脂肪摄入、饮食多样性与健康促进。

Fat intake, diet variety and health promotion.

作者信息

Elmadfa I, Freisling H

机构信息

Institute of Nutritional Sciences, University of Vienna, Vienna, Austria.

出版信息

Forum Nutr. 2005(57):1-10.

DOI:
Abstract

Different epidemiological studies indicated that the optimization of diet and nutrition combined with healthy life style can decrease the risk and even lead to amelioration of various noncommunicable diseases. Promising food-based dietary guidelines have been recommended in order to improve the nutritional and health status. One of the most popular recommendations is related to the amount (less fat and fat-rich foods) and type of the dietary fat component (less saturated, more polyunsaturated fatty acids, lower n-6:n-3 ratio). An overview on the nutrient intake among different age groups in Austria shows that the general consumption of some food groups--especially those rich in carbohydrates--is too low and that the intake of fat is far beyond the recommended amount of 30% of total energy (E%). The results of the 24-hour recall made among Austrian adults (n = 2,585) showed that about 18% of this population group had a fat intake of 30-35 E%, whereas 60% had an intake higher than 35 E%. Only 24% of the female and male adults had a fat intake lower than 30 E%. A result of this high proportion of fat--in the form of foods rich in fat--in the average total energy consumption is a too low intake of carbohydrates, and foods rich in carbohydrates, respectively. An increasing fat intake is associated with an increasing intake of some nutrients such as vitamin A, E, calcium and zinc, but a decreasing intake of other nutrients like vitamin C, folate, carotenoids and others. The diversity of foods consumed during a day increases with decreasing amount of fat in the diet of adults. People with a high amount of fat in their daily diet show a lower intake of vegetables and fruit, cereal products, carotenoids, folates and dietary fibers, but a higher intake of meat and meat products, milk and milk products, sweets and flummeries as well as saturated fatty acids (SFA) and cholesterol. Of course, a higher variety of food items in the daily diet should not be associated with a higher energy intake. Thus, foods with a high nutrient density (vegetables, fruits, low-fat milk products, whole grain cereals, legumes etc.) are recommended. Finally, it has to be annotated that a high diversity in the daily diet with reduced fat and SFA intake allows a sufficient nutrient intake and is an important approach for health promotion.

摘要

不同的流行病学研究表明,优化饮食与营养并结合健康的生活方式能够降低风险,甚至改善各种非传染性疾病。为了改善营养和健康状况,人们推荐了一些很有前景的基于食物的膳食指南。其中最普遍的一项建议与膳食脂肪成分的量(减少脂肪及富含脂肪的食物)和类型(减少饱和脂肪酸,增加多不饱和脂肪酸,降低n-6:n-3比例)有关。奥地利不同年龄组营养摄入情况的概述显示,某些食物组的总体消费量——尤其是富含碳水化合物的食物组——过低,而脂肪摄入量远远超过总能量(E%)30%的推荐量。对奥地利成年人(n = 2585)进行的24小时膳食回顾结果表明,该人群中约18%的人脂肪摄入量为30%-35E%,而60%的人摄入量高于35E%。只有24%的成年女性和男性脂肪摄入量低于30E%。在平均总能量消耗中,高脂肪(以富含脂肪的食物形式)比例带来的一个结果是碳水化合物及富含碳水化合物食物的摄入量过低。脂肪摄入量的增加与某些营养素(如维生素A、E、钙和锌)摄入量的增加相关,但与其他营养素(如维生素C、叶酸、类胡萝卜素等)摄入量的减少相关。随着成年人饮食中脂肪量的减少,一天中所消费食物的多样性增加。日常饮食中脂肪含量高的人蔬菜、水果、谷物产品、类胡萝卜素、叶酸和膳食纤维的摄入量较低,但肉类和肉制品、牛奶和奶制品、糖果和布丁以及饱和脂肪酸(SFA)和胆固醇的摄入量较高。当然,日常饮食中食物种类更多不应与更高的能量摄入相关。因此,推荐营养密度高的食物(蔬菜、水果、低脂奶制品、全谷物谷物、豆类等)。最后,必须指出的是,日常饮食中种类丰富且减少脂肪和SFA摄入量能够保证充足的营养摄入,是促进健康的重要方法。

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