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Functional Foods

This answer is brought to you by many of the Australian nutrition professionals who regularly contribute to a nutrition email discussion group.

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The government body that regulates food in Australia and New Zealand (ANZFA) defines functional foods as being '... similar in appearance to conventional foods and intended to be consumed as part of a normal diet, but modified to serve physiological roles beyond the provision of simple nutrient requirements.' In other words, functional foods look like their conventional counterparts but have a nutrient or other health-promoting substance (or
substances) added, or have undergone some other significant modification in an attempt to provide a particular health benefit.

An example of a functional food that is well-known, and has achieved a high level of market penetration, is fat-reduced modified milk. This form of milk has less saturated fat (and should therefore be of benefit to heart health) and more calcium (for stronger bones) than whole milk.

Other functional foods include infant formulas, milk products, breads and other cereal foods in which some of the fat has been replaced with 'omega-3' fats (polyunsaturated fats believed to be involved in eye and brain development in infants, and associated with reduced risk of heart disease in adults). Another type of functional food is the 'probiotic' yoghurts and milk-based drinks that contain particular strains of bacteria, aimed at restoring the integrity of the lining of the gut, which is compromised as a result of poor diet, chemicals, and medication (e.g. antibiotics). There is evidence to suggest that these products may have some benefit in reducing the incidence of diarrhoea (among other illnesses).

One of the most 'visible' functional foods is the range of 'phytosterol' margarines. These have cholesterol-lowering effects. Their use in the medium-to-long term would be expected to significantly reduce the risk of heart disease.

But functional foods are not universally accepted by nutritionists as being of overall health benefit. For example, phytosterols decrease the body's levels of particular antioxidants called 'carotenoids'. There is preliminary evidence that carotenoids may be beneficial to health, so it is important to ensure adequate fruit and vegetable consumption (the source of carotenoids) if you do eat phytosterol-enriched margarine. Also, in 2001 ANZFA required that all foods, other than margarines, containing added phytosterols be removed from the market place because their safety and effectiveness had not as yet been demonstrated.

Although health claims are not generally permitted on food labels in Australia, there is one exception. Functional foods containing added 'folate' (a B group vitamin) are permitted to include a claim about the potential for added folate in the expectant mother's diet to reduce the risk of 'neural tube defects' (such as spina bifida) in the developing baby.

At least in theory it is true that there is no 'need' for functional foods. By following the highest priority dietary guideline ('enjoy a wide variety of nutritious foods') most people would have no need for supplementary intake of phytosterols, folate, omega-3 fats, or any of the other active components of functional foods. But many people do not follow the dietary guidelines, so, according to one school of thought, it is appropriate to make the foods that they will eat more health-promoting.


Other nutritionists argue that some functional foods constitute an inappropriate 'medicalisation' of food. They also claim that many functional foods seem to be designed at least partly to encourage people to eat foods that are not usually regarded as health-promoting.

The conclusion to a paper about functional foods in the Journal of the American Dietetics Association seems appropriate in this context: 'Consumers should be discouraged from the "magic bullet" mentality that turns functional foods into the solution for all dietary shortcomings. Emphasis should be placed on overall dietary pattern ... Functional foods, like supplements, should be viewed as one option in the continuum of good nutrition. Moreover, it is important to remember that diet is only one component of an overall lifestyle that can have an impact on health; other components include smoking, physical exercise, and stress reduction.

There doesn't seem to be any slowing down in the rate of development of new functional foods. Developments 'in the pipeline' include attempts to produce functional foods that:

reduce the risk of heart disease;
replace saturated fats with health-promoting fats;
contain modified carbohydrates for gut health;
reduce the risk of allergic responses;
reduce the risk of inflammatory responses (such as arthritis); improve sport performance; provide a boost to mood and/or cognitive performance (ability to think); and help to protect against cancer.

However, it is too early to say whether or not most (or even many) of these functional foods will be the successes their manufacturers hope. So in the meantime it is recommended that the


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[Date Issued: February 2002]


Disclaimer: This material is provided on the basis that it constitutes advice of a general nature only. It is not intended to replace the advice of a physician or a dietitian.

 

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