饮食中的脂肪:从敌人变成朋友?
David S Ludwig1,2, Walter C Willett2,3, Jeff S Volek4
1New Balance Foundation Obesity Prevention Center, Boston Children's Hospital, Boston, MA, USA. david.ludwig@childrens.harvard.edu.
概括
饮食中的脂肪和碳水化合物摄入量与慢性疾病风险有关. 本次审查考察了关于宏观营养素数量与质量的证据,以预防健康和疾病.
科学领域:
- 营养科学
- 代谢健康
- 慢性疾病流行病学
背景情况:
- 传统的饮食准则强调低脂肪摄入以预防肥胖和慢性疾病.
- 新出现的证据将加工碳水化合物消费与不良代谢影响联系在一起, 激发了对低碳水化合物和饮食的兴趣.
- 关于宏观营养素的数量或质量是否对健康结果更为关键存在争议.
研究的目的:
- 审查和综合当前关于饮食中宏观营养素 (脂肪和碳水化合物) 在慢性疾病中的作用的科学证据.
- 确定营养科学家之间存在共识和持续争议的领域.
- 提供有关饮食脂肪和碳水化合物摄入的公共卫生建议.
主要方法:
- 对现有科学证据进行全面的文献审查.
- 分析检查饮食脂肪,碳水化合物和慢性疾病之间的关系的研究.
- 综合了不同观点的营养科学家的发现.
主要成果:
- 证据表明,对于代谢健康的理解从宏观营养素的数量转向质量.
- 关于脂肪与碳水化合物量相对于特定食物来源的相对重要性仍存在争议.
- 对于加工碳水化合物的有害影响,
结论:
- 饮食中的脂肪和碳水化合物在慢性疾病中的作用是复杂而多方面的.
- 仅仅关注宏观营养素的数量可能是不够的; 食物来源的质量至关重要.
- 需要进一步研究以充分阐明长期健康的最佳均衡和宏观营养素类型.
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