CAJ | 학술논문

目的探讨老年人群代谢综合征(MS)和饮食习惯的相关性.方法连续抽取老年人781例,通过问卷调查和体检采集相关资料;采用Logistic回归分析方法分析饮食习惯与MS相关性.结果老年人MS总患病率为40.7%,其中男性36.7%,女性55.4%,女性高于男性(P=0.000).低脂饮食组腰围(86.0±9.3)cm,与适中饮食组(88.8±8.5)cm及高脂饮食组(90.0±7.9)cm比较,差异有统计学意义(P＜0.05).低脂饮食组空腹血糖(5.78±0.98)mmol/L,与高脂饮食组(6.27±1.80)mmol/L比较,差异有统计学意义(P＜0.05).多元回归分析显示,以低脂饮食组为基准,适中饮食组OR值[1.541(1.092～2.174),P＜0.05];高脂饮食OR值[2.293(1.317～3.994),P＜0.01];适中饮食和高脂饮食是老年人群MS的独立危险因素.结论适中饮食和高脂饮食是老年人群发生MS的危险因素,提倡在食物多样化的前提下,养成清淡低脂的饮食习惯,从而降低MS的患病率.
목적 탐토노년인군대사종합정(MS)화음식습관적상관성.방법 련속추취노년인781례,통과문권조사화체검채집상관자료;채용Logistic회귀분석방법분석음식습관여MS상관성.결과 노년인MS총환병솔위40.7%,기중남성36.7%,녀성55.4%,녀성고우남성(P=0.000).저지음식조요위(86.0±9.3)cm,여괄중음식조(88.8±8.5)cm급고지음식조(90.0±7.9)cm비교,차이유통계학의의(P＜0.05).저지음식조공복혈당(5.78±0.98)mmol/L,여고지음식조(6.27±1.80)mmol/L비교,차이유통계학의의(P＜0.05).다원회귀분석현시,이저지음식조위기준,괄중음식조OR치[1.541(1.092～2.174),P＜0.05];고지음식OR치[2.293(1.317～3.994),P＜0.01];괄중음식화고지음식시노년인군MS적독립위험인소.결론 괄중음식화고지음식시노년인군발생MS적위험인소,제창재식물다양화적전제하,양성청담저지적음식습관,종이강저MS적환병솔.
Objective To investigate the relationship between metabolic syndrome (MS) and diet style in the elderly. Methods The 781 old people were consecutively selected. Related data were collected by means of questionnaires and physical examinations. And logistic regression was performed to analyze if moderate and high fat diet were risk factors of MS. Results The total prevalence rate of MS in old people was 40. 7%, with 36.7% in old males and 55.4% in old females,and the prevalence rate of MS was higher in old women than in old men (P=0. 000). The significant differences in waist circumferences among three groups of low, moderate and high-fat diet [(86.0±9.3) cm vs. (88.8±8.5) cm vs. (90. 0±7.9) cm, respectively (all P＜0.05)]were found. Fasting blood glucose showed a significant difference between two groups of low and high-fat diet, with the results of (5.78 ± 0.98) mmol/L and (6.27 ± 1.80) mmol/L, respectively ( P＜0. 05 ). The logistic regression analysis showed that odds ratio for people with moderate and high-fat diets were 1. 541 ( 1. 092-2. 174) and 2. 293 ( 1. 317-3. 994), respectively (P＜0.05), which indicated that moderate and high-fat diet was independent risk factors for MS in old people. Conclusions Both moderate and high-fat diets are risk factors of MS in old population, low fat diet with food balance is recommended to old population in order to decrease the prevalence of MS.