超加工食品消费及与健康关联的研究进展

Research progress on ultra-processed foods consumption and its association with health

  • 摘要: 随着工业化和商业化水平的迅速提高,超加工食品(UPFs)的销售和人群摄入在全球不断增加。高UPFs摄入与多种健康问题相关。本文对多种健康结局进行简述,并从加工生产等角度探讨UPFs消费对健康影响的可能原因。综述发现,高UPFs摄入会增加成人超重/肥胖、2型糖尿病、癌症死亡和焦虑症等发生风险,导致孕妇子痫前期、妊娠期高血压、妊娠期糖尿病及儿童青少年超重/肥胖的发生风险升高,影响胚胎的发育速度及后代的语言发育等。UPFs导致健康危害的原因主要为以下几点:UPFs的便捷性和可及性的提高影响了人群的饮食结构;在生产加工中,UPFs中添加的精制碳水化合物和脂肪,其共同暴露会增加对食物的欲望和动机,导致更多能量的摄入;复杂的加工过程会导致膳食纤维和微量营养素的丢失,影响人体饱腹感、消化率、咀嚼持续时间等,同时产生呋喃、杂环胺、多环芳烃、丙烯醛等有毒化合物;更多种类和更高剂量的食品添加剂被引入,包装材料中的外源性污染物迁移至食品,均会引发潜在的健康和安全风险。目前我国对UPFs和健康关系的研究较少,基于UPFs已知的健康危害,我国需要进行更多的深入研究,以期更好地了解UPFs与健康之间的关系。

     

    Abstract: With the rapid progress of industrialization and commercialization, the sales and population intake of ultra-processed foods (UPFs) are constantly increasing globally. High UPFs intake is associated with various health issues. This article provided a brief overview of various health outcomes and explored the possible causes for the health impacts of UPFs consumption from the perspectives of processing and production. The review found that high UPFs intake increased the risks of adult overweight/ obesity, type 2 diabetes, cancer mortality, and anxiety disorders; maternal preeclampsia, gestational hypertension, and gestational diabetes; childhood and adolescent overweight/ obesity. High UPFs intake also affected embryonic development and offspring language development. The possible explanations for the negative health outcomes associated with UPFs were as follows. The convenience and increased accessibility of UPFs affect the dietary structure of the population. The combined exposure to refined carbohydrates and fats added to UPFs increases the desire and motivation for more energy intake. The complex processing process leads to the loss of dietary fibers and micronutrients, affecting human satiety, digestion rate, chewing duration, and producing toxic compounds such as furan, heterocyclic amines, polycyclic aromatic hydrocarbons, and acrolein. The introduction of more types and higher doses of food additives and the migration of exogenous pollutants from packaging materials to food pose potential health and safety risks. At present, there is little research on the relationship between UPFs and human health in China. Based on the known health risks of UPFs, more in-depth research is needed in order to better understand the relationship between UPFs and human health.

     

/

返回文章
返回