Abdullah Mohammad M H, Jew Stephanie, Jones Peter J H
Richardson Centre for Functional Foods and Nutraceuticals, University of Manitoba, Winnipeg, Manitoba, Canada.
Department of Human Nutritional Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
Nutr Rev. 2017 Mar;75(3):163-174. doi: 10.1093/nutrit/nuw062. Epub 2017 Feb 1.
The impact of nutritional behaviors on health is beyond debate and has the potential to affect the economic outputs of societies in significant ways. Dietary fatty acids have become a central theme in nutrition research in recent years, and the popularity of dietary oils rich in healthy fatty acids, such as monounsaturated fatty acid (MUFA), for cooking applications and use in food products has increased. Here, the objective is to summarize the health effects of MUFA-rich diets and to systematically estimate the potential healthcare and societal cost savings that could be realized by increasing MUFA intakes compared with other dietary fat intakes in the United States. Using a scoping review approach, the literature of randomized controlled clinical trials was searched and a 4-step cost-of-illness analysis was developed, which included estimates of success rate, disease biomarker reduction, disease incidence reduction, and cost savings. Findings revealed improvements in established biomarkers and in incidence of coronary heart disease and type 2 diabetes, along with potentially substantial annual healthcare and societal cost savings when recommendations for daily MUFA intake were followed. In summary, beyond the beneficial health effects of MUFA-rich diets, potential economic benefits suggest practical implications for consumers, food processors, and healthcare authorities alike.
营养行为对健康的影响毋庸置疑,并且有可能在很大程度上影响社会的经济产出。近年来,膳食脂肪酸已成为营养研究的核心主题,富含健康脂肪酸(如单不饱和脂肪酸,MUFA)的食用油在烹饪和食品生产中的应用越来越广泛。本文旨在总结富含MUFA的饮食对健康的影响,并系统评估与美国其他膳食脂肪摄入量相比,增加MUFA摄入量可能实现的潜在医疗保健和社会成本节约。采用范围综述方法,检索了随机对照临床试验文献,并开展了四步疾病成本分析,包括成功率估计、疾病生物标志物减少、疾病发病率降低和成本节约。研究结果显示,遵循每日MUFA摄入量建议时,既定生物标志物以及冠心病和2型糖尿病的发病率有所改善,同时每年可能节省大量医疗保健和社会成本。总之,除了富含MUFA的饮食对健康有益外,潜在的经济效益对消费者、食品加工商和医疗保健当局都具有实际意义。