Makris Konstantinos Christos, Chourdakis Michael
Cyprus International Institute for Environmental and Public Health, School of Health Sciences, Cyprus University of Technology, Limassol, Cyprus.
Laboratory of Hygiene, Social & Preventive Medicine and Medical Statistics, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Curr Dev Nutr. 2024 Apr 25;8(6):103764. doi: 10.1016/j.cdnut.2024.103764. eCollection 2024 Jun.
Most authorized health claims on foods have been established on the basis of single dietary components, mainly micronutrients, such as vitamins, minerals, and possibly bioactives. Failure to sufficiently define and characterize the nutritional profile of a food product is one of the main reasons for rejection or incomplete status for thousands of health claim applications, whereas the food's contaminant profile is simply not accounted for. The objective of this work was to highlight the accumulating scientific evidence supporting a reform of the health claim evaluation process for foods toward more holistic approaches. This would entail the characterization of multiple nutrient-contaminant pairs and contaminant mixture profiles at contaminant levels currently considered "safe," including their interactions that would impact human health outcome(s) in a net positive or negative direction. The notion of a stable nutritional profile in food commodities has been challenged by studies reporting a variable food contaminant content and a declining content of proteins/micronutrients in crops due to anthropogenic greenhouse gas emissions. A holistic approach in the health claim process for foods would entail the incorporation of cumulative risk assessment and/or risk-benefit protocols that effectively combine health risks and benefits associated with multiple nutritional and contaminant attributes of the food/diet under evaluation.
大多数已获批准的食品健康声称都是基于单一膳食成分确定的,主要是微量营养素,如维生素、矿物质,可能还有生物活性物质。未能充分界定和描述食品的营养概况是数千项健康声称申请被驳回或处于不完整状态的主要原因之一,而食品的污染物概况则根本未被考虑在内。这项工作的目的是强调越来越多的科学证据支持对食品健康声称评估过程进行改革,采用更全面的方法。这将需要对目前被认为“安全”的污染物水平下的多种营养-污染物对和污染物混合物概况进行描述,包括它们会对人类健康结果产生净正向或负向影响的相互作用。报告称食品污染物含量可变以及由于人为温室气体排放导致作物中蛋白质/微量营养素含量下降的研究对食品商品中稳定营养概况的概念提出了挑战。食品健康声称过程中的全面方法将需要纳入累积风险评估和/或风险-效益方案,这些方案有效地结合了与所评估食品/饮食的多种营养和污染物属性相关的健康风险和益处。