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膳食脂肪酸:是时候改变建议了吗?

Dietary Fatty Acids: Is it Time to Change the Recommendations?

作者信息

Nettleton Joyce A, Lovegrove Julie A, Mensink Ronald P, Schwab Ursula

机构信息

ScienceVoice Consulting, Denver, Colo., USA.

出版信息

Ann Nutr Metab. 2016;68(4):249-57. doi: 10.1159/000446865. Epub 2016 Jun 3.

Abstract

Limiting the saturated fatty acid (SAFA) consumption forms the basis of dietary fat recommendations for heart health, despite several meta-analyses demonstrating no link between dietary SAFA and the risk of cardiovascular disease (CVD). Three experts on dietary fat and health discussed the evidence of reducing SAFA intake at a symposium of the Federation of European Nutrition Societies in Berlin, Germany, October 23, 2015. Ronald P. Mensink, Maastricht University, the Netherlands, discussed the evidence linking dietary fatty acids and CVD risk. He emphasized the importance of the replacement nutrient(s) when SAFA intake is reduced. Julie Lovegrove, University of Reading, UK, addressed the question of whether higher intakes of unsaturated fatty acids are beneficial. She discussed the replacement of SAFA by polyunsaturated fatty acids (PUFA) and monounsaturated fatty acids (MUFA), noting the reduction in CVD risk with PUFA replacement and in CVD risk markers with MUFA replacement of SAFA. Ursula Schwab, University of Eastern Finland, Kuopio, Finland, discussed the importance of dietary patterns in achieving reduced risk of CVD, observing that several dietary patterns following the principles of a health-promoting diet and adapted to local customs, food preferences and seasonality are effective in reducing the risk of CVD, type 2 diabetes and other chronic diseases. This paper summarizes the symposium presentations.

摘要

尽管多项荟萃分析表明膳食饱和脂肪酸(SAFA)与心血管疾病(CVD)风险之间没有关联,但限制饱和脂肪酸的摄入仍是心脏健康饮食脂肪建议的基础。2015年10月23日,在德国柏林举行的欧洲营养学会联合会研讨会上,三位膳食脂肪与健康领域的专家讨论了减少饱和脂肪酸摄入量的证据。荷兰马斯特里赫特大学的罗纳德·P·门辛克讨论了膳食脂肪酸与心血管疾病风险之间的关联证据。他强调了减少饱和脂肪酸摄入量时替代营养素的重要性。英国雷丁大学的朱莉·洛夫格罗夫探讨了不饱和脂肪酸摄入量较高是否有益的问题。她讨论了用多不饱和脂肪酸(PUFA)和单不饱和脂肪酸(MUFA)替代饱和脂肪酸的情况,指出用多不饱和脂肪酸替代饱和脂肪酸可降低心血管疾病风险,用单不饱和脂肪酸替代饱和脂肪酸可降低心血管疾病风险标志物。芬兰库奥皮奥东芬兰大学的乌尔苏拉·施瓦布讨论了膳食模式在降低心血管疾病风险方面的重要性,指出遵循促进健康饮食原则并适应当地习俗、食物偏好和季节性的几种膳食模式可有效降低心血管疾病、2型糖尿病和其他慢性病的风险。本文总结了研讨会上的发言内容。

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