对超加工食品消费对各种非传染性疾病的剂量反应的影响大小的综合分析
Fairuz Firda Bestari1, Nuri Andarwulan1, Eny Palupi2
1Department of Food Science, Faculty of Agricultural Technology, IPB University, Bogor 16680, Indonesia.
Foods (Basel, Switzerland)
|December 23, 2023
概括
超加工食品 (UPF) 增加营养摄入量,减少纤维,导致肥胖和非传染性疾病 (NCD). 限制UPF消费对于预防这些健康问题至关重要.
科学领域:
- 营养科学 营养科学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 超加工食品 (UPF) 与能量,,糖和脂肪摄入量增加以及纤维摄入量减少有关.
- UPF与超重和肥胖有关,被认为是非传染性疾病 (NCD) 的前体.
- 消费UPF对非传染性疾病的确切影响需要进一步调查.
研究的目的:
- 进行一项元分析,合成UPF消费对各种非传染性疾病的剂量反应效应.
- 量化UPF摄入量与关键营养参数之间的关联.
主要方法:
- 通过PRISMA指南选择的18篇研究文章进行了元分析.
- 危险比率 (HR) 和95%置信区间 (CI) 是主要指标.
- 营养摄入量的变化和NCD风险的评估是基于UPF消费水平.
主要成果:
- UPF的消费显著增加了碳水化合物的摄入量 (+49.64%),添加糖 (+40.78%),和脂肪 (+30.00%), (+27.76%),能量 (+26.67%),胆固醇 (+25.69%) 和总脂肪 (+15.77%).
- 纤维摄入量低于每日推的38.55%与UPF消费.
- 10%的UPF增加与糖尿病 (HR=1.115),心血管疾病 (HR=1.096),肥胖 (HR=1.068) 和癌症 (HR=1.020) 的风险更高相关.
结论:
- UPF的消费大大改变了营养摄入量,导致有害成分的过量和纤维等必需成分的缺乏.
- 增加的UPF摄入量与剂量反应相关,与主要非传染性疾病的风险增加有关.
- 减少每天的UPF消费是预防NCD (包括肥胖症) 的推策略.
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