Traditionally, investigations of a foodstuff's implications for human health focus on the content of individual nutrients such as proteins, fats, carbohydrates, etc. However, newer research shows that the health effects of a food product cannot be determined on the basis on the individual nutrients it contains; the food must be evaluated as a whole — together with other foods eaten at the same time.

The findings of an expert panel have been published in the American Journal of Clinical Nutrition.

Post-doctoral researcher Tanja Kongerslev Thorning with the department of nutrition, exercise and sports at the University of Copenhagen in Denmark is first author of the report. Thorning explained that scientists have long wondered why the actual effects of a food are at variance with the effects expected on the basis of its nutrition content.

Nutrition researchers have, therefore, started to look at things in a wider context: "Researchers have become more skillful over the years, and we have acquired more methods for exploring what specific nutrients mean for digestion and health," she added. "When we eat, we do not consume individual nutrients; we eat the whole food, either alone or together with other foods in a meal. It, therefore, seems obvious that we should assess food products in context."

Ultimately, this means that the composition of a food can alter the properties of the nutrients it contains in ways that cannot be predicted on the basis of an analysis of the individual nutrients.

For example, dairy products such as cheese have a lesser effect on blood cholesterol than would be predicted on the basis of their content of saturated fat. There are interactions between the nutrients in a food that are significant for its overall effect on health.

"Another example is almonds, which contain a lot of fat but which release less fat than expected during digestion, even when chewed really well," Thorning explained. "The effects on health of a food item are probably a combination of the relationship between its nutrients and also of the methods used in its preparation or production. This means that some foods may be better for us, or less healthy, than is currently believed."

Precepts reconsidered

The expert panel behind these conclusions consists of 18 experts in epidemiology, food, nutrition and medical science. They were brought together in September 2016 for a workshop organized by the University of Copenhagen in collaboration with the University of Reading in the U.K.

Discussions focused on dairy products and on how the complex mixture of nutrients and bio-active substances, such as minerals and vitamins, can affect digestion and ultimately change the overall nutritional and health properties of a particular food.

The panel concluded, among other things, that yogurt and cheese have a different and more beneficial effect on bone health, bodyweight, the risk of developing cardiovascular diseases than would be expected on the basis of their saturated fat and calcium content.

Professor Arne Astrup, head of the University of Copenhagen department of nutrition, exercise and sports who chaired the workshop, said cheese is good example to illustrate that a food's health effects cannot be judged by single nutrients, e.g., sodium and saturated fat.

"In contrast to current recommendations that essentially ban full-fat cheese, current research clearly demonstrate important health benefits of cheese for prevention of type 2 diabetes, cardiovascular disease and cancers. All the positive effects are due to a complex interaction between beneficial bacteria, minerals and bio-active cheese ingredients," Astrup explained.

University of Reading professor of food chain nutrition Ian Givens, co-chair of the meeting, concluded, "More studies are needed, but ultimately, it seems that some areas of nutrition science need to be rethought. We cannot focus on a nutrient without looking at how it is consumed and what else is eaten at the same time."

The findings were published in the journal article "Whole Dairy Matrix or Single Nutrients in Assessment of Health Effects: Current Evidence & Knowledge Gaps."