哈尔滨市成年居民膳食模式与高血压患病关系

发布时间：2018-03-30 15:15

本文选题：膳食模式　切入点：高血压　出处：《中国公共卫生》2017年10期

【摘要】：目的了解中国北方城市哈尔滨居民饮食习惯和膳食模式与高血压患病关系。方法采用多阶段分层随机整群抽样方法共抽取哈尔滨市42个社区,使用食物频率表对12 865名20~74岁常住居民进行膳食调查,有效调查8 591人,使用因子分析方法建立膳食模式,应用logistic回归模型分析不同膳食模式与高血压的关系。结果 8 591名居民中,高血压患者3 386例,总患病率为39.4%,其中男性患病率为47.4%(1 447/3 051),女性为35.0%(1 939/5 540);因子分析得到5种膳食模式、即主食模式、植物食物模式、均衡膳食模式、豆类食物模式、动物食物模式;经logistic回归分析,均衡膳食模式为高血压患病的保护因素(OR=0.86,95%CI=0.81~0.92,P0.000 1),能降低高血压患病风险;对年龄、性别、教育、BM I、吸烟、饮酒、运动、高血压家族史和总能量摄入进行校正,高盐摄入组患病风险为低盐摄入组的1.62倍(OR=1.62,95%CI=1.29~2.04,P0.000 1);食用油摄入油腻组高血压的患病风险为清淡组的1.10倍(OR=1.10,95%CI=1.01~1.43,P=0.004)。结论高盐和油腻的饮食习惯,以及不均衡的膳食模式能增加我国北方居民高血压患病风险,应该调整膳食结构和饮食习惯,预防和控制高血压的发生。
[Abstract]:Objective to investigate the relationship between the prevalence of hypertension and the dietary habits and patterns of Harbin residents in northern China. Methods A total of 42 communities in Harbin were sampled by multi-stage stratified random cluster sampling. A dietary survey was conducted on 12 865 residents aged 20 to 74 years old with food frequency table, and 8 591 people were investigated effectively. The dietary pattern was established by factor analysis. Logistic regression model was used to analyze the relationship between different dietary patterns and hypertension. The total prevalence rate was 39.4, in which the prevalence rate of male was 44.4 / 3.051g, and that of female was 35.0 / 1 939 / 5 5400.Factor analysis showed five dietary patterns, namely, staple food pattern, plant food model, balanced diet model, bean food model, animal food model, and logistic regression analysis. The balanced diet model was the protective factor of hypertension. The risk of hypertension was reduced by 0.81% 0.92% P 0.0001g, and adjusted for age, sex, education, smoking, drinking, exercise, family history of hypertension and total energy intake, and adjusted for age, sex, education, exercise, family history of hypertension and total energy intake. The risk of hypertension in the high salt intake group was 1.62 times as high as that in the low salt intake group, and 1.292.04% P 0.000 1C in the edible oil group, and 1.10 times as much as that in the light group. Conclusion the high salt and greasy diet habits are high salt and greasy diet, and the risk of hypertension is 1.10 times higher than that of the light group, and the risk of hypertension in the high salt intake group is 1.62 times higher than that in the low salt intake group, and the risk of hypertension is 1.10 times higher than that in the light group. And the unbalanced dietary pattern can increase the risk of hypertension in northern China, so we should adjust the diet structure and diet habits to prevent and control the occurrence of hypertension.
【作者单位】：哈尔滨医科大学;
【基金】：国家自然基金(81472980) 黑龙江省杰出青年基金(JC201410)
【分类号】：R544.1

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