新疆维吾尔族居民不同膳食模式对胰岛素抵抗的影响

发布时间：2018-05-07 11:22

本文选题：胰岛素抵抗 + 膳食模式　；参考：《营养学报》2017年05期

【摘要】：目的探索不同膳食模式对胰岛素抵抗的影响,为慢性病防控措施的制定提供依据。方法 2016年11月至2017年1月采用随机整群抽样方法对在新疆乌鲁木齐接受健康体检的人员展开调查,入选符合要求对象708例。进行膳食调查、体格检查和生物样品检测。根据半定量食物频率调查表(SQFFQ)利用因子分析方法建立膳食模式,根据各个研究对象不同膳食模式的因子得分大小以三分位法将每种膳食模式分别分为T_1、T_2、T_3三组;采用HOMA-IR评价IR。用单因素方差分析和卡方检验分析膳食模式的差异对胰岛素抵抗的影响。结果新疆乌鲁木齐居民存在5种主要的膳食模式,分别命名为粮谷蔬菜型模式、水果奶类型模式、动物食物型模式、蛋类糕点型模式、豆类饮料型模式,粮谷蔬菜型膳食模式是其中的主要膳食模式;粮谷蔬菜型模式、水果奶类型模式、动物食物型模式间BMI、腰围、腰臀比、SBP、TG、LDL-C、FPG、FINS、HOMA-IR值差异具有统计学意义(P0.05)。粮谷蔬菜型、动物食物型的BMI高于其他膳食模式;动物食物型腰围、腰臀比、TG、LDL-C高于其他膳食模式;粮谷蔬菜型、动物食物型膳食模式FPG、FINS、HOMA-IR高于其他膳食模式,水果奶类型BMI、FPG、FINS、HOMA-IR值低于其他膳食模式。粮谷蔬菜型模式组、水果奶类型模式组、动物食物型模式Q1-Q3组的HOMA-IR的T1、T2、T3的差异有统计学意义(χ~2=28.324,25.306,69.191,P0.05).结论膳食模式与IR关系密切,养成健康的饮食习惯对预防慢性病的发生至关重要。
[Abstract]:Objective to explore the effects of different dietary patterns on insulin resistance and to provide evidence for the prevention and control of chronic diseases. Methods from November 2016 to January 2017, 708 subjects were selected for health examination in Urumqi, Xinjiang, by means of random cluster sampling. Dietary surveys, physical examinations and biological samples were conducted. According to the semi-quantitative food frequency questionnaire (SQFFQQ), the dietary pattern was established by factor analysis method. According to the factor scores of different dietary patterns, each dietary pattern was divided into three groups by three-position method, T _ (1) and T _ (2) T _ (th) T _ (3), and HOMA-IR was used to evaluate IRI. Univariate ANOVA and chi-square test were used to analyze the effect of different dietary patterns on insulin resistance. Results there were five main dietary patterns in Urumqi, Xinjiang, which were named as grain and vegetable pattern, fruit and milk type model, animal food model, egg pastry model and bean beverage model. The main dietary patterns were vegetable diet pattern, grain vegetable pattern, fruit and milk pattern, animal food pattern, BMI, waist circumference, waist circumference and waist to hip ratio (WHR). There were significant differences in the values of HOMA-IR between grain vegetable pattern, fruit milk model and animal food type model, among which there were significant differences in the values of BMI, waist circumference, waist circumference and waist to hip ratio (SBP). The BMI of grain vegetable type and animal food type was higher than other dietary patterns, the waist circumference of animal food type and the waist to hip ratio of animal food type were higher than those of other dietary patterns, and the BMI of animal food type dietary pattern were higher than other dietary patterns. The HOMA-IR values of fruit milk type BMIP FPG FINSN were lower than those of other dietary patterns. There were significant differences in T _ 1 T _ 2T _ 3 of HOMA-IR in the vegetable type model group, fruit milk type model group and animal food type Q1-Q3 group (蠂 ~ (2 +) (蠂 ~ (2) ~ (2) 28.324 ~ 25.306 ~ 69.191 ~ (-1) (P _ (0.05). Conclusion there is a close relationship between dietary pattern and IR. It is very important to develop healthy eating habits to prevent chronic diseases.
【作者单位】：新疆医科大学公共卫生学院;
【基金】：新疆自治区研究生科研创新项目(No.XJGRI2016085)
【分类号】：R151.42

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