文章摘要
周永林,戴 月,朱谦让,张静娴.江苏省成年居民膳食模式与代谢综合征及其组分关系研究[J].南京医科大学学报,2015,(12):1839~1842
江苏省成年居民膳食模式与代谢综合征及其组分关系研究
Relationships between dietary patterns and metabolic syndrome and its components among adult residents in Jiangsu Province
投稿时间:2015-06-03  
DOI:10.7655/NYDXBNS20151248
中文关键词: 膳食模式  代谢综合征
英文关键词: dietary pattern  metabolic syndrome
基金项目:江苏省自然科学基金(BK2008464)
作者单位
周永林 江苏省疾病预防控制中心食品安全与评价所,江苏 南京 210009 
戴 月 江苏省疾病预防控制中心食品安全与评价所,江苏 南京 210009 
朱谦让 江苏省疾病预防控制中心食品安全与评价所,江苏 南京 210009 
张静娴 江苏省疾病预防控制中心食品安全与评价所,江苏 南京 210009 
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中文摘要:
      目的:探索江苏省成年居民膳食模式与代谢综合征(MS)之间的关系,为开展营养干预提供依据。方法:采用整群随机抽样的方法选取全省10个调查点10 568名18岁以上成年人进行一般情况调查?膳食调查及医学体检,采用因子分析法建立膳食模式,采用卡方检验比较不同模式因子得分分位数组间患病率,采用非条件Logistic回归分析膳食模式对代谢综合征的影响。结果:因子分析得到4种主要膳食模式:传统模式?动物模式?快餐模式及豆类模式;传统模式对超重/肥胖患病率有影响(χ2=15.2,P < 0.05),豆类模式对超重/肥胖?高血压?MS患病率有影响(超重/肥胖:χ2=30.1,P < 0.01;高血压:χ2=18.9,P < 0.01;MS:χ2=8.3,P < 0.05);调整相关混杂因素后发现,传统膳食模式是超重/肥胖的危险因素(OR=1.41),豆类膳食模式是超重/肥胖?高血压?MS的保护因素(OR值分别为0.56?0.79?0.91)。结论:膳食模式与MS及其代谢组分相关,适当增加豆类食物摄入,控制能量摄入有助于降低MS发病风险。
英文摘要:
      Objective:To learn the relationship between metabolic syndrome (MS)and dietary patterns among adult residents in Jiangsu Province,so as to provide basis for the nutritional intervention. Methods:Totally 10 568 adults aged over 18 years old were randomly selected from 10 investigation sites in clusters,their general information,food intake were investigated and medical examination were made. The dietary patterns were sorted with factor analysis. The prevalences under different quartiles of factor scores were compared with Chi-Squared test. The effect of dietary patterns on MS was analyzed with logistic regression. Results:Four dietary patterns were categorized,traditional,animal food dominated,fast food dominated and legume dominated. The traditional pattern was related to the prevalence for overweight/obesity (χ2=15.2,P < 0.05). The legume dominated pattern was related to the prevalence for overweight/obesity,hypertension and MS (overweight/obesity:χ2=30.1,P < 0.01;Hypertension:χ2=18.9,P < 0.01;MS prevalence:χ2=8.3,P < 0.05). After multiple confounding factors were adjusted,it was indicated that traditional dietary pattern was the risk factor for overweight/obesity (OR:1.41),while the legume dominated pattern was the protective factor against overweight/obesity,hypertension and MS (the OR was 0.56,0.79,and 0.91,respectively). Conclusion:Dietary patterns are related to metabolic syndrome and its components. Increase the intake of legumes and control the intake of energy may play important roles in the prevention of metabolic syndrome.
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