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食物成分数据对营养和公共卫生的重要性。

Importance of food composition data to nutrition and public health.

机构信息

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

出版信息

Eur J Clin Nutr. 2010 Nov;64 Suppl 3:S4-7. doi: 10.1038/ejcn.2010.202.

DOI:10.1038/ejcn.2010.202
PMID:21045848
Abstract

INTRODUCTION

Adequate nutrition is one of the pillars of public health. Before developing and implementing effective intervention programmes to improve nutrition at the population level, it is important to know the nutritional situation of the target group.

ASSESSMENT OF ENERGY AND NUTRIENT INTAKE

The estimation of nutrient intake from food consumption requires reliable data on food composition. These data are also the fundamentals of food-based dietary guidelines for healthy nutrition, containing the necessary information on food sources for different nutrients. Furthermore, food composition tables can provide information on chemical forms of nutrients and the presence and amounts of interacting components, and thus provide information on their bioavailability. For some nutrients such as vitamin A, vitamin E and niacin, the concept of equivalence has been introduced to account for differences in the availability and biological activity of different chemical forms. NON-NUTRITIVE FOOD COMPONENTS: Although most food composition tables focus on energy, macro- and micronutrients, interest in non-nutritive components is increasing. Considering the beneficial effects of biologically active secondary plant cell compounds such as polyphenols and carotenoids, more data on these are needed. On the other hand, there are a number of naturally occurring or 'man-made' non-nutritive substances with negative effects, and to control exposure, the main dietary sources must be known. Another aspect is contaminants, which could have detrimental effects on consumers' health. Among these are agrochemicals, industrial pollutants reaching the food chain and substances formed during food preparation. A valid risk assessment requires data on exposure, and thus on the contents of contaminants in foods. However, these data are highly variable and may significantly differ even within narrowly confined regions. CURRENT FOOD COMPOSITION DATABASES ARE FAR FROM COMPLETE: The fact that composition tables generally do not provide information about the origin of substances found in food can also influence their usability. For example, the German Nutrient Data base does not discriminate between naturally occurring and added sucrose impeding the estimation of added sucrose intake that should be limited. Points of focus: Considering the increasing number of persons relying on community nutrition and catering, healthy menu lines can improve the consumers' diets and contribute to nutrient supply. The development and implementation of appropriate guidelines also need food composition databases (FCBs) to compose meals. The ever-increasing number of new food preparations and manufactured products has resulted in a need for procedures for regularly updated data. Moreover, there is a lack of data particularly for essential trace elements such as copper, chromium or molybdenum and also vitamin K, as well as the already mentioned non-nutritive components. Limited comparability between countries is another issue. Regional differences arise especially from the use of local varieties, different soil quality or meteorological aspects. This variability is further increased with composite meals because of variation in recipes.

CONCLUSION

Information about food composition is necessary for the assessment of diet quality and the development and application of food-based dietary guidelines, providing a useful tool for the field of public health nutrition. In this regard, more attention should be paid to the preparation, extension and maintenance of FCBs.

摘要

简介

充足的营养是公共卫生的支柱之一。在制定和实施有效的干预计划以提高人群营养水平之前,了解目标群体的营养状况非常重要。

能量和营养素摄入量评估

从食物消费中估计营养素摄入量需要可靠的食物成分数据。这些数据也是健康营养饮食的基础,包含了不同营养素的食物来源的必要信息。此外,食物成分表可以提供有关营养素的化学形式以及存在和相互作用成分数量的信息,从而提供有关其生物利用度的信息。对于一些营养素,如维生素 A、维生素 E 和烟酸,已经引入了等价概念,以说明不同化学形式的可用性和生物活性的差异。

非营养性食物成分

尽管大多数食物成分表侧重于能量、宏量营养素和微量营养素,但对非营养性成分的兴趣正在增加。考虑到生物活性次生植物细胞化合物(如多酚和类胡萝卜素)的有益作用,需要更多关于这些化合物的数据。另一方面,有许多天然存在或“人工制造”的非营养性物质具有负面影响,为了控制暴露,必须了解主要的饮食来源。另一个方面是污染物,它们可能对消费者的健康产生不利影响。其中包括到达食物链的农用化学品、工业污染物和食物制备过程中形成的物质。有效的风险评估需要暴露数据,因此需要食物中污染物含量的数据。然而,这些数据高度可变,即使在狭窄的区域内也可能有很大差异。

当前的食物成分数据库远非完整

成分表通常不提供关于食物中发现的物质来源的信息,这也会影响其可用性。例如,德国营养数据库不区分天然存在的和添加的蔗糖,这阻碍了对应该限制的添加蔗糖摄入量的估计。

关注重点

考虑到越来越多的人依赖社区营养和餐饮,健康的菜单可以改善消费者的饮食,并有助于营养供应。适当的指南的制定和实施也需要食物成分数据库(FCB)来配制膳食。新的食物制备和制造产品的数量不断增加,需要定期更新数据的程序。此外,对于铜、铬、钼等必需微量元素以及维生素 K 以及前面提到的非营养性成分,数据也非常缺乏。国家之间的可比性有限也是一个问题。区域差异主要来自于当地品种的使用、不同的土壤质量或气象方面的差异。由于食谱的变化,这种可变性在复合膳食中进一步增加。

结论

食物成分信息是评估饮食质量和制定和应用基于食物的饮食指南的必要条件,为公共卫生营养领域提供了有用的工具。在这方面,应更加关注 FCB 的编制、扩展和维护。

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