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法国普通人群的脂肪酸膳食摄入量:是否符合法国食品、环境与职业健康安全局(ANSES)的国家建议?

Fatty acid dietary intake in the general French population: are the French Agency for Food, Environmental and Occupational Health & Safety (ANSES) national recommendations met?

作者信息

Tressou Jessica, Moulin Philippe, Vergès Bruno, Le Guillou Céline, Simon Noémie, Pasteau Stéphane

机构信息

1UMR MIA-Paris,AgroParisTech,INRA,Université Paris-Saclay,75005 Paris,France.

2Fédération d'endocrinologie,Hôpital Louis Pradel GHE,Université Lyon 1,UMR INSERM CARMEN 1060,Lyon,France.

出版信息

Br J Nutr. 2016 Dec;116(11):1966-1973. doi: 10.1017/S000711451600413X. Epub 2016 Dec 20.

DOI:10.1017/S000711451600413X
PMID:27993183
Abstract

Quantity and quality of fatty acids (FA) in diet influence CVD risk. Consequently, health authorities promote recommended dietary intakes for FA, looking for optimal intakes in a primary prevention of CVD perspective. In parallel, a few data are available detailing intakes in national populations. The objective of the present study was to perform a large analysis combining the data of the French National Survey INCA 2 on food consumption performed in 2006 and 2007, and the nutritional content of food consumed in France updated in 2013 by the French Information Centre on Food Quality, to explore in details the FA intakes in French adults using the most recent available data. To compare the discrepancies in the observed intake levels with the French recommended levels, a weighted fat adherence score was built combining intakes of the different FA. Individual scores were computed in relation to official recommendations, and potential explanatory factors were identified. These data show that SFA intakes are persistently higher than national recommendations, combined with low intakes of MUFA and PUFA, particularly long-chain n-3 FA. Only 14·6 % of the French population met DHA intake recommendation, 7·8 % for EPA and 21·6 % for SFA. This situation remains unfavourable in terms of primary prevention of CVD. Consuming fish and other sources of n-3 FA, living in the south of France, being female, having a higher education level, and low alcohol consumption were associated with a healthier fat adherence score.

摘要

饮食中脂肪酸(FA)的数量和质量会影响心血管疾病(CVD)风险。因此,卫生当局提倡推荐的FA膳食摄入量,从CVD一级预防的角度寻求最佳摄入量。与此同时,关于国家人群摄入量的详细数据较少。本研究的目的是进行一项大型分析,将2006年和2007年进行的法国全国食物消费调查INCA 2的数据,与法国食品质量信息中心于2013年更新的法国食物营养成分数据相结合,以利用最新可得数据详细探究法国成年人的FA摄入量。为了比较观察到的摄入量水平与法国推荐水平之间的差异,构建了一个加权脂肪依从性评分,该评分结合了不同FA的摄入量。根据官方建议计算个体评分,并确定潜在的解释因素。这些数据表明,饱和脂肪酸(SFA)摄入量持续高于国家推荐水平,同时单不饱和脂肪酸(MUFA)和多不饱和脂肪酸(PUFA)摄入量较低,尤其是长链n-3脂肪酸。法国只有14.6%的人口达到了二十二碳六烯酸(DHA)的摄入推荐量,二十碳五烯酸(EPA)为7.8%,SFA为21.6%。就CVD的一级预防而言,这种情况仍然不利。食用鱼类和其他n-3脂肪酸来源、居住在法国南部、女性、受教育程度较高以及低酒精消费与更健康的脂肪依从性评分相关。

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