Department of Nutrition, Dietetics and Food, Monash University, Level 1 264 Ferntree Gully Road, Melbourne VIC 3168, Australia.
Nutrients. 2020 Jan 22;12(2):299. doi: 10.3390/nu12020299.
Food-health claims are an important method of translating nutrition research to consumers. Whey and colostrum are thought to exert health benefits to adults, but it is unclear what measurable, objective health benefits they impart. This review aimed to identify the objective health benefits of bovine whey or colostrum-based beverages to healthy adults aged ≥35 years to substantiate a food-health claim. Seven databases were systematically searched. Eligible articles were RCTs that involved healthy adults aged ≥35 years, consuming whey or colostrum in beverage form and measuring objective health markers. Quality assessment and data extraction was conducted in duplicate. The searches identified 9943 papers and 16 were included in this review; 13 studies, reported across 15 papers, related to whey, one study to colostrum. The outcomes identified were body composition, bone mineral density, biochemical markers, such as blood glucose and lipids, and muscle strength and synthesis. Heterogeneous outcomes, high risk of bias and inconsistent findings resulted in inconclusive evidence to substantiate a food-health claim. Clearer reporting and consensus on a minimum set of objective measures would allow for more robust recommendations regarding food-health claims. Protecting consumers from misleading health claims will require collaboration between regulators, researchers, and the food industry.
食品-健康声称是将营养研究转化为消费者的重要方法。乳清和初乳被认为对成年人有健康益处,但它们能带来哪些可衡量的、客观的健康益处尚不清楚。本综述旨在确定牛初乳或乳清基饮料对 35 岁及以上健康成年人的客观健康益处,以证实食品-健康声称。系统地搜索了 7 个数据库。合格的文章是 RCT,涉及 35 岁及以上的健康成年人,以饮料形式摄入乳清或初乳,并测量客观健康指标。质量评估和数据提取是重复进行的。搜索共确定了 9943 篇论文,其中 16 篇被纳入本综述;13 项研究,报告在 15 篇论文中,与乳清有关,一项研究与初乳有关。确定的结果是身体成分、骨矿物质密度、生化标志物,如血糖和血脂,以及肌肉力量和合成。结果存在异质性,偏倚风险高,发现结果不一致,因此无法为证实食品-健康声称提供确凿证据。更明确的报告和对一套客观测量指标的共识将有助于对食品-健康声称提出更有力的建议。要保护消费者免受误导性健康声称的影响,需要监管机构、研究人员和食品行业之间的合作。