Devirgiliis Chiara, Guberti Emilia, Mistura Lorenza, Raffo Antonio
Research Centre for Food and Nutrition, CREA (Consiglio per la Ricerca in Agricoltura e l'Analisi Dell'Economia Agraria), Via Ardeatina 546, 00178 Rome, Italy.
The "Food and Nutrition" Working Group of the Italian Society of Hygiene, Preventive Medicine and Public Health (SItI-Società Italiana di Igiene Medicina Preventiva e Sanità Pubblica), Viale Città d'Europa 74, 00144 Rome, Italy.
Foods. 2024 Oct 2;13(19):3149. doi: 10.3390/foods13193149.
Several meta-analyses have consistently demonstrated that the consumption of an adequate level of fruit and vegetables (F&V), along with other food groups, is associated with a low risk of all-cause mortality, and, as such, represents one of the major modifiable risk factors related to the growing burden of Non-Communicable Diseases (NCDs). The aim of the present narrative review was to provide an up-to-date analysis of systematic reviews and meta-analyses published in the past five years, dealing with the effects of F&V consumption on human health, focusing on specific pathologies, such as total mortality, cancer, cardiovascular diseases (CVDs), type 2 diabetes, intestinal inflammation, and bone and respiratory illnesses. The results of our evaluation confirmed and consolidated the protective role of F&V consumption against the development of NCDs, especially CVDs. However, the need to corroborate existing evidence and clarify the role of confounding factors by performing additional randomized control trials and adopting more standardized approaches and study designs also emerged. Moreover, evaluating the protective role of fruit and vegetables as separate food categories appeared to be one of the most interesting areas to investigate in the near future. Overall, these outcomes could help in addressing future research to better establish a causal relationship between F&V consumption and human health.
多项荟萃分析一致表明,摄入足够水平的水果和蔬菜(F&V)以及其他食物组与全因死亡率低相关,因此,这是与非传染性疾病(NCDs)负担日益加重相关的主要可改变风险因素之一。本叙述性综述的目的是对过去五年发表的系统评价和荟萃分析进行最新分析,探讨F&V消费对人类健康的影响,重点关注特定疾病,如总死亡率、癌症、心血管疾病(CVDs)、2型糖尿病、肠道炎症以及骨骼和呼吸系统疾病。我们的评估结果证实并巩固了F&V消费对NCDs发展的保护作用,尤其是对CVDs。然而,也出现了通过进行更多随机对照试验以及采用更标准化的方法和研究设计来确证现有证据并阐明混杂因素作用的需求。此外,将水果和蔬菜作为单独的食物类别评估其保护作用似乎是近期最值得研究的有趣领域之一。总体而言,这些结果有助于指导未来的研究,以更好地确立F&V消费与人类健康之间的因果关系。