Food and Nutrition Department, National Institute of Health Dr. Ricardo Jorge, 1649-016 Lisboa, Portugal.
CESAM, Centre for Environmental and Marine Studies, University of Aveiro, 3810-193 Aveiro, Portugal.
Nutrients. 2021 Sep 8;13(9):3127. doi: 10.3390/nu13093127.
Cereal-based foods, including breakfast (BC) and infant cereals (IC), are among the first solid foods introduced to infants. BC and IC are sources of macro and micronutrients that have beneficial effects on health, but can also be sources of harmful chemical and microbiological contaminants and nutrients that may lead to adverse health effects at high consumption levels. This study was performed under the RiskBenefit4EU project with the aim of assessing the health impact associated with consumption of BC and IC by Portuguese children under 35 months. Adverse effects associated with the presence of aflatoxins, , sodium and free sugars were assessed against the benefits of fiber intake. We applied a risk-benefit assessment approach, and quantified the health impact of changes in consumption of BC and IC from current to various alternative consumption scenarios. Health impact was assessed in terms of disability-adjusted life years. Results showed that moving from the current consumption scenario to considered alternative scenarios results in a gain of healthy life years. Portuguese children can benefit from exchanging intake of IC to BC, if the BC consumed has an adequate nutritional profile in terms of fiber, sodium and free sugars, with levels of aflatoxins reduced as much as possible.
谷物类食物，包括早餐谷物（BC）和婴儿谷物（IC），是婴儿首先引入的固体食物之一。BC 和 IC 是宏量和微量营养素的来源，对健康有有益影响，但也可能是有害化学物质和微生物污染物以及营养素的来源，如果摄入水平高，可能会对健康产生不利影响。本研究是在 RiskBenefit4EU 项目下进行的，目的是评估葡萄牙 35 个月以下儿童食用 BC 和 IC 与健康的关联。本研究针对黄曲霉毒素、钠和游离糖的存在，评估了与纤维摄入益处相关的不良影响。我们应用了风险效益评估方法，量化了从当前消费情况转变为各种替代消费情景对 BC 和 IC 消费变化的健康影响。健康影响是通过残疾调整生命年来评估的。研究结果表明，从目前的消费情况转变为所考虑的替代情况，会带来健康生命年的增加。如果所消费的 BC 在纤维、钠和游离糖方面具有适当的营养状况，并且尽可能降低黄曲霉毒素的水平，那么葡萄牙儿童可以从交换摄入 IC 为 BC 中受益。
