National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands.
Eur J Nutr. 2022 Jun;61(4):1893-1904. doi: 10.1007/s00394-021-02757-z. Epub 2022 Jan 1.
In the Netherlands, margarines and other plant-based fats (fortified fats) are encouraged to be fortified with vitamin A and D, by a covenant between the Ministry of Health and food manufacturers. Frequently, these types of fats are also voluntarily fortified with other micronutrients. The current study investigated the contribution of both encouraged as well as voluntary fortification of fortified fats on the micronutrient intakes in the Netherlands.
Data of the Dutch National Food Consumption Survey (2012-2016; N = 4, 314; 1-79 year.) and the Dutch Food Composition Database (NEVO version 2016) were used to estimate micronutrient intakes. Statistical Program to Assess Dietary Exposure (SPADE) was used to calculate habitual intakes and compared to dietary reference values, separate for users and non-users of fortified fats.
Of the Dutch population, 84% could be considered as user of fortified fats. Users consumed mostly 1 fortified fat a day, and these fats contributed especially to the total micronutrient intake of the encouraged fortified micronutrients (vitamins D and A; 44% and 29%, respectively). The voluntary fortification also contributed to total micronutrient intakes: between 7 and 32%. Vitamin D and A intakes were up to almost double among users compared to non-users. Intakes were higher among users for almost all micronutrients voluntarily added to fats. Higher habitual intakes resulted into higher risks of excessive vitamin A-intakes among boys and adult women users.
Consumption of fortified fats in the Netherlands resulted into higher vitamin A and D-intakes among users, compared to non-users of these products.
在荷兰,通过卫生部与食品制造商之间的一项契约,鼓励在涂抹酱和其他植物性脂肪(强化脂肪)中强化维生素 A 和 D。这些类型的脂肪通常也会自愿添加其他微量营养素。本研究旨在调查强化脂肪的强化维生素 A 和 D 以及自愿强化对荷兰微量营养素摄入量的影响。
本研究使用了荷兰国家食品消费调查(2012-2016 年;N=4314;1-79 岁)和荷兰食品成分数据库(2016 年版 NEVO)的数据来估计微量营养素摄入量。使用膳食暴露评估统计程序(SPADE)来计算习惯性摄入量,并与强化脂肪使用者和非使用者的膳食参考值进行比较。
荷兰 84%的人口可被视为强化脂肪使用者。使用者每天主要食用 1 种强化脂肪,这些脂肪对所鼓励的强化微量营养素(维生素 D 和 A;分别为 44%和 29%)的总摄入量贡献最大。自愿强化也有助于总微量营养素摄入量:7%至 32%之间。与非使用者相比,使用者的维生素 D 和 A 摄入量几乎增加了一倍。与非使用者相比,几乎所有自愿添加到脂肪中的微量营养素的摄入量都更高。较高的习惯性摄入量导致男孩和成年女性使用者维生素 A 摄入量过高的风险增加。
与不食用这些产品的人相比,荷兰强化脂肪的消费导致使用者的维生素 A 和 D 摄入量更高。