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有机食品对慢性病及健康认知的影响:证据的系统综述

Impact of organic foods on chronic diseases and health perception: a systematic review of the evidence.

作者信息

Poulia Kalliopi-Anna, Bakaloudi Dimitra Rafailia, Alevizou Myrto, Papakonstantinou Emilia, Zampelas Antonis, Chourdakis Michail

机构信息

Laboratory of Dietetics and Quality of Life Department of Food Science and Human Nutrition, Agricultural University of Athens, Athens, Greece.

Division of Medical Oncology, Department of Medicine, University of Washington, Seattle, WA, USA.

出版信息

Eur J Clin Nutr. 2025 Mar;79(2):90-103. doi: 10.1038/s41430-024-01505-w. Epub 2024 Sep 11.

Abstract

The aim of the present systematic review was to evaluate the existing data on the health impacts, of the consumption of organically grown foods versus conventionally farmed alternatives, with specific focus on the postulated health superiority of organic foods. A systematic literature research was performed in PubMed, Embase, Web of Science, and Google Scholar. Inclusion criteria were articles on adults (>18 years of age) consuming organic foods for ≥6 months, written in English language, and provision of comparative results between conventional and organic nutrition regarding health indices. From 1760 identified references, 21 primary research articles (2006-2022) met the inclusion criteria. Outcomes related to chronic disease prevalence, biomarker effects, and exposure to pesticides and other harmful substances were evaluated. A significant inverse relationship between organic food consumption and cardiometabolic risk factors, including obesity, diabetes mellitus, hypertension, and hyperlipidemia, was observed in the majority of prospective studies. The data on cancer risk and nutrient value comparison between organic and conventional foods were inconclusive. Clinical trials consistently indicated lower pesticide exposure in participants on organic diets, suggesting potential health benefits. The consumption of organic foods is associated with reduced cardiometabolic risks and pesticide exposure. However, the long-term impact on cancer risk remains undetermined. Future long-term studies are needed to establish whether an organic diet is superior to a conventional one in terms of overall health benefits.

摘要

本系统评价的目的是评估食用有机种植食品与传统种植替代品对健康影响的现有数据,特别关注有机食品假定的健康优势。在PubMed、Embase、Web of Science和谷歌学术上进行了系统的文献研究。纳入标准为关于18岁以上成年人食用有机食品≥6个月的英文文章,以及提供传统营养与有机营养在健康指标方面的比较结果。从1760篇已识别的参考文献中,有21篇主要研究文章(2006 - 2022年)符合纳入标准。对与慢性病患病率、生物标志物效应以及接触农药和其他有害物质相关的结果进行了评估。在大多数前瞻性研究中,观察到食用有机食品与包括肥胖、糖尿病、高血压和高脂血症在内的心血管代谢风险因素之间存在显著的负相关关系。关于有机食品和传统食品之间癌症风险和营养价值比较的数据尚无定论。临床试验一致表明,食用有机饮食的参与者接触农药的量较低,这表明可能有健康益处。食用有机食品与降低心血管代谢风险和接触农药有关。然而,对癌症风险的长期影响仍未确定。需要未来的长期研究来确定有机饮食在总体健康益处方面是否优于传统饮食。

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