Machado Priscila, Cediel Gustavo, Woods Julie, Baker Phillip, Dickie Sarah, Gomes Fabio S, Scrinis Gyorgy, Lawrence Mark
Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, 3220, Australia.
University of Antioquia, ANT, Calle 70 No. 52-21, Medellín, Colombia.
Eur J Nutr. 2022 Jun;61(4):1801-1812. doi: 10.1007/s00394-021-02740-8. Epub 2022 Jan 16.
To investigate intake levels of nutrients linked to non-communicable diseases in Australia using the novel combination of food processing and nutrient profiling metrics of the PAHO Nutrient Profile Model.
Dietary intakes of 12,153 participants from the Australian Health Survey (2011-12) aged 2 + years were evaluated. Food items reported during a 24 h recall were classified using the NOVA system. The Pan-American Health Organization Nutrient Profile Model (PAHO NPM) was applied to identify processed and ultra-processed products with excessive content of critical nutrients. Differences in mean intakes and prevalence of excessive intakes of critical nutrients for groups of the population whose diets were made up of products with and without excessive content in critical nutrients were examined.
The majority of Australians consumed daily at least three processed and ultra-processed products identified as excessive in critical nutrients according to the PAHO NPM. Individuals consuming these products had higher intakes of free sugars (β = 8.9), total fats (β = 11.0), saturated fats (β = 4.6), trans fats (β = 0.2), and sodium (β = 1788 for adolescents and adults; β = 1769 for children 5-10 years; β = 1319 for children aged < 5 years) (p ≤ 0.001 for all nutrients) than individuals not consuming these foods. The prevalence of excessive intake of all critical nutrients also followed the same trend.
The PAHO NPM has shown to be a relevant tool to predict intake levels of nutrients linked to non-communicable diseases in Australia and, therefore, could be used to inform policy actions aimed at increasing the healthiness of food environments.
使用泛美卫生组织营养概况模型中食品加工和营养成分分析指标的新组合，调查澳大利亚与非传染性疾病相关的营养素摄入量水平。
对12153名来自澳大利亚健康调查（2011 - 12年）、年龄在2岁及以上的参与者的饮食摄入量进行评估。使用NOVA系统对24小时回忆期间报告的食物项目进行分类。应用泛美卫生组织营养概况模型（PAHO NPM）来识别关键营养素含量过高的加工和超加工产品。研究了饮食由关键营养素含量过高和不过高的产品组成的人群组在关键营养素平均摄入量和过量摄入患病率方面的差异。
根据PAHO NPM，大多数澳大利亚人每天至少食用三种被确定为关键营养素含量过高的加工和超加工产品。食用这些产品的个体比不食用这些食物的个体摄入更多的游离糖（β = 8.9）、总脂肪（β = 11.0）、饱和脂肪（β = 4.6）、反式脂肪（β = 0.2）和钠（青少年和成年人β = 1788；5 - 10岁儿童β = 1769；小于5岁儿童β = 1319）（所有营养素p≤0.001）。所有关键营养素的过量摄入患病率也遵循相同趋势。
PAHO NPM已被证明是预测澳大利亚与非传染性疾病相关营养素摄入量水平的相关工具，因此可用于为旨在提高食品环境健康程度的政策行动提供信息。
