cover of episode ‘Soft and calorie dense’: Chris van Tulleken on how ultra-processed foods keep us hooked

‘Soft and calorie dense’: Chris van Tulleken on how ultra-processed foods keep us hooked

2024/12/19
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Madeleine Finlay
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Nicola Davis
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节目叙述:超加工食品(UPF)对健康有害,其危害程度可能与吸烟相当。已有研究表明UPF与多种健康问题相关,包括心脏病、癌症、糖尿病和过早死亡。但关于UPF的定义及其对健康的影响,存在争议。 Nicola Davis:Chris Van Tulleken医生是传染病医生,因关注营养不良问题而开始关注食品,并成为反对超加工食品的倡导者。他将在皇家学会圣诞讲座中探讨食物加工的历史、人体消化系统以及食物在细胞内的作用。人类进化过程中,食物加工(如切割、烹饪)对大脑发育至关重要。超加工食品与传统食物加工方式不同,其添加了大量成分以增强口感,并通过精密的包装和营销策略来刺激消费。多项研究表明,高超加工食品饮食与多种健康问题相关。但这些研究主要显示的是相关性而非因果关系,且饮食研究本身存在局限性。营养科学已知高盐、高饱和脂肪和高糖食物对健康有害,而柔软且高热量的食物容易导致快速进食和体重增加。即使控制了盐、脂肪、糖和纤维的含量,超加工食品仍然会导致人们摄入过量食物。超加工食品的危害不仅在于其成分(高盐、高脂肪、高糖),还在于其加工方式、添加剂、包装和营销策略等方面,这些因素共同作用导致人们摄入过量。并非所有超加工食品都对健康有害,关注盐、糖和脂肪含量可能比单纯关注“超加工”标签更有意义。“超加工食品”这一概念并非旨在指导个体饮食选择,而是用于改善食品系统和进行行业监管。“超加工食品”的定义不够精确,难以用于产品标签,食品行业可以利用定义中的漏洞来规避监管。一些高能量、高盐、高脂肪、高糖的产品可能并非严格意义上的超加工食品,但其对健康的危害与超加工食品相似。虽然超加工食品存在差异,但大部分超加工食品的营养成分与膳食指南不符。 Madeleine Finlay:英国和美国超过一半的平均饮食都由超加工食品构成,这些食品很容易获得且融入现代生活方式中。解决超加工食品问题需要系统性的改变,个人难以单方面改变现状。解决超加工食品问题需要政府干预,改变食品环境。需要政府干预来规范食品行业,因为食品公司自身往往难以改变其产品组合。人们在饮食选择上受到多种因素限制,因此不应过度责备自己食用超加工食品。 Chris Van Tulleken:建议在圣诞节期间,可以购买预制食品,并将其重新包装,以节省时间并与家人共度时光。建议在圣诞节期间食用鸡肉代替火鸡,因为它更容易烹饪。解决食品问题需要结构性变革,而不是个人行为的改变。 John Smith: ...[每位发言人至少200字]

Deep Dive

Key Insights

What are ultra-processed foods (UPFs) and why are they controversial?

Ultra-processed foods (UPFs) are foods with many ingredients, often industrial chemicals, designed to be hyperpalatable and stored for long periods. They are controversial because studies link them to 32 adverse health outcomes, including heart disease, cancer, and early death, but some experts question the usefulness of the UPF label for individual dietary choices.

Why does Dr. Chris Van Tulleken focus on ultra-processed foods?

Dr. Van Tulleken became interested in food's role in health after working in humanitarian emergencies where malnutrition was critical. He has since become a leading voice campaigning against ultra-processed foods due to their potential health risks.

What are the key health risks associated with ultra-processed foods?

Studies show that ultra-processed foods are associated with a higher risk of heart disease, cancer, type 2 diabetes, and early death. They are often high in salt, fat, and sugar, which contribute to these health issues.

How do ultra-processed foods affect our eating behavior?

Ultra-processed foods are designed to make people eat more due to their hyperpalatable nature, including additives, flavors, and textures. Even when salt, fat, and sugar levels are controlled, the processing itself encourages overeating.

What is the role of food processing in human evolution?

Food processing, particularly cooking, was a key factor in human evolution. Cooking allowed early humans to extract more energy from food, reduced the need for large jaw muscles, and supported brain development, leading to significant advancements in human capabilities.

Why is the term 'ultra-processed food' not always useful for individual dietary choices?

The term 'ultra-processed food' is more useful for systemic changes and industry regulation rather than individual dietary advice. It doesn't always align with nutrient profiles, making it less effective for personal food choices.

What does Dr. Van Tulleken suggest for managing Christmas meals?

Dr. Van Tulleken suggests using pre-prepared, possibly ultra-processed foods for convenience, but presenting them as homemade to save time and enjoy the holiday with family. He also recommends substituting turkey with chicken for a juicier, easier-to-cook option.

What systemic changes does Dr. Van Tulleken advocate for in the food industry?

Dr. Van Tulleken advocates for government regulation of the food industry to address the systemic issues causing food insecurity and poor health outcomes. He emphasizes the need for structural changes rather than individual dietary advice.

Shownotes Transcript

Dr Chris van Tulleken has been at the forefront of the campaign to change our food system and better regulate the sale of ultra-processed foods (UPF). This year he will be giving the Royal Institution Christmas lectures, Britain’s most prestigious public science lectures, in which he’ll be investigating how food has fundamentally shaped human evolution, the importance of our microbiome – as the extra ‘organ’ we didn’t know we had – and how we can all eat better in future, for the sake of our own health and the health of the planet. Nicola Davis sat down with Van Tulleken to discuss the lectures, the challenge of understanding the impact of UPFs on our health, and his top tip for Christmas dinner. Madeleine Finlay hears from them both in this Christmas special edition of Science Weekly. Help support our independent journalism at theguardian.com/sciencepod)