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人类对富含脂肪食物的认知与偏好

Human Perceptions and Preferences for Fat-Rich Foods

作者信息

Drewnowski Adam, Almiron-Roig Eva

Abstract

Energy-dense foods and diets have been associated with higher energy intakes (Andrieu et al., 2006) and with higher prevalence of obesity and the metabolic syndrome (Mendoza et al., 2007). By all reports, the energy density of the Western diet is on the rise, as is the consumption of dietary fats (Drewnowski and Popkin, 1997; Popkin et al., 2001; Drewnowski, 2005). In the United Kingdom, dietary fat accounted for an average of 36% of dietary energy for men and 35% for women (Henderson et al., 2003). In France, dietary fat accounted for 37%–42% of dietary energy, with saturated fat providing 16% (Drewnowski et al., 1996; Perrin et al., 2002; Astorg et al., 2004). In the United States, dietary fat accounted for 33%–36% of dietary energy (Allred, 1995; CDC, 2004). Despite public health efforts to lower fat consumption, global consumption of both animal and vegetable fats continues to rise (CDC, 2004; Amuna and Zotor, 2008). Innate preferences for dietary fats seem to be tempered only by incomes. As incomes rise, developing nations typically replace plant-based diets with more animal fats, vegetable oils, and caloric sweeteners, a phenomenon known as the “nutrition transition” (Drewnowski and Popkin, 1997). Paradoxically, developed nations recommend replacing fat-rich foods with water-laden grains, vegetables, and fruit in order to increase bulk and so reduce the energy density of the diet. Recommendations to reduce dietary energy density are one way to reduce energy intakes in an effort to address the global obesity epidemic (WHO Report, 2003). The problem is that the palatability and enjoyment of foods are often tied to their energy density and therefore fat content. Energy-dense foods that are rich in fat are more palatable than are many low-energy-density vegetables and fruit (Drewnowski, 1998). High-fat foods, many containing sugar or salt, have an undeniable sensory appeal and are difficult to resist (Folkenberg and Martens, 2003). Energy-dense high-fat diets are consumed in preference to plant-based diets of grains, pulses, and legumes. There are many explanations for why humans like fat (Drewnowski, 1997a,b). Several physiological mechanisms have been proposed, many of which are based on the strong links found between fat content, palatability, satiety, and energy density. The orosensory properties of fat or fat “taste” seem to be perceived through a combination of taste, texture, and olfaction (Drewnowski, 1997a; Schiffman et al., 1998). Fat is a concentrated source of energy with rewarding postingestive effects (Drewnowski, 1995). The learning of food preferences may be based on associating sensory attributes with the physiologic consequences of ingestion, such as satiety and well-being (Birch, 1999).

摘要

能量密集型食物和饮食与更高的能量摄入有关(安德里厄等人,2006年),也与肥胖症和代谢综合征的更高患病率有关(门多萨等人,2007年)。据各方报道,西方饮食的能量密度在上升,膳食脂肪的消费量也在上升(德鲁诺夫斯基和波普金,1997年;波普金等人,2001年;德鲁诺夫斯基,2005年)。在英国,膳食脂肪平均占男性膳食能量的36%,女性为35%(亨德森等人,2003年)。在法国,膳食脂肪占膳食能量的37% - 42%,其中饱和脂肪占16%(德鲁诺夫斯基等人,1996年;佩兰等人,2002年;阿斯托格等人,2004年)。在美国,膳食脂肪占膳食能量的33% - 36%(奥尔雷德,1995年;疾病控制与预防中心,2004年)。尽管为降低脂肪消费做出了公共卫生方面的努力,但全球动物脂肪和植物油的消费量仍在持续上升(疾病控制与预防中心,2004年;阿穆纳和佐托尔,2008年)。对膳食脂肪的内在偏好似乎仅受收入影响。随着收入增加,发展中国家通常会用更多的动物脂肪、植物油和高热量甜味剂取代以植物为基础的饮食,这一现象被称为“营养转型”(德鲁诺夫斯基和波普金,1997年)。矛盾的是,发达国家建议用富含水分的谷物、蔬菜和水果取代富含脂肪的食物,以增加食物体积,从而降低饮食的能量密度。降低膳食能量密度的建议是减少能量摄入以应对全球肥胖流行问题的一种方法(世界卫生组织报告,2003年)。问题在于食物的适口性和愉悦感通常与其能量密度以及脂肪含量相关。富含脂肪的能量密集型食物比许多低能量密度的蔬菜和水果更可口(德鲁诺夫斯基,1998年)。高脂肪食物,许多还含有糖或盐,具有不可否认的感官吸引力,让人难以抗拒(福尔肯贝格和马滕斯,2003年)。人们更喜欢食用能量密集型高脂肪饮食,而非以谷物、豆类和豆类为基础的植物性饮食。关于人类为何喜欢脂肪有多种解释(德鲁诺夫斯基,1997a、b)。已经提出了几种生理机制,其中许多基于脂肪含量、适口性、饱腹感和能量密度之间的紧密联系。脂肪的口感觉特性或脂肪“味道”似乎是通过味觉、质地和嗅觉的综合作用被感知的(德鲁诺夫斯基,1997a;希夫曼等人,1998年)。脂肪是一种能量集中的来源,具有有益的摄食后效应(德鲁诺夫斯基,1995年)。食物偏好的形成可能基于将感官属性与摄入后的生理后果(如饱腹感和舒适感)联系起来(伯奇,1999年)。

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