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Investigating the risk-benefit balance of substituting red and processed meat with fish in a Danish diet

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Abstract
Danish dietary guidelines recommend the Danish population to increase the consumption of fish while decreasing the consumption of red and processed meat to prevent nutrition-related diseases. However, the presence of contaminants in these foods may affect the overall risk-benefit balance of such substitution. We performed a quantitative risk-benefit assessment on substituting red and processed meat with fish in a Danish diet. We modeled the substitution among Danish adults based on data from a Danish dietary survey and compared four alternative scenarios based on varying chemical and nutrient exposures to the current consumption. We quantified the overall health impact of the substitutions in terms of Disability-Adjusted Life Years (DALYs). Approximately 150 DALYs/100,000 individuals could be averted each year if Danish adults consumed 350 g of fish/week (fatty or mix of fatty and lean) while decreasing the consumption of red and processed meat. A lower beneficial impact was observed when consumption of fish was restricted to lean fish (80 DALYs/100,000 averted), and a marked health loss (180 DALYs/100,000) was estimated when consumption was restricted to tuna. Our results show an overall beneficial effect of the substitution if the consumption of large predatory fish is low and at least half is fatty fish.
Keywords
Risk-Benefit Assessment (RBA), Disability-Adjusted Life Year (DALY), Health impact, Dietary guidelines, Exposure, Substitution, SEAFOOD CONSUMPTION, HUMAN HEALTH, US COHORT, FOOD, PREGNANCY, DISEASE, DIOXINS, CHILD, CONTAMINANTS, COGNITION

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Chicago
Thomsen, Sofie Theresa, Sara Monteiro Pires, Brecht Devleesschauwer, Morten Poulsen, Sisse Fagt, Karin Hess Ygil, and Rikke Andersen. 2018. “Investigating the Risk-benefit Balance of Substituting Red and Processed Meat with Fish in a Danish Diet.” Food and Chemical Toxicology 120: 50–63.
APA
Thomsen, S. T., Pires, S. M., Devleesschauwer, B., Poulsen, M., Fagt, S., Ygil, K. H., & Andersen, R. (2018). Investigating the risk-benefit balance of substituting red and processed meat with fish in a Danish diet. FOOD AND CHEMICAL TOXICOLOGY, 120, 50–63.
Vancouver
1.
Thomsen ST, Pires SM, Devleesschauwer B, Poulsen M, Fagt S, Ygil KH, et al. Investigating the risk-benefit balance of substituting red and processed meat with fish in a Danish diet. FOOD AND CHEMICAL TOXICOLOGY. 2018;120:50–63.
MLA
Thomsen, Sofie Theresa, Sara Monteiro Pires, Brecht Devleesschauwer, et al. “Investigating the Risk-benefit Balance of Substituting Red and Processed Meat with Fish in a Danish Diet.” FOOD AND CHEMICAL TOXICOLOGY 120 (2018): 50–63. Print.
@article{8568347,
  abstract     = {Danish dietary guidelines recommend the Danish population to increase the consumption of fish while decreasing the consumption of red and processed meat to prevent nutrition-related diseases. However, the presence of contaminants in these foods may affect the overall risk-benefit balance of such substitution. We performed a quantitative risk-benefit assessment on substituting red and processed meat with fish in a Danish diet. We modeled the substitution among Danish adults based on data from a Danish dietary survey and compared four alternative scenarios based on varying chemical and nutrient exposures to the current consumption. We quantified the overall health impact of the substitutions in terms of Disability-Adjusted Life Years (DALYs). Approximately 150 DALYs/100,000 individuals could be averted each year if Danish adults consumed 350 g of fish/week (fatty or mix of fatty and lean) while decreasing the consumption of red and processed meat. A lower beneficial impact was observed when consumption of fish was restricted to lean fish (80 DALYs/100,000 averted), and a marked health loss (180 DALYs/100,000) was estimated when consumption was restricted to tuna. Our results show an overall beneficial effect of the substitution if the consumption of large predatory fish is low and at least half is fatty fish.},
  author       = {Thomsen, Sofie Theresa and Pires, Sara Monteiro and Devleesschauwer, Brecht and Poulsen, Morten and Fagt, Sisse and Ygil, Karin Hess and Andersen, Rikke},
  issn         = {0278-6915},
  journal      = {FOOD AND CHEMICAL TOXICOLOGY},
  keyword      = {Risk-Benefit Assessment (RBA),Disability-Adjusted Life Year (DALY),Health impact,Dietary guidelines,Exposure,Substitution,SEAFOOD CONSUMPTION,HUMAN HEALTH,US COHORT,FOOD,PREGNANCY,DISEASE,DIOXINS,CHILD,CONTAMINANTS,COGNITION},
  language     = {eng},
  pages        = {50--63},
  title        = {Investigating the risk-benefit balance of substituting red and processed meat with fish in a Danish diet},
  url          = {http://dx.doi.org/10.1016/j.fct.2018.06.063},
  volume       = {120},
  year         = {2018},
}

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