Hygienic assessment of dietary intake of saturated fatty acids and trans isomers of fatty acids

Capa

Citar

Texto integral

Acesso aberto Acesso aberto
Acesso é fechado Acesso está concedido
Acesso é fechado Somente assinantes

Resumo

Introduction. An imbalance of the fat component of the diet is one of the most common violations of the population nutrition in developed countries, leading to the risk of occurring nutrition-dependent pathologies due to hyperlipidemia and dyslipoproteinemia. A special role in the formation of risk is played by an excess of medium-chain saturated fatty acids (SFA) and trans isomers of unsaturated fatty acids (TFA).

Materials and methods. Actual nutrition was studied by reproduction method with three times 24-hour recall. Based on the research results, the content of SFA and TFA was calculated, and their main sources were determined. Three hundred fourteen students of the I.M. Sechenov First Moscow State Medical University took part in the study. Gender and age groups of respondents were analyzed separately.

Results. The intake of SFA at the level of normal physiological needs was registered in only 7.6% of students. At the same time, 80% of respondents had a significant excess of both total fat and SFA; an adequate level of TFA intake was noted in 80% of students, and a significant excess of this indicator was registered only in 13.3% of respondents. A significant quantitative increase in SFAs was noted with the additional inclusion of processed products in the diet, including those with hidden fat. Excessive consumption of TFA is associated with the inclusion of rich confectionery products containing hydrogenated fats in the diet.

Limitations. The study has age and regional restrictions: young 18–29 years people living in the Moscow region, as well as restrictions on the analyzed indicators: SFA and TFA supplied with the diet.

Conclusions. A significant risk of developing nutrition-dependent non-infectious diseases is observed in 52.9% of respondents with an SFA content in the diet of more than 150% of the norm, and the maximum risk is in 13.3% of students receiving a combined excess of SFA and TFA. The results of the study confirm the need to correct the diets of students in terms of the fat component.

Compliance with ethical standards. The study was conducted in accordance with the standards set out in the Helsinki Declaration of the World Medical Association, approved by the local ethical committee of Sechenov University.

Patient consent. Each participant of the study gave informed voluntary written consent to participate in the study and publish personal medical information in an impersonal form in the journal “Gigiena i Sanitariya (Hygiene and Sanitation, Russian journal)”.

Contribution:
Korolev A.A. — the concept and design of the study, writing the text;
Lopukhova I.V. — collection and processing of material, statistical processing of material;
Nikitenko E.I., Kirpichenkova E.V., Denisova E.L. — review of literature data, analysis of the obtained results;
Onishchenko G.G. — the concept of the study, editing.
All authors are responsible for the integrity of all parts of the manuscript and approval of the manuscript final version.

Conflict of interest. The authors declare no conflict of interest.

Acknowledgement. The study had no sponsorship.

Received: April 15, 2024 / Accepted: June 19, 2024 / Published: July 17, 2024

Sobre autores

Aleksei Korolev

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Autor responsável pela correspondência
Email: korolev.a@1msmu.ru
ORCID ID: 0000-0002-2294-7444

MD, PhD, DSci., professor, professor of the Department of Human Ecology and Environmental Hygiene, Sechenov University, Moscow, 119991, Russian Federation

e-mail: korolev.a@1msmu.ru

Rússia

Irina Lopukhova

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: ecolog.n@1msmu.ru
ORCID ID: 0000-0002-5100-0890

MD, assistant of the Department of Human Ecology and Environmental Hygiene, Sechenov University, Moscow, 119991, Russian Federation

e-mail: ecolog.n@1msmu.ru

Rússia

Elena Nikitenko

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: nikitenko.el@yandex.ru
ORCID ID: 0000-0002-2302-3008

MD, PhD, Associate Professor, associate Professor of the Department of Human Ecology and Environmental Hygiene, Sechenov University, Moscow, 119991, Russian Federation

e-mail: nikitenko.el@yandex.ru

Rússia

Elena Denisova

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: elenaldenisova88@gmail.com
ORCID ID: 0000-0002-5141-1841

MD, PhD, Associate Professor, associate Professor of the Department of Human Ecology and Environmental Hygiene, Sechenov University, Moscow, 119991, Russian Federation

e-mail: elenaldenisova88@gmail.com

Rússia

Ekaterina Kirpichenkova

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: kate.kirpichenkova@hotmail.com
ORCID ID: 0000-0002-7594-8336

MD, PhD, Associate Professor, associate Professor of the Department. of Human Ecology and Environmental Hygiene, Sechenov University, Moscow, 119991, Russian Federation

e-mail: kate.kirpichenkova@hotmail.com

Rússia

Gennadiy Onishchenko

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: noemail@neicon.ru
ORCID ID: 0000-0003-0135-7258

MD, PhD, DSci., professor, Academician of the Russian Academy of Sciences, Head of the Department of Human Ecology and Environmental Hygiene, Sechenov University, Moscow, 119991, Russian Federation

