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预防医学  2019, Vol. 31 Issue (1): 5-5    DOI: 10.19485/j.cnki.issn2096-5087.2019.01.002
  论著 本期目录 | 过刊浏览 | 高级检索 |
浙江省居民膳食硒摄入水平与高血压的关系研究
何梦洁, 苏丹婷, 邹艳, 黄李春, 赵栋, 王玮, 方跃强, 黄恩善, 顾炜, 章荣华
浙江省疾病预防控制中心,浙江 杭州 310051
Association between dietary selenium intake and hypertension in Zhejiang residents
HE Meng-jie, SU Dan-ting, ZOU Yan, HUANG Li-chun, ZHAO Dong, WANG Wei, FANG Yue-qiang, HUANG En-shan, GU Wei, ZHANG Rong-hua
Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou,Zhejiang 310051,China
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摘要 目的 分析浙江省居民膳食硒摄入水平与高血压的关系。方法 采用分层多阶段整群抽样方法在浙江省抽取4个城市调查点和2个农村调查点,每个调查点抽取4个居委会或村,每个居委会或村抽取20户家庭,以所有家庭成员为调查对象,采用中国健康与营养调查项目问卷调查居民人口学特征和硒摄入量,进行体格检查和实验室检测,采用Logistic 回归模型分析硒摄入水平与高血压的关系。结果 膳食硒摄入量有效调查1 222人,其中硒摄入量不足平均需要量(EAR)的有729人,不足率为59.66%;硒摄入量在EAR和推荐摄入量(RNI)之间的有151人,占12.36%;硒摄入量在RNI和可耐受最高摄入量(UL)之间的有341人,占27.91%;硒摄入量≥UL的有1人。927名居民测量血压,检出高血压283例,高血压患病率为30.53%。高血压患者的硒摄入量平均为(43.06±20.96)μg/d,低于非高血压人群的(51.56±30.06)μg/d(P<0.05)。Logistic回归分析结果显示,调整年龄、体质指数、总胆固醇、三酰甘油和糖尿病患病情况后,硒摄入量是高血压的保护因素(OR=0.985,95%CI:0.978~0.993)。结论 浙江省约60%的居民膳食硒摄入量低于平均需要量,增加硒摄入量可能降低高血压患病风险。
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何梦洁
苏丹婷
邹艳
黄李春
赵栋
王玮
方跃强
黄恩善
顾炜
章荣华
关键词 高血压摄入膳食    
AbstractObjective To investigate the association between dietary selenium intake and hypertension among Zhejiang residents .Methods By multistage stratified random sampling method,four urban sites and two rural sites out of Zhejiang Province,four communities or villages out of each site,then 20 households out of each community or village were selected,and all the family members of the selected households were recruited as participants. The questionnaire of Chinese Health and Nutrition Survey was used to collect information about socio-demographic characteristics and dietary selenium intake. The blood pressure,blood lipid and other data were collected via physical examination. A multivariate logistic regression model was used to analyze the relationship between dietary selenium intake and hypertension .Results A total of 1 222 participants with complete dietary selenium intake data were included for analysis. The number(%)of participants with selenium intake higher than the level of estimated average requirement(EAR),between the levels of EAR and recommanded nutrient intake (RNI),between the levels of RNI and upper intake(UI)and higher than the level of UI were 729 (59.66%),151(12.36%),341(27.91%)and 1(0.01%),respectively. There were 283 (30.53%)patients with hypertension out of 927 participants examined. The mean amount of selenium intake in patients with hypertention was(43.06±20.96)μg/d,which was significantly lower than(51.56±30.06) μg/d in non-hypertention participants(P<0.05). After adjusting for age,body mass index,total cholesterol,triglyceride and diabetes mellitus in the multivariate logistic regression model,dietary selenium intake significantly reduced the risk of hypertension(OR=0.985,95%CI:0.978-0.993) .Conclusion About 60% of residents in Zhejiang Province had lower dietary selenium intake than estimated average requirement. Higher selenium intake was associated with lower risk of hypertension.
Key wordsHypertension    Selenium    Intake    Diet
收稿日期: 2018-06-26      出版日期: 2019-01-03
ZTFLH:  R544.1  
基金资助:国家财政项目(13103110700015005)
通信作者: 章荣华,E-mail:rhzhang@cdc.zj.cn   
作者简介: 何梦洁,硕士,主要从事营养流行病学研究工作
引用本文:   
何梦洁, 苏丹婷, 邹艳, 黄李春, 赵栋, 王玮, 方跃强, 黄恩善, 顾炜, 章荣华. 浙江省居民膳食硒摄入水平与高血压的关系研究[J]. 预防医学, 2019, 31(1): 5-5.
HE Meng-jie, SU Dan-ting, ZOU Yan, HUANG Li-chun, ZHAO Dong, WANG Wei, FANG Yue-qiang, HUANG En-shan, GU Wei, ZHANG Rong-hua. Association between dietary selenium intake and hypertension in Zhejiang residents. Preventive Medicine, 2019, 31(1): 5-5.
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