Mozaffarian Dariush
D. Mozaffarian is with the Friedman School of Nutrition Science & Policy, Tufts University, Boston, Massachusetts, USA.
Nutr Rev. 2017 Jan;75(suppl 1):19-31. doi: 10.1093/nutrit/nuw024.
Diet has become one of the top risk factors for poor health. The incidence of cardiometabolic disease in the United Sates, in Mexico, and in most countries is driven fundamentally by changes in diet quality. Weight gain has been typically framed as a problem of excess caloric intake, but, as reviewed in this paper, subtle changes in the quality of diet are associated with long-term weight gain. In order to successfully address obesity and diabetes, researchers and policy makers have to better understand how weight gain in the long term is modulated and to change the focus of research and public policy from one based on counting calories to one based on diet quality and its determinants at various levels.
饮食已成为健康不佳的首要风险因素之一。美国、墨西哥以及大多数国家的心脏代谢疾病发病率，根本上是由饮食质量的变化所驱动的。体重增加通常被视为热量摄入过多的问题，但是，正如本文所综述的，饮食质量的细微变化与长期体重增加有关。为了成功应对肥胖症和糖尿病，研究人员和政策制定者必须更好地理解长期体重增加是如何被调节的，并将研究和公共政策的重点从基于计算卡路里，转变为基于饮食质量及其在各个层面的决定因素。