Rússia

Bibliografia

  1. Saturated fatty acid and trans-fatty acid intake for adults and children: WHO guideline summary. Geneva: World Health Organization; 2023.
  2. Global Health Observatory data. Noncommunicable diseases mortality and morbidity. Geneva: World Health Organization; 2021. Available at: https://www.who.int/gho/ncd/mortality_morbidity/en/
  3. Korolev A.A. Food hygiene. Guide for doctors [Gigiena pitaniya. Rukovodstvo dlya vrachei]. Moscow: GEOTAR-Media, 2021. https://doi.org/10.33029/9704-6256-0-2021-HYG-1-576 https://elibrary.ru/cqjjnn (in Russian)
  4. WHO Technical Report Series 916. WHO. Diet, nutrition and the prevention of chronic diseases: report of a joint WHO/FAO expert consultation. Geneva; 2003. (in Russian)
  5. Pogozheva A.V., Derbeneva S.A. Nutrition in the Correction of Dyslipidemia [Pitanie v korrektsii dislipidemii]. St. Petersburg: Naukoemkie tekhnologii; 2022. https://elibrary.ru/rpyuev (in Russian)
  6. Fogacci F., Borghi C., Cicero A.F.G. Diets, Foods and Food Components’ Effect on Dyslipidemia. Nutrients. 2021; 13: 741. https://doi.org/10.3390/nu13030741
  7. Roth G.A., Mensah G.A., Johnson C.O., Addolorato G., Ammirati E., Baddour L.M., et al. Global burden of cardiovascular diseases and risk factors, 1990–2019: update from the GBD 2019 study. J. Am. Coll. Cardiol. 2020; 76(25): 2982–3021. https://doi.org/10.1016/j.jacc.2020.11.010
  8. Stender S., Astrup A., Dyerberg J. Ruminant and industrially produced trans fatty acids: health aspects. Food Nutr. Res. 2008; 52. https://doi.org/10.3402/fnr.v52i0.1651
  9. Brouwer I. Effect of trans-fatty acid intake on blood lipids and lipoproteins: a systematic review and meta-regression analysis. Geneva: World Health Organization; 2016. Available at: https://apps.who.int/iris/ handle/10665/246109
  10. Popova A.Yu., Tutel’yan V.A., Nikityuk D.B. On the new (2021) norms of physiological requirements in energy and nutrients of various groups of the population of the Russian Federation. Voprosy pitaniya. 2021; 90(4): 6–19. https://doi.org/10.33029/0042-8833-2021-90-4-6-19 (in Russian)
  11. Tutel’yan V.A., Nikityuk D.B., Pogozheva A.V. Evaluation of the nutrition of students in various regions of Russia. In: Health Saving System for Student Youth: XXI Century [Sistema zdorov’esberezheniya studencheskoi molodezhi: XXI vek]. Moscow: Nauchnaya kniga; 2021: 9–23. https://elibrary.ru/hteelh (in Russian)
  12. Tutel’yan V.A., Nikityuk D.B., Pogozheva A.V. Features of nutrition and nutritional status of young people. In: Healthy Nutrition – Healthy Youth [Zdorovoe pitanie – zdorovaya molodezh’]. Moscow: Nauchnaya kniga; 2022: 8–24. https://elibrary.ru/xzhdhk (in Russian)
  13. Hooper L., Martin N., Jimoh O.F., Kirk C., Foster E., Abdelhamid A.S. Reduction in saturated fat intake for cardiovascular disease. Cochrane Database Syst. Rev. 2020; 5(5): CD011737. https://doi.org/10.1002/14651858.cd011737.pub2
  14. WHO. Reynolds A., Hodson L., de Souza R., Tran Diep Pham H., Vlietstra L., Mann J. Saturated fat and trans-fat intakes and their replacement with other macronutrients: a systematic review and metaanalysis of prospective observational studies. Geneva; 2022.
  15. Jakobsen M.U., Bysted A., Andersen N.L., Heitmann B.L., Hartkopp H.B., Leth T., et al. Intake of ruminant trans fatty acids in the Danish population aged 1-80 years. Eur. J. Clin. Nutr. 2006; 60(3): 312–8. https://doi.org/10.1038/sj.ejcn.1602316
  16. Craig-Schmidt M.C. World-wide consumption of trans fatty acids. Atheroscler. Suppl. 2006; 7(2): 1–4. https://doi.org/10.1016/j.atherosclerosissup.2006.04.001
  17. WHO. Eliminating trans fats in Europe: a policy brief. Copenhagen; 2015. Available at: https://apps.who.int/iris/handle/10665/363877
  18. Jakobsen M.U., O’Reilly E.J., Heitmann B.L., Pereira M.A., Bälter K., Fraser G.E., et al. Major types of dietary fat and risk of coronary heart disease: a pooled analysis of 11 cohort studies. Am. J. Clin. Nutr. 2009; 89(5): 1425–32. https://doi.org/10.3945/ajcn.2008.27124
  19. Korolev A.A., Lopukhova I.V., Nikitenko E.I., Kirpichenkova E.V., Denisova E.L., Onishchenko G.G. Hygienic assessment of dietary intake of long-chain omega-3 polyunsaturated fatty acids. Gigiena i Sanitaria (Hygiene and Sanitation, Russian journal). 2022; 101(10): 1223–7. https://doi.org/10.47470/0016-9900-2022-101-10-1223-1227 https://elibrary.ru/qhqppu (in Russian)

Arquivos suplementares

Arquivos suplementares
Ação
1. JATS XML

Declaração de direitos autorais © Korolev A.A., Lopukhova I.V., Nikitenko E.I., Denisova E.L., Kirpichenkova E.V., Onishchenko G.G., 2024



СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 37884 от 02.10.2009.