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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,P<0.05),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,P<0.01;高血压:χ2=18.9,P<0.01;MS:χ2=8.3,P<0.05);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。
Objective: To explore the relationship between dietary patterns and metabolic syndrome (MS) among adult inhabitants in Jiangsu Province and provide the basis for nutrition intervention. Methods: A total of 10 568 adults over the age of 18 were selected from 10 survey sites in the province to conduct general survey, dietary survey and medical examination. The dietary patterns were established by factor analysis and compared with different patterns The score of factor scores was used to analyze the influence of dietary patterns on metabolic syndrome using non-conditional Logistic regression. Results: There were four main dietary patterns: traditional pattern, animal pattern, fast food pattern and bean pattern. The traditional pattern had an influence on the prevalence of overweight / obesity (χ2 = 15.2, P <0.05) / Obesity, hypertension and MS prevalence (overweight / obesity: χ2 = 30.1, P <0.01; hypertension: χ2 = 18.9, P <0.01; MS: χ2 = 8.3, P < It was found that the traditional dietary pattern was the risk factor for overweight / obesity (OR = 1.41). The dietary patterns of beans were the protective factors of overweight / obesity, hypertension and MS (OR = 0.56,0.79,0.91, respectively). Conclusion: The dietary patterns are related to MS and its metabolites. Increasing dietary intake of legumes and controlling energy intake may reduce the risk of developing MS.