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预防医学  2018, Vol. 30 Issue (12): 1222-1226    DOI: 10.19485/j.cnki.issn2096-5087.2018.12.008
  论著 本期目录 | 过刊浏览 | 高级检索 |
杭州市中年人群三种膳食模式与代谢综合征的关系研究
蒋剑波, 林玲萍, 杜丽云, 郑培奋
浙江医院消化内科,浙江 杭州 310013
Association of three dietary patterns with metabolic syndrome in the middle-aged population in Hangzhou
JIANG Jian-bo, LIN Ling-ping, DU Li-yun, ZHENG Pei-fen
Department of Gastroenterology in Zhejiang Hospital,Hangzhou,Zhejiang 310013,China
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摘要 目的 分析杭州市中年人群三种膳食模式与代谢综合征(MS)的关系,为预防MS提供依据。方法 纳入2016年7月—2017年10月杭州市某三甲医院体检中心45~59岁健康体检人群,进行膳食调查、体格检查和生化指标检测,采用因子分析法构建膳食模式,采用Logistic回归模型分析膳食模式与MS的关系。结果 共调查2 102人,回收有效问卷1 918份,问卷有效率为91.25%。检出MS患者453例,患病率为23.62%。因子分析获得三种膳食模式:动物型模式,摄入较多的畜禽肉、加工肉制品和蛋等;中国传统型模式,摄入较多的粮谷、新鲜蔬果、豆及豆制品和茶等;海产品型模式,摄入较多的海带/紫菜、咸鱼肉和鱼虾等。Logistic回归分析结果显示,调整性别、年龄、吸烟和体力活动等混杂因素后,动物型模式增加MS的患病风险(OR=1.224,95%CI:1.072~1.944),中国传统型模式降低MS的患病风险(OR=0.785,95%CI:0.477~0.998),海产品型模式与MS的患病风险未见统计学关联(P>0.05)。结论 膳食模式与中年人群MS关系密切,坚持中国传统型膳食模式,减少肉类食物摄入有助于降低MS的患病风险。
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蒋剑波
林玲萍
杜丽云
郑培奋
关键词 膳食模式代谢综合征中年人群    
AbstractObjective To analyze the association between three dietary patterns and metabolic syndrome(MS)in a middle-aged population and to provide basis for MS prevention. Methods Subjects aged 45-59 years at the physical examination center of a top three hospital in Hangzhou from July 2016 to October 2017 were invited for dietary survey,physical examination and biochemical detection. Factor analysis was used to construct the dietary pattern. The logistic regression model was used to analyze the association between dietary patterns and the risk of MS.Results A total of 2 102 subjects were investigated,1 918 valid questionnaires were returned,and the effective rate reached 91.25%. There were 453 patients with MS,and the prevalence was 23.62%. Three dietary patterns were identified:animal pattern with high intake of livestock/poultry meat,processed meat products,eggs,etc;traditional Chinese pattern with high intake of cereal grains,fresh fruits and vegetables,beans and soy products,tea,etc;seafood pattern with high intake of seaweed/kelp,salted fish/meat,fish,shrimp,etc. After adjusting for gender,age,smoking and physical activity,logistic regression analysis indicated that the animal pattern might increase the risk of MS(OR=1.224,95%CI:1.072-1.944),the traditional Chinese pattern might reduce the risk of MS(OR=0.785,95%CI:0.477-0.998),but there was no association between the seafood pattern and the risk of MS(P>0.05).Conclusion The dietary patterns are closely related to MS in a middle-aged population. Adhering to traditional Chinese dietary pattern and reducing the intake of meat can reduce the risk of MS.
Key wordsDietary pattern    Metabolic syndrome    Middle-aged people
     出版日期: 2018-12-04
ZTFLH:  R151.4  
  R589  
基金资助:浙江省卫生厅培育项目(2014PYA002)
通信作者: 郑培奋,E-mail:kuaidou09@163.com   
作者简介: 蒋剑波,本科,护师,主要从事临床护理工作
引用本文:   
蒋剑波, 林玲萍, 杜丽云, 郑培奋. 杭州市中年人群三种膳食模式与代谢综合征的关系研究[J]. 预防医学, 2018, 30(12): 1222-1226.
JIANG Jian-bo, LIN Ling-ping, DU Li-yun, ZHENG Pei-fen. Association of three dietary patterns with metabolic syndrome in the middle-aged population in Hangzhou. Preventive Medicine, 2018, 30(12): 1222-1226.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2018.12.008      或      http://www.zjyfyxzz.com/CN/Y2018/V30/I12/1222
[1] WEI Z Y,LIU J J,ZHAN X M,et al.Dietary patterns and the risk of metabolic syndrome in Chinese adults:a population-based cross-sectional study[J]. Public Health Nutr,2018,21(13):2409-2416.
