Muncke Jane, Touvier Mathilde, Trasande Leonardo, Scheringer Martin
Food Packaging Forum Foundation, Zurich, Switzerland.
Nutritional Epidemiology Research Team (EREN), Center of Research in Epidemiology and Statistics, CNAM, INRAE, INSERM, Université Sorbonne Paris Nord and Université Paris Cité, Bobigny, France.
Nat Med. 2025 May;31(5):1431-1443. doi: 10.1038/s41591-025-03697-5. Epub 2025 May 16.
Humans are widely exposed to synthetic chemicals, especially via food. The types of chemical contaminants in food (including food contact chemicals) are diverse, and many of these are known to be hazardous, with mounting evidence that some contribute to noncommunicable diseases. The increasing consumption of ultra-processed foods, which contain synthetic chemicals, also contributes to adverse health. If the chemical contamination of foods were better characterized, then this issue would likely receive more attention as an important opportunity for disease prevention. In this Review, we discuss types and sources of synthetic food contaminants, focusing on food contact chemicals and their presence in ultra-processed foods. We outline future research needs and highlight possible responses at different food system levels. A sustainable transition of the food system must address the health impacts of synthetic chemicals in food; we discuss existing solutions that do justice to the complexity of the issue while avoiding regrettable substitutions and rebound effects.
人类广泛接触合成化学品,尤其是通过食物接触。食品中的化学污染物(包括与食品接触的化学品)种类繁多,其中许多已知具有危害性,而且越来越多的证据表明,有些污染物会导致非传染性疾病。含有合成化学品的超加工食品消费不断增加,也对健康产生不利影响。如果能更好地描述食品中的化学污染情况,那么这个问题可能会作为疾病预防的一个重要契机而受到更多关注。在本综述中,我们讨论合成食品污染物的类型和来源,重点关注与食品接触的化学品及其在超加工食品中的存在情况。我们概述了未来的研究需求,并强调了在不同食品系统层面可能采取的应对措施。食品系统的可持续转型必须解决食品中合成化学品对健康的影响;我们讨论了现有的解决方案,这些方案既要公平对待该问题的复杂性,又要避免令人遗憾的替代和反弹效应。