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The complex relationship between diet, quality of life and life expectancy: a narrative review of potential determinants based on data from Italy

机译:饮食之间的复杂关系,生活质量和预期寿命:基于意大利数据的潜在决定因素的叙事综述

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The increasing life expectancy at birth and the improvement of general health observed worldwide over the previous years are likely due to many factors. In this regard, the Organisation for Economic Cooperation and Development (OECD) has highlighted the favourable situation of the Italian population, which is amongst the most privileged in the world. In Italy, the national healthcare system is easily accessible to the whole population without direct costs, and alcohol abuse and cigarette smoke are less widespread compared to neighbouring countries. Moreover, the population still largely follows a dietary pattern characterised by the consumption of foods rich in protective compounds (plant foods and their components, such as fibre, polyphenols and polyunsaturated fatty acids). According to recent data, a significant consumption of these foods, which are key components of the Mediterranean model, is likely to play a more important role compared to the limited consumption of nutrients considered less favourable (essentially, saturated fat and sugar). Based on these assumptions, it can be inferred that the adoption of coercive legislative interventionswhich have been introduced in other western countries to improve diet qualitymay not be an optimal strategy in a country like Italy. Such an intervention would contend with psychological and social aspects (namely with the belief that participating in decision-making is an essential right) and with broader indications emerging in the research within this field (the effectiveness of a nudge approach as opposed to constraining interventions). These factors may limit any expected positive impact on health within this context.Level of evidenceLevel V, narrative review.
机译:出生时期的预期寿命增加以及全世界观察到的一般健康的改善可能是由于许多因素。在这方面,经济合作与发展组织(经合组织)强调了意大利人口的有利情况,这是世界上最有名的人口。在意大利,全国医疗保健系统可以在没有直接成本的情况下,整个人口很容易访问,而且与邻国相比,酒精滥用和卷烟烟雾不太普遍。此外,人口仍然在很大程度上涉及一种饮食模式,其特征在于富含保护化合物的食物(植物食品及其组分,例如纤维,多酚和多不饱和脂肪酸)的食物。根据最近的数据,与地中海模型的关键组成部分的这些食物的显着消费可能与被认为有利的营养素的有限消耗(基本上,饱和脂肪和糖)相比,可能发挥更重要的作用。基于这些假设,可以推断出采用在其他西方国家推出的强制立法干预,以改善饮食质量,这不是意大利等国家的最佳策略。这样的干预会争辩于心理和社会方面(即表示参与决策是一个重要权利),并且在该领域的研究中出现的更广泛的指示(一种强行方法的有效性而不是约束干预措施) 。这些因素可能会限制在这方面的对健康的任何预期积极影响。埃维德维尔维德尔诉v,叙述审查。

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