Schönenberger Katja A, Huwiler Valentina V, Reber Emilie, Mühlebach Stefan, Stanga Zeno, Pestoni Giulia, Faeh David
Department of Diabetes, Endocrinology, Nutritional Medicine and Metabolism (UDEM), University Hospital and University of Bern, Bern, Switzerland.
Department of Pharmaceutical Sciences, Division of Clinical Pharmacy and Epidemiology, University of Basel, Basel, Switzerland.
BMJ Nutr Prev Health. 2024 Jan 16;7(1):26-37. doi: 10.1136/bmjnph-2023-000727. eCollection 2024.
The objective of this study was to describe the compliance to dietary fibre recommendations of the Swiss population and to investigate the association between dietary fibre intake and ultraprocessed food (UPF) consumption.
Data were obtained from the cross-sectional Swiss National Nutrition Survey . We summarised the sociodemographic, lifestyle and anthropometric parameters as well as dietary data collected with two 24-hour dietary recalls for the whole population and subgroups according to absolute and relative dietary fibre intake. We analysed the associations between dietary fibre intake and UPF consumption by fitting multinomial logistic regression models. Data were weighted according to the weighting strategy to achieve a representation of the Swiss population.
Data obtained from 2057 adults were included in the analysis, of which 87% had a dietary fibre intake of <30 g/day. Participants with high UPF consumption had lower odds of being in the medium or high dietary fibre intake groups than participants with low UPF consumption. The odds of being in the medium or high dietary fibre intake groups decreased linearly across quartiles of UPF consumption ( for trend ≤0.004).
Dietary fibre intake is insufficient in all population groups in Switzerland. UPF consumption is inversely and dose dependently associated with dietary fibre intake. To increase dietary fibre intake, public health measures should discourage UPF consumption and increase dietary fibre intake via unprocessed or minimally processed foods.
本研究的目的是描述瑞士人群对膳食纤维建议的依从性,并调查膳食纤维摄入量与超加工食品(UPF)消费之间的关联。
数据来自瑞士全国营养横断面调查。我们根据绝对和相对膳食纤维摄入量,总结了社会人口统计学、生活方式和人体测量参数,以及通过两次24小时饮食回忆收集的整个人口和亚组的饮食数据。我们通过拟合多项逻辑回归模型分析了膳食纤维摄入量与UPF消费之间的关联。根据加权策略对数据进行加权,以实现对瑞士人群的代表性。
从2057名成年人获得的数据纳入分析,其中87%的人膳食纤维摄入量<30克/天。与低UPF消费量的参与者相比,高UPF消费量的参与者处于中等或高膳食纤维摄入量组的几率更低。随着UPF消费四分位数的增加,处于中等或高膳食纤维摄入量组的几率呈线性下降(趋势P≤0.004)。
瑞士所有人群组的膳食纤维摄入量均不足。UPF消费与膳食纤维摄入量呈负相关且剂量依赖。为了增加膳食纤维摄入量,公共卫生措施应劝阻UPF消费,并通过未加工或最少加工的食品增加膳食纤维摄入量。