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

发布时间：2018-06-07 07:20

本文选题：膳食模式 + 代谢综合征　；参考：《南京医科大学学报(自然科学版)》2015年12期

【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,P0.05),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,P0.01;高血压:χ2=18.9,P0.01;MS:χ2=8.3,P0.05);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。
[Abstract]:Objective: to explore the relationship between dietary pattern and metabolic syndrome (MS) of adult residents in Jiangsu Province, and to provide evidence for nutritional intervention. Methods: 10 568 adults over 18 years old were selected from 10 investigation sites in the province by cluster random sampling method to investigate the general situation, diet survey and medical examination. The dietary pattern was established by factor analysis. Chi square test was used to compare the prevalence rate among quartiles of different pattern factors, and the effect of dietary pattern on metabolic syndrome was analyzed by non conditional Logistic regression analysis. Results: four main dietary patterns were obtained by factor analysis: traditional model, animal model, fast food model and legume model, and the traditional pattern had an effect on the prevalence of overweight / obesity (蠂 ~ (2) 15.2) P 0.05 (蠂 ~ (2), soybean model (P ~ (0.05), overweight / obesity (P ~ (0.05). The prevalence of MS was affected by hypertension (overweight / obesity: 蠂 2 30.1 / P 0.01; hypertension: 蠂 2 + 18.9n P 0.01m: 蠂 2 + 8.3n P 0.05). After adjusting for the related confounding factors, it was found that the traditional dietary pattern was the risk factor of overweight / obesity, and the soybean diet pattern was overweight / obesity. The OR values of the protective factors of MS were 0.56 卤0.79 and 0.91g respectively. Conclusion: dietary pattern is related to MS and its metabolites. Increasing soybean food intake and controlling energy intake can reduce the risk of MS.
【作者单位】：江苏省疾病预防控制中心食品安全与评价所;
【基金】：江苏省自然科学基金(BK2008464)
【分类号】：R151.45

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