Baker P, Friel S
National Centre for Epidemiology and Population Health, Research School of Population Health, Australian National University, Canberra, ACT, Australia.
Obes Rev. 2014 Jul;15(7):564-77. doi: 10.1111/obr.12174. Epub 2014 Apr 15.
This paper elucidates the role of processed foods and beverages in the 'nutrition transition' underway in Asia. Processed foods tend to be high in nutrients associated with obesity and diet-related non-communicable diseases: refined sugar, salt, saturated and trans-fats. This paper identifies the most significant 'product vectors' for these nutrients and describes changes in their consumption in a selection of Asian countries. Sugar, salt and fat consumption from processed foods has plateaued in high-income countries, but has rapidly increased in the lower-middle and upper-middle-income countries. Relative to sugar and salt, fat consumption in the upper-middle- and lower-middle-income countries is converging most rapidly with that of high-income countries. Carbonated soft drinks, baked goods, and oils and fats are the most significant vectors for sugar, salt and fat respectively. At the regional level there appears to be convergence in consumption patterns of processed foods, but country-level divergences including high levels of consumption of oils and fats in Malaysia, and soft drinks in the Philippines and Thailand. This analysis suggests that more action is needed by policy-makers to prevent or mitigate processed food consumption. Comprehensive policy and regulatory approaches are most likely to be effective in achieving these goals.
本文阐述了加工食品和饮料在亚洲正在进行的“营养转型”中所起的作用。加工食品往往富含与肥胖及饮食相关的非传染性疾病有关的营养素:精制糖、盐、饱和脂肪和反式脂肪。本文确定了这些营养素最重要的“产品载体”,并描述了它们在一些亚洲国家的消费变化情况。加工食品中的糖、盐和脂肪消费在高收入国家已趋于平稳,但在中低收入和中高收入国家却迅速增加。相对于糖和盐,中高收入和中低收入国家的脂肪消费与高收入国家的趋同速度最快。碳酸软饮料、烘焙食品以及油脂分别是糖、盐和脂肪最重要的载体。在区域层面,加工食品的消费模式似乎正在趋同,但在国家层面仍存在差异,包括马来西亚油脂消费量高,菲律宾和泰国软饮料消费量高。该分析表明,政策制定者需要采取更多行动来预防或减少加工食品的消费。全面的政策和监管方法最有可能有效地实现这些目标。