitamin D across the lifecycle: physiology and biomarkers. The American journal of clinical nutrition. 2008;88(2):500S-6S.

https://doi.org/10.1093/ajcn/88.2.500s

34. Sonnenburg JL, Bäckhed F. Diet–microbiota interactions as moderators of human metabolism. Nature. 2016;535(7610):56-64.

35. Claus SP, Ellero SL, Berger B, Krause L, Bruttin A, Molina J, et al. Colonization-induced host-gut microbial metabolic interaction. MBio. 2011;2(2):10.1128/mbio. 00271-10.

https://doi.org/10.1128/mbio.00271-10

36. Goodrich JK, Waters JL, Poole AC, Sutter JL, Koren O, Blekhman R, et al. Human genetics shape the gut microbiome. Cell. 2014;159(4):789-99.

37. Lewis ZT, Totten SM, Smilowitz JT, Popovic M, Parker E, Lemay DG, et al. Maternal fucosyltransferase 2 status affects the gut bifidobacterial communities of breastfed infants. Microbiome. 2015;3(1):13.

https://doi.org/10.1186/s40168-015-0071-z

38. Yengo L, Sidorenko J, Kemper KE, Zheng Z, Wood AR, Weedon MN, et al. Meta-analysis of genome-wide association studies for height and body mass index in∼ 700000 individuals of European ancestry. Human molecular genetics. 2018;27(20):3641-9.

39. Choi SW, Mak TS-H, O’Reilly PF. Tutorial: a guide to performing polygenic risk score analyses. Nature protocols. 2020;15(9):2759-72.

https://doi.org/10.1038/s41596-020-0353-1

40. Martin AR, Kanai M, Kamatani Y, Okada Y, Neale BM, Daly MJ. Current clinical use of polygenic scores will risk exacerbating health disparities. Nature genetics. 2019;51(4):584.

41. Karczewski KJ, Snyder MP. Integrative omics for health and disease. Nature Reviews Genetics. 2018;19(5):299-310.

https://doi.org/10.1038/nrg.2018.4

42. Ramos-Lopez O, Milagro FI, Riezu-Boj JI, Martinez JA. Epigenetic signatures underlying inflammation: An interplay of nutrition, physical activity, metabolic diseases, and environmental factors for personalized nutrition. Inflammation Research. 2021;70(1):29-49.

43. Zeevi D, Korem T, Zmora N, Israeli D, Rothschild D, Weinberger A, et al. Personalized nutrition by prediction of glycemic responses. Cell. 2015;163(5):1079-94.

https://doi.org/10.1016/j.cell.2015.11.001

44. Grimaldi KA, Van Ommen B, Ordovas JM, Parnell LD, Mathers JC, Bendik I, et al. Proposed guidelines to evaluate scientific validity and evidence for genotype-based dietary advice. Genes & nutrition. 2017;12(1):35.

45. Koletzko B, Boey CC, Campoy C, Carlson SE, Chang N, Guillermo-Tuazon MA, et al. Current information and Asian perspectives on long-chain polyunsaturated fatty acids in pregnancy, lactation, and infancy: systematic review and practice recommendations from an early nutrition academy workshop. Annals of Nutrition and Metabolism. 2014;65(1):49-80.

https://doi.org/10.1159/000365767

46. Ordovas JM, Ferguson LR, Tai ES, Mathers JC. Personalised nutrition and health. bmj. 2018;361.

47. Waterland RA, Garza C. Potential mechanisms of metabolic imprinting that lead to chronic disease. The American journal of clinical nutrition. 1999;69(2):179-97.

48. Scott D, de Courten B, Ebeling PR. Sarcopenia: a potential cause and consequence of type 2 diabetes in Australia's ageing population? Medical Journal of Australia. 2016;205(7):329-33.

https://doi.org/10.5694/mja16.00446

49. Pavlidis C, Patrinos GP, Katsila T. Nutrigenomics: A controversy. Applied & translational genomics. 2015;4:50-3.

https://doi.org/10.1016/j.atg.2015.02.003

50. Yaqoob P. Fatty acids and the immune system: from basic science to clinical applications. Proceedings of the Nutrition Society. 2004;63(1):89-105.

https://doi.org/10.1079/pns2003328

51. Stuart T, Satija R. Integrative single-cell analysis. Nature reviews genetics. 2019;20(5):257-72.

52. Eichler EE, Flint J, Gibson G, Kong A, Leal SM, Moore JH, et al. Missing heritability and strategies for finding the underlying causes of complex disease. Nature reviews genetics. 2010;11(6):446-50.

https://doi.org/10.1038/nrg2809

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Published

2026-05-30

How to Cite

Tehseen, A., Irda ul Murtaza, Qasim, M., Arshad, R., Aslam, K., Qadir, H., Samar Iqbal, M., Naseer, L., & Nazir, A. (2026). Nutrigenomics and Malnutrition: Advances in Prevention and Therapeutic Strategies. Indus Journal of Bioscience Research, 4(5), 102-115. https://doi.org/10.70749/ijbr.v4i5.3246