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超加工食品与心脏代谢健康结局:从证据到实践。

Ultra-processed Foods and Cardiometabolic Health Outcomes: from Evidence to Practice.

机构信息

Department of Public Health Policy and Management, School of Global Public Health, New York University, 708 Broadway, NY, 10003, New York, USA.

Public Health Nutrition Program, School of Global Public Health, New York University, New York, NY, USA.

出版信息

Curr Atheroscler Rep. 2022 Nov;24(11):849-860. doi: 10.1007/s11883-022-01061-3. Epub 2022 Sep 7.

Abstract

PURPOSE OF REVIEW

Poor diet quality is the leading risk factor related to the overall cardiometabolic disease burden in the USA and globally. We review the current evidence linking ultra-processed foods and cardiometabolic health risk and provide recommendations for action at the clinical and public health levels.

RECENT FINDINGS

A growing body of evidence conducted in a variety of study populations supports an association between ultra-processed food intake and increased risk of metabolic syndrome, hypertension, type 2 diabetes, overweight and obesity trajectories, and cardiovascular disease. The strongest evidence is observed in relation to weight gain and obesity among adults, as this association is supported by high-quality epidemiological and experimental evidence. Accumulating epidemiologic evidence and putative biological mechanisms link ultra-processed foods to cardiometabolic health outcomes. The high intake of ultra-processed foods in all population groups and its associated risks make ultra-processed foods an ideal target for intensive health promotion messaging and interventions.

摘要

目的综述

不良的饮食质量是美国和全球与整体心血管代谢疾病负担相关的主要风险因素。我们综述了目前有关超加工食品与心血管代谢健康风险的证据,并为临床和公共卫生层面的行动提供了建议。

最近的发现

越来越多的证据在各种研究人群中表明,超加工食品的摄入与代谢综合征、高血压、2 型糖尿病、超重和肥胖轨迹以及心血管疾病的风险增加之间存在关联。在成年人中,与体重增加和肥胖有关的证据最强,因为这一关联得到了高质量的流行病学和实验证据的支持。越来越多的流行病学证据和推测的生物学机制将超加工食品与心血管代谢健康结果联系起来。所有人群中超加工食品的高摄入量及其相关风险使得超加工食品成为强化健康促进信息和干预的理想目标。

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