Alliance for Natural Health, Science Unit, The Atrium, Curtis Road, Dorking, Surrey RH41XA, United Kingdom.
Toxicology. 2010 Nov 28;278(1):17-26. doi: 10.1016/j.tox.2009.12.017. Epub 2009 Dec 23.
In the European Union (EU), interest in risk analysis as applied to micronutrients is being stimulated by the increasing availability and marketing of food (dietary) supplements, functional and fortified foods. There is also strong inter-governmental interest in harmonizing methods regionally and globally. Various models are being evaluated in the EU for the purposes of developing Community-wide, mandatory maximum (and minimum) permitted levels, as required by EC Directive 2002/46/EC and Regulation (EC) No 1925/2006 on food supplements and fortified foods, respectively. This paper provides a scientific critique of models currently proposed in the EU and demonstrates weaknesses in both the risk assessment methods used to determine upper tolerable levels (ULs) as well as the risk management approaches being considered for the determination of maximum levels, particularly as applied to food supplements. Methods for ameliorating existing models are proposed here, including a proposal for using decision science as the underlying methodology in nutrient risk analysis. Risk management approaches based on more plausible scientific methods would avoid unnecessarily restrictive policy-based levels that would adversely impact consumer choice, while contributing to a 'better regulation' approach. Scientifically robust and rational methods of nutrient risk analysis are consistent with disease risk reduction, health management and consumer protection strategies.
在欧盟(EU),由于食品(膳食)补充剂、功能性食品和强化食品的日益普及和营销,人们对应用于微量营养素的风险分析产生了浓厚的兴趣。政府之间也非常有兴趣在区域和全球范围内协调方法。欧盟正在评估各种模型,目的是根据 EC 指令 2002/46/EC 和关于食品补充剂和强化食品的法规(EC)No 1925/2006 的要求,制定全欧盟范围内强制性的最大(和最小)允许水平。本文对欧盟目前提出的模型进行了科学评价,并展示了用于确定可耐受最高水平(ULs)的风险评估方法以及正在考虑用于确定最大水平的风险管理方法的弱点,特别是对于食品补充剂。本文提出了改进现有模型的方法,包括提议使用决策科学作为营养风险分析的基础方法。基于更合理的科学方法的风险管理方法将避免不必要的基于政策的限制水平,这些限制水平会对消费者选择产生不利影响,同时有助于实现“更好的监管”方法。营养风险分析的科学稳健和合理方法与疾病风险降低、健康管理和消费者保护策略一致。