Hauner H, Bechthold A, Boeing H, Brönstrup A, Buyken A, Leschik-Bonnet E, Linseisen J, Schulze M, Strohm D, Wolfram G
Technische Universität München.
Dtsch Med Wochenschr. 2012 Feb;137(8):389-93. doi: 10.1055/s-0031-1298916. Epub 2012 Feb 14.
The relative contribution of nutrition-related chronic diseases to the total disease burden of the society and the healthcare costs have risen continuously over the last decades. This challenge requires to explore and use the potential of dietary prevention of diseases such as obesity, type 2 diabetes, dyslipidaemia, cardiovascular disease and cancer. This evidence-based guideline systematically assessed the potential role of carbohydrates in the primary prevention of these diseases. The major findings were: a high consumption of sugar-sweetened beverages increases the risk of obesity and type 2 diabetes (strength of evidence: probable), whereas a high dietary fibre intake, mainly from whole-grain products, reduces the risk of obesity, type 2 diabetes, dyslipidaemia, hypertension, coronary heart disease and colorectal cancer (strength of evidence: probable and convincing, respectively). The practical consequences for current dietary recommendations are presented.
在过去几十年中,营养相关慢性病对社会总疾病负担和医疗费用的相对贡献持续上升。这一挑战要求探索并利用饮食预防肥胖、2型糖尿病、血脂异常、心血管疾病和癌症等疾病的潜力。本循证指南系统评估了碳水化合物在这些疾病一级预防中的潜在作用。主要发现如下:高糖饮料摄入量增加会增加肥胖和2型糖尿病风险(证据强度:可能),而高膳食纤维摄入量,主要来自全谷物产品,可降低肥胖、2型糖尿病、血脂异常、高血压、冠心病和结直肠癌风险(证据强度:分别为可能和令人信服)。文中还给出了对当前饮食建议的实际影响。