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用植物性替代品替代肉类和奶制品对营养充足性和饮食质量的影响建模。

Modeling the Impact of Substituting Meat and Dairy Products with Plant-Based Alternatives on Nutrient Adequacy and Diet Quality.

机构信息

Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, Australia.

School of Exercise and Nutrition Sciences, Deakin University, Geelong, Australia; Health and Well-Being Centre for Research Innovation, School of Human Movement and Nutrition Sciences, University of Queensland, St Lucia, Australia.

出版信息

J Nutr. 2024 Aug;154(8):2411-2421. doi: 10.1016/j.tjnut.2024.05.029. Epub 2024 Jun 1.

Abstract

BACKGROUND

Novel plant-based meat and dairy alternatives are designed to mimic and replace animal-sourced products, yet their nutritional composition differs from traditional alternatives such as legumes and beans. The nutritional impacts of switching from animal-sourced to traditional or novel plant-based alternatives remains unclear.

OBJECTIVES

This study aimed to model the impact of partial and complete substitution of animal-sourced meat and dairy products with traditional or novel plant-based alternatives on diet quality and nutrient adequacy in a nationally representative sample of Australian adults.

METHODS

Dietary data (1 24-h recall) from the Australian Health Survey 2011-2013 (n = 9115; ≥19 y) were analyzed. Four models simulated partial or complete substitution of animal-sourced meat and dairy with traditional or novel plant-based alternatives. Diet quality was assessed using the Dietary Guideline Index (DGI), and nutrient adequacy was determined using age- and sex-specific nutrient reference values. Modeled diets were compared to a baseline diet using survey-weighted paired t tests.

RESULTS

DGI scores improved by 0.3% to 6.0% for all models across all sex and age groups compared to baseline. Improvements in diet quality were greatest for the complete substitution to traditional alternatives (5.1% average increase in DGI). Overall, inclusion of plant-based alternatives (complete or partial) decreased saturated fat and increased dietary fiber. Long-chain n-3 polyunsaturated fatty acids decreased to below adequate intakes for all complete substitution models. Substitution with traditional alternatives decreased sodium and increased calcium, whereas substitution with novel alternatives increased sodium and decreased calcium.

CONCLUSIONS

All models using traditional alternatives, and the partial substitution using novel alternatives, showed small but statistically significant improvements in diet quality. Nutrient adequacy varied between models, with nutrients including saturated fat, sodium, calcium, and long-chain fatty acids implicated. Findings highlight the importance of informed choices when switching to traditional or novel plant-based alternatives to prevent suboptimal dietary intake.

摘要

背景

新型植物性肉类和奶制品替代品旨在模仿和替代动物源产品,但它们的营养成分与豆类等传统替代品不同。从动物源产品转换为传统或新型植物性替代品对饮食质量和营养充足性的影响尚不清楚。

目的

本研究旨在模拟部分和完全用传统或新型植物性替代品替代动物源肉类和奶制品对澳大利亚成年人代表性样本饮食质量和营养充足性的影响。

方法

分析了澳大利亚健康调查 2011-2013 年(n=9115;≥19 岁)的饮食数据(1 次 24 小时回顾)。使用四个模型模拟部分或完全用传统或新型植物性替代品替代动物源肉类和奶制品。使用膳食指南指数(DGI)评估饮食质量,使用年龄和性别特异性营养素参考值确定营养素充足性。使用调查加权配对 t 检验将模型化饮食与基础饮食进行比较。

结果

与基础饮食相比,所有模型在所有性别和年龄组中的 DGI 评分均提高了 0.3%至 6.0%。完全替代传统替代品的饮食质量改善最大(DGI 平均增加 5.1%)。总体而言,包括植物性替代品(完全或部分)可降低饱和脂肪并增加膳食纤维。对于所有完全替代模型,长链 n-3 多不饱和脂肪酸的摄入量均降至不足。用传统替代品替代可降低钠并增加钙,而用新型替代品替代则会增加钠并降低钙。

结论

所有使用传统替代品的模型,以及部分使用新型替代品的模型,在饮食质量方面均显示出较小但具有统计学意义的改善。营养素充足性因模型而异,涉及饱和脂肪、钠、钙和长链脂肪酸等营养素。研究结果强调了在转向传统或新型植物性替代品时做出明智选择的重要性,以防止饮食摄入不足。

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