Derbyshire Emma
Nutritional Insight, Surrey KT17 2AA, UK.
Foods. 2022 Feb 23;11(5):647. doi: 10.3390/foods11050647.
Food-Based Dietary Guidelines (FBDG) lack uniformity globally, with the integration of protein food sources being highly variable. Protein guidance tends to be dichotomous, e.g., animal versus plant with other categories such as fungal proteins being overlooked. In 2019 the EAT Lancet Food in the Anthropocene report was a chief driver questioning the need to supply healthy diets from sustainable food systems. Some countries are developing FBDG that integrate these aspects, but these are quite often protracted, too subtle or misaligned with other countries, diluting the effects of meaningful global change. Protein quality metrics also underpin the dissemination of dietary guidance. However, for protein, these remain based on a food's essential amino acid profile and digestibility scores, thus are nutritionally and physiologically centric. It has been proposed that this definition is becoming increasingly myopic from a wider societal perspective. Updated indices should include contemporary issues such as protein diversity and environmental outcomes. Taken together, there is opportunity for renewed thinking about both FBDG and protein quality definitions, with scope to include both health and environmental outcomes and need to move towards the concept of protein diversification.
基于食物的膳食指南(FBDG)在全球范围内缺乏统一性,蛋白质食物来源的整合差异很大。蛋白质指南往往是二分法的,例如,动物蛋白与植物蛋白对立,而其他类别如真菌蛋白则被忽视。2019年,《柳叶刀-饮食星球健康报告》是质疑从可持续食物系统提供健康饮食必要性的主要推动力。一些国家正在制定整合这些方面的FBDG,但这些往往耗时长久、过于微妙或与其他国家不一致,削弱了有意义的全球变革的效果。蛋白质质量指标也支撑着膳食指南的传播。然而,对于蛋白质而言,这些指标仍然基于食物的必需氨基酸谱和消化率得分,因此是以营养和生理为中心的。从更广泛的社会角度来看,有人提出这种定义正变得越来越短视。更新后的指标应包括蛋白质多样性和环境结果等当代问题。综上所述,有机会重新思考FBDG和蛋白质质量定义,范围涵盖健康和环境结果,并需要朝着蛋白质多样化的概念发展。