CAJ | 학술논문

目的探讨陕西省汉中地区农村居民膳食结构特点及其与高血压的关系.方法 2010年采用半定量食物频率问卷对汉中地区18～80岁农村常住居民膳食进行横断面调查并测量血压,利用SPSS 13.0软件的因子分析模块建立膳食模式,并运用多元logistic回归模型分析不同膳食模式与高血压间的关系.结果共调查2929人,调查对象平均年龄50.0岁,平均受教育年限为6.8年.高血压患病率为34.3％,男性为35.4％,女性为33.7％.共调查29类食物,其中11类食物的中位摄入频率为≥1次/周.提取4个主要因子做因子分析,以反映4种膳食结构类型,将研究对象按每个因子得分的四分位数分为4组(Q1～Q4),以Q1为参照采用logistic回归模型分析显示,控制年龄、性别、体重指数、经济收入和受教育程度后,倾向于均衡模式即能显著降低高血压患病的危险性(OR=0.59,95％CI:0.44～ 0.77).结论膳食模式与高血压的患病密切相关,合理膳食应是防治高血压的重要措施之一.
목적 탐토합서성한중지구농촌거민선식결구특점급기여고혈압적관계.방법 2010년채용반정량식물빈솔문권대한중지구18～80세농촌상주거민선식진행횡단면조사병측량혈압,이용SPSS 13.0연건적인자분석모괴건립선식모식,병운용다원logistic회귀모형분석불동선식모식여고혈압간적관계.결과 공조사2929인,조사대상평균년령50.0세,평균수교육년한위6.8년.고혈압환병솔위34.3％,남성위35.4％,녀성위33.7％.공조사29류식물,기중11류식물적중위섭입빈솔위≥1차/주.제취4개주요인자주인자분석,이반영4충선식결구류형,장연구대상안매개인자득분적사분위수분위4조(Q1～Q4),이Q1위삼조채용logistic회귀모형분석현시,공제년령、성별、체중지수、경제수입화수교육정도후,경향우균형모식즉능현저강저고혈압환병적위험성(OR=0.59,95％CI:0.44～ 0.77).결론선식모식여고혈압적환병밀절상관,합리선식응시방치고혈압적중요조시지일.
Objective To investigate the relationship between dietary patterns and hypertension in Hanzhong city of Shaanxi province.Methods A cross-sectional survey on dietarypattern and hypertension together with a semi-quantitative food frequency questionnaire was conducted among rural residents aged from 18 to 80 in Hanzhong of Shaanxi province in 2010.Factor analysis by SPSS was used to identify food patterns based on the frequency of food.Logistic regression was used to analyze the relationship between dietary patterns and hypertension.Results 2929 rural residents were investigated with an average age as 50.0 years old and average schooling-years as 6.8.The prevalence rate of hypertension was 34.3％,with 35.4％ in males and 33.7％ in females.Among 29 kinds of food under investigation,only 11 kinds with the frequencies of consumption more than 1 time per week.Four main factors were derived as four dietary patterns by factor analysis and they were diversity dietary pattern,alcohol dietary pattern,beverage dietary pattern and simple dietary pattern.Among them,the balanced dietary pattern was significantly associated with hypertension.All the participants were categorized into 4 groups (Q1-Q4) according to their factor scores,quartile with Q1 as a reference.The residents who were more closer to having balance dietary pattern,were under less risk of suffering from hypertension after controlling for age,sex,BMI,education and income.Compared to Q1,the Q4 had lower risk of hypertension (OR=0.59,95％CI:0.44-0.77) for the balanced pattern.Conclusion Dietary pattern could be related to the prevalence of hypertension.A rational diet with diversity of foods should be suggested as one of the major measures for the prevention of hypertension.