Lovegrove Julie A, Jackson Kim G, Kaimila Yankho, Lignou Stella, Lovegrove Alison, Norton Victoria, O'Sullivan Donal M, Shewry Peter, Tosi Paola, Tindall Marcus J
Hugh Sinclair Unit of Human Nutrition, Department of Food and Nutritional Sciences, University of Reading, Reading RG6 6AP, UK.
Institute of Food Nutrition and Health, Department of Food and Nutritional Sciences, University of Reading, Reading RG6 6AP, UK.
Philos Trans R Soc Lond B Biol Sci. 2025 Sep 18;380(1935):20240148. doi: 10.1098/rstb.2024.0148.
Currently, dietary fibre intakes within UK populations are far below those recommended for reducing chronic disease risk. Dietary fibre is present predominantly in plant-based foods and is not digested or absorbed in the upper gastrointestinal tract, passing to the colon where it may be fermented by the gut microbiota. Types, contents and properties (notably solubility, viscosity and fermentability) of fibre vary considerably between food sources, which may result in different effects on human physiology. There is strong evidence for the benefits of dietary fibre, particularly cereal fibre and wholegrain, in reducing the risk of cardiometabolic diseases and colorectal cancer by increasing faecal mass, fermentation to short-chain fatty acids, lowering blood lipids and improving glycaemic control. There is, therefore, an urgent need to develop effective strategies to increase the intake of dietary fibre across the UK population. Here, we consider strategies comprising better nutritional education, public health messaging, more informative and effective food labelling, food reformulation, food fortification and biofortification, policy change and maintenance of the supply chain. Engagement of multiple stakeholders within the food system in this common ambition is essential for success. This requires transformation of the UK food system to ensure the sustainable availability of palatable, affordable, fibre-rich foods, ideally accompanied by individual motivation for dietary change.This article is part of the theme issue 'Transforming terrestrial food systems for human and planetary health'.
目前,英国人群的膳食纤维摄入量远低于为降低慢性病风险所建议的水平。膳食纤维主要存在于植物性食物中,在上消化道中不被消化或吸收,而是进入结肠,在那里它可能被肠道微生物群发酵。不同食物来源的纤维类型、含量和特性(特别是溶解性、粘性和发酵性)差异很大,这可能会对人体生理产生不同的影响。有充分证据表明,膳食纤维,特别是谷物纤维和全谷物,通过增加粪便量、发酵产生短链脂肪酸、降低血脂和改善血糖控制,对降低心血管代谢疾病和结直肠癌的风险有益。因此,迫切需要制定有效的策略来提高全英国人群的膳食纤维摄入量。在此,我们考虑包括更好的营养教育、公共卫生宣传、更具信息性和有效性的食品标签、食品配方改良、食品强化和生物强化、政策变革以及供应链维护等策略。食品系统中的多个利益相关者参与这一共同目标对于成功至关重要。这需要对英国食品系统进行变革,以确保美味、实惠、富含纤维的食物可持续供应,理想情况下还要激发个人改变饮食的积极性。本文是主题为“为人类和地球健康转变陆地食物系统”的一部分。