中老年人腰围、腰围身高比和膳食因素与血脂关系

发布时间：2018-09-18 16:25

【摘要】：目的探讨膳食因素、腰围(waist circumference,WC)和腰围身高比(waist-to-height ratio,WHtR)与血脂异常的关系。方法抽样调查和膳食频数问卷法相结合,采用偏相关分析、t检验、x~2检验和Logistic回归分析研究膳食因素、WC、WHtR与血脂关系。结果偏相关分析显示,谷类、总能量、脂肪和胆固醇摄入量与胆固醇(total cholesterol,TC)水平正相关,水产品、锌、硒和铜与甘油三酯(triglyceride,TG)水平负相关(均有P0.05)。WC或WHtR异常时的TG水平及其患病率高于WC或WHtR正常时(均有P0.05);同时对于女性来说,WC异常时的TC水平及其患病率高于WC正常人群,差异均有统计学意义(t=-2.12、P=0.035;x~2=7.93,P=0.005)。WC、WHtR每增加1个标准差,高TC血症患病风险分别增加26%和43%,高TG血症患病风险分别增加30%和35%。结论降低谷类、总能量、脂肪和胆固醇的摄入量,同时增加蔬菜、水产品、维生素C、锌、硒和铜的摄入量有利于降低血脂异常发生的风险;WC和WHtR可以作为早期发现和预防血脂异常的监测指标。
[Abstract]:Objective to investigate the relationship between dietary factors, waist circumference (waist circumference,WC) and waist height ratio (waist-to-height ratio,WHtR) and dyslipidemia. Methods sampling survey and dietary frequency questionnaire were used to study the relationship between dietary factors WCG-WHtR and serum lipids by using partial correlation analysis and Logistic regression analysis. Results partial correlation analysis showed that cereals, total energy, fat and cholesterol intake were positively correlated with cholesterol (total cholesterol,TC) levels. Se and Cu were negatively correlated with triglyceride (triglyceride,TG) levels (P0.05). The TG levels and their prevalence in abnormal WC or WHtR were higher than those in normal WC or WHtR (P0.05), and the TC levels and the prevalence rate were higher in women with abnormal WC than those with WC. The difference was statistically significant (tr-2. 12 Pu 0. 035 + P0. 005). For each increase of 1 standard deviation, the risk of hyperthermia was increased by 26% and 43%, and the risk of hyperthermia was increased by 30% and 35%, respectively. Conclusion reducing the intake of cereals, total energy, fat and cholesterol, and increasing vegetables, aquatic products, vitamin C, zinc, The intake of selenium and copper can reduce the risk of dyslipidemia. WC and WHtR can be used as early detection and prevention indicators of dyslipidemia.
【作者单位】：广东药科大学公共卫生学院营养与食品卫生系;深圳市宝安区慢性病防治院慢性非传染性疾病防治科;
【基金】：广东省科技厅项目(2013B021800081)
【分类号】：R589.2

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