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绘制营养素与健康结果之间的定量剂量反应关系以指导食品风险效益评估。

Mapping the Quantitative Dose-Response Relationships Between Nutrients and Health Outcomes to Inform Food Risk-Benefit Assessment.

作者信息

Mateus Gabriel, Ferreira-Pêgo Cíntia, Assunção Ricardo

机构信息

Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health & Science, Caparica, 2829-511 Almada, Portugal.

Centro Cardiovascular da Universidade de Lisboa, CCUL (CCUL@RISE), Centro Académico de Medicina de Lisboa, CAML, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisbon, Portugal.

出版信息

Foods. 2025 Apr 20;14(8):1420. doi: 10.3390/foods14081420.

Abstract

In the context of the global food system transformation towards sustainable and healthy diets, risk-benefit assessment supported by quantitative dose-response relationships between nutrients and health outcomes is crucial for evaluating the public health impact of dietary modifications, particularly those involving novel foods. The primary aim of this review was to establish a foundational basis for RBA by compiling and synthesising quantitative dose-response relationships identified through a comprehensive literature review. This review encompassed the last 15 years up to March 2025, utilising databases such as PubMed, Scopus, and Web of Science. This review prioritised recent meta-analyses of observational studies and randomised controlled trials with a low risk of bias, as assessed using the ROBIS tool. This review identified significant dose-response relationships across 12 nutrients and their associations with various health outcomes. While dietary fibre has demonstrated broad protective effects, cereal fibre has been found to be the most beneficial for colorectal cancer prevention. Calcium has been shown to have inverse associations with several cancers, although high dairy intake may increase the risk of prostate cancer. Haem iron was linked to an increased risk of several chronic diseases, whereas non-haem iron showed less consistent associations. Zinc exhibited a potential U-shaped relationship with colorectal cancer risk. These findings underscore the complexity of nutrient-health relationships, highlighting the importance of considering dose-response gradients and nutrient sources. Although this overview primarily summarises quantitative associations without exploring in-depth mechanistic or population-specific details, it underscores the complexity of nutrient effects, including nonlinearity and source dependency. This analysis offers a valuable foundation for future risk-benefit assessments of various food scenarios, thereby informing dietary recommendations and public health strategies.

摘要

在全球粮食系统向可持续和健康饮食转变的背景下,基于营养素与健康结果之间定量剂量反应关系的风险效益评估对于评估饮食调整,尤其是涉及新型食品的饮食调整对公众健康的影响至关重要。本综述的主要目的是通过汇编和综合全面文献综述中确定的定量剂量反应关系,为风险效益评估奠定基础。本综述涵盖了截至2025年3月的过去15年,使用了PubMed、Scopus和Web of Science等数据库。本综述优先考虑使用ROBIS工具评估的偏倚风险较低的观察性研究和随机对照试验的近期荟萃分析。本综述确定了12种营养素及其与各种健康结果之间的显著剂量反应关系。膳食纤维已显示出广泛的保护作用,而谷物纤维被发现对预防结直肠癌最有益。钙与几种癌症呈负相关,尽管高乳制品摄入量可能会增加前列腺癌的风险。血红素铁与几种慢性病风险增加有关,而非血红素铁的关联则不太一致。锌与结直肠癌风险呈潜在的U形关系。这些发现强调了营养素与健康关系的复杂性,突出了考虑剂量反应梯度和营养素来源的重要性。尽管本概述主要总结了定量关联,未深入探讨机制或特定人群的细节,但它强调了营养素效应的复杂性,包括非线性和来源依赖性。该分析为未来各种食物场景的风险效益评估提供了有价值的基础,从而为饮食建议和公共卫生策略提供信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fc0/12026834/37b69de4e595/foods-14-01420-g001.jpg

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