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超加工食品和慢性病风险:系统审查,元分析和建议
Kristin E Leonberg1, Manish R Maski2, Tammy M Scott1
1Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA 02111, USA.
Nutrients
|May 14, 2025
概括
消费超加工食品 (UPF) 与患慢性病 (CKD) 的风险更高有关. 公共卫生政策应鼓励饮食丰富的微加工食品,以改善脏健康.
科学领域:
- 营养科学 营养科学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 超加工食品 (UPF) 是含有添加剂的工业配方,在全球范围内越来越多地消费.
- UPF与非传染性疾病有关,包括慢性病 (CKD).
- 这些食物提供了方便和负担得起的价格,但在营养上很差.
研究的目的:
- 系统地审查和分析关于UPF消费与成人CKD风险之间的关联的观察性研究.
主要方法:
- 在Medline,EMBASE,CINAHL和Cochrane Central数据库中进行系统搜索.
- 包括自UPF分类以来发表的观察性研究.
- 随机效应模型用于从符合条件的研究中汇集风险估计.
主要成果:
- 七项研究被纳入了审查中;四项有资格进行元分析.
- 分析包括了19,645个发生的CKD病例.
- 较高的UPF摄入量与增加的CKD风险有显著的关联 (日志危险比率=0.17;95%CI:0.07-0.28;p<0.001).
结论:
- 实质性证据将UPF消费与CKD风险增加联系在一起.
- 公共卫生政策应解决与UPF相关的风险.
- 推广最低限度加工食品可以减轻CKD的患病率,提高公共健康.
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