[2] 浙江省疾病预防控制中心. 浙江省城乡居民代谢综合症相关疾病与行为生活方式调查报告[R]. 2011:40-41.
[3] HE Y,LI Y,LAI J,et al.Dietary patterns as compared with physical activity in relation to metabolic syndrome among Chinese adults[J]. Nutr Metab Cardiovasc Dis,2013,23(10):920-928.
[4] 王新月,黄佳乐,李红卫. 厦门市居民膳食模式与代谢综合征相关性分析[J]. 中国公共卫生,2017,33(4):573-576.
[5] AGODI A,MAUGERI A,KUNZOVA S,et al.Association of dietary patterns with metabolic syndrome:results from the Kardiovize Brno 2030 Study[J]. Nutrients,2018,10(7):e898.
[6] ZHENG P F,SHU L,ZHANG X Y,et al.Association between dietary patterns and the risk of hypertension among Chinese:a cross-sectional study[J].Nutrients,2016,8(4):239.
[7] 许珊珊,朱传国. 不同膳食模式对淮南市中年人群肥胖和高血压的影响[J]. 中国慢性病预防与控制,2015,23(12):900-903.
[8] 中国营养学会. 中国居民膳食指南(2016) [M]. 北京:人民卫生出版社,2015:36-37.
[9] 喻森海,潘飞霞,顾杭杰,等. 农村代谢综合征患者强化生活方式干预效果评价[J]. 预防医学,2017,29(12):1193-1198.
[10] 胡浙芳,丁钢强,章荣华,等. 3种代谢综合征诊断标准在杭州市城区人群中应用比较[J]. 浙江预防医学,2013,25(12):12-15.
[11] 中华医学会糖尿病学分会.中国2型糖尿病防治指南(2013年版)[J]. 中华糖尿病杂志,2014,6(7):447-498.
[12] ZHEN S,MA Y,ZHAO Z,et al.Dietary pattern is associated with obesity in Chinese children and adolescents:data from China Health and Nutrition Survey(CHNS)[J]. Nutr J,2018,17(1):68.
[13] 章小艳,束龙,斯彩娟,等. 杭州地区大学新生膳食模式与超重肥胖的关系[J]. 中国学校卫生,2015,36(12):1862-1865.
[14] 吴鹏,束龙,李青艳,等. 大学新生膳食模式及其与血压BMI 值的关系[J]. 中国学校卫生,2013,34(3):347-349.
[15] RICCI G,CANDUCCI E,PASINI V,et al.Nutrient intake in Italian obese patients:relationships with insulin resistance and markers of non-alcoholic fatty liver disease[J]. Nutrition,2011, 27(6):672-676.
[16] CHUNG S,HA K,LEE H S,et al.Soft drink consumption is positively associated with metabolic syndrome risk factors only in Korean women:data from the 2007-2011 Korea National Health and Nutrition Examination Survey[J]. Metabolism,2015,64(11):1477-1484.
[17] SHINOZAKI K,OKUDA M,SASAKI S,et al.Dietary fiber consumption decreases the risks of overweight and hypercholesterolemia in Japanese children[J]. Ann Nutr Metab,2015,67(1):58-64.
[18] MOUZAKI M,ALLARD J P.The role of nutrients in the development,progression,and treatment of nonalcoholic fatty liver disease[J]. J Clin Gastroenterol,2012,46(6):457-467.
[19] SAKATA R,NAKAMURA T,TORIMURA T,et al.Green tea with high-density catechins improves liver function and fat infiltration in non-alcoholic fatty liver disease(NAFLD)patients:a double-blind placebo-controlled study[J]. Int J Mol Med,2013,32(5):989-994.
[20] CHOY A,KIM J,CHOE R,et al.Dietary patterns and the prevalence of metabolic syndrome in Korean women[J]. Nutr Metab Cardiovasc Dis,2011,21(11):893-900.
[21] DREWNOWSKI A,MAILLOT M,REHM C.Reducing the sodium-potassium ratio in the US diet:a challenge for public health[J]. Am J Clin Nutr,2012,96(2):439-444.
[22] TANI S,TAKAHASHI A,NAGAO K,et al.Association of fish consumption-derived ratio of serum n-3 to n-6 polyunsaturated fatty acids and cardiovascular risk with the prevalence of coronary artery disease[J]. Int Heart J,2015,56(3):260-268.
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