Independent Researcher, UK.
Br J Sports Med. 2019 Nov;53(22):1393-1396. doi: 10.1136/bjsports-2018-099420. Epub 2018 Aug 14.
US public health dietary advice was announced by the Select Committee on Nutrition and Human needs in 1977 and was followed by UK public health dietary advice issued by the National Advisory Committee on Nutritional Education in 1983. Dietary recommendations in both cases focused on reducing dietary fat intake; specifically to (i) reduce overall fat consumption to 30% of total energy intake and (ii) reduce saturated fat consumption to 10% of total energy intake. The recommendations were an attempt to address the incidence of coronary heart disease. These guidelines have been reiterated in the Dietary Guidelines for Americans since the first edition in 1980. The most recent edition has positioned the total fat guideline with the use of 'Acceptable Macronutrient Distribution Ranges'. The range given for total fat is 20%-35% and the AMDR for saturated fat is given as <10%-both as a percentage of daily calorie intake. In February 2018, the Center for Nutrition Policy and Promotion announced 'The US Departments of Agriculture and Health and Human Services currently are asking for public comments on topics and supporting scientific questions to inform our development of the 2020-2025 Dietary Guidelines for Americans'. Public comments were invited on a number of nutritional topics. The question asked about saturated fats was: 'What is the relationship between saturated fat consumption (types and amounts) during adulthood and risk of cardiovascular disease?' This article is a response to that question.
1977 年,营养与人类需求特别委员会公布了美国公共卫生饮食建议,随后英国营养教育国家咨询委员会于 1983 年发布了英国公共卫生饮食建议。这两个建议都侧重于减少饮食中的脂肪摄入量;具体来说,(i)将总脂肪摄入量减少到总能量摄入的 30%,(ii)将饱和脂肪摄入量减少到总能量摄入的 10%。这些建议是为了应对冠心病的发病率。自 1980 年第一版以来,这些指南在美国人的饮食指南中得到了重申。最近一版将总脂肪指南置于“可接受的宏量营养素分布范围”的使用中。总脂肪的范围是 20%-35%,饱和脂肪的 AMDR 被指定为<10%-均为每日卡路里摄入量的百分比。2018 年 2 月,营养政策与推广中心宣布,“美国农业部和卫生与公众服务部目前正在就主题和支持性科学问题征求公众意见,以告知我们制定 2020-2025 年美国人饮食指南。”邀请公众就一些营养问题发表意见。关于饱和脂肪的问题是:“成年人摄入的饱和脂肪(种类和数量)与心血管疾病风险之间存在什么关系?”本文是对此问题的回应。