中华健康管理学杂志
中華健康管理學雜誌
중화건강관이학잡지
CHINESE JOURNAL OF HEALTH MANAGEMENT
2013年
5期
312-316
,共5页
李莉%龚丽青%张永红%江艳%顾亚静%周晶
李莉%龔麗青%張永紅%江豔%顧亞靜%週晶
리리%공려청%장영홍%강염%고아정%주정
脂肪肝%膳食调查%危险因素
脂肪肝%膳食調查%危險因素
지방간%선식조사%위험인소
Fatty liver%Diet Surveys%Risk factors
目的 探索不同膳食模式与非酒精性脂肪肝病(NAFLD)的关系.方法 2011年4月至6月采用随机整群抽样方法对在新疆克拉玛依市接受健康体检的人员展开调查,入选符合要求对象2377例.测定体质指数(BMI)、腰臀比(WHR)、收缩压(SBP)、舒张压(DBP)、三酰甘油(TG)、总胆固醇(TC)、天冬氨酸转氨酶(AST)、血尿酸(SUA)等指标.采用专门设计的食物频数量表(FFQ),应用主成分分析方法建立膳食模式,根据各个研究对象不同膳食模式的因子得分大小以四分位法将每种膳食模式分别分为Q1、Q2、Q3、Q4四组.采用方差分析与Logistic回归分析探讨不同膳食模式与非酒精性脂肪肝病患病率之间的关系.结果 主成分分析结果得到5种膳食模式,分别命名为调料模式、西方膳食模式、传统健康膳食模式、糕点零食与豆制品模式、动植物蛋白模式.调料模式、西方膳食模式与传统健康膳食模式下各个分组人群的NAFLD患病率的差异具有统计学意义(x2=149.873、8.247、18.766,P<0.05),3种膳食模式下各组的生化指标比较也有不同的差异,其中调料模式下的年龄、BMI、WHR、SUA、TG从Q1组到Q4组差异有统计学意义(F=8.42、5.64、12.78、10.72、9.63,P<0.05);西方膳食模式下年龄、WHR、SBP、SUA、TC与TG值在Q1 ~Q4组之间差异有统计学意义(F=9.84、6.87、6.11、10.61、6.87、8.13,P<0.05);而传统健康膳食模式下从Q1到Q4组的年龄、BMI、WHR、SBP、SUA、AST变化明显,差异有统计学意义(F=19.13、11.09、13.89、6.11、15.12、6.19,P<0.05).对年龄、BMI、WHR、SBP、SUA、AST、TC与TG进行调整后,调料膳食模式(OR=1.33,95%CI:0.95 ~1.87)、西方膳食模式(OR=1.36,95%CI:0.979 ~1.902)与NAFLD呈正相关,而传统健康膳食模式与NAFLD呈负相关(OR =0.79,95% CI:0.51~1.226).结论 膳食模式与NAFLD关系密切,养成健康的饮食习惯对预防NAFLD的发生至关重要.
目的 探索不同膳食模式與非酒精性脂肪肝病(NAFLD)的關繫.方法 2011年4月至6月採用隨機整群抽樣方法對在新疆剋拉瑪依市接受健康體檢的人員展開調查,入選符閤要求對象2377例.測定體質指數(BMI)、腰臀比(WHR)、收縮壓(SBP)、舒張壓(DBP)、三酰甘油(TG)、總膽固醇(TC)、天鼕氨痠轉氨酶(AST)、血尿痠(SUA)等指標.採用專門設計的食物頻數量錶(FFQ),應用主成分分析方法建立膳食模式,根據各箇研究對象不同膳食模式的因子得分大小以四分位法將每種膳食模式分彆分為Q1、Q2、Q3、Q4四組.採用方差分析與Logistic迴歸分析探討不同膳食模式與非酒精性脂肪肝病患病率之間的關繫.結果 主成分分析結果得到5種膳食模式,分彆命名為調料模式、西方膳食模式、傳統健康膳食模式、糕點零食與豆製品模式、動植物蛋白模式.調料模式、西方膳食模式與傳統健康膳食模式下各箇分組人群的NAFLD患病率的差異具有統計學意義(x2=149.873、8.247、18.766,P<0.05),3種膳食模式下各組的生化指標比較也有不同的差異,其中調料模式下的年齡、BMI、WHR、SUA、TG從Q1組到Q4組差異有統計學意義(F=8.42、5.64、12.78、10.72、9.63,P<0.05);西方膳食模式下年齡、WHR、SBP、SUA、TC與TG值在Q1 ~Q4組之間差異有統計學意義(F=9.84、6.87、6.11、10.61、6.87、8.13,P<0.05);而傳統健康膳食模式下從Q1到Q4組的年齡、BMI、WHR、SBP、SUA、AST變化明顯,差異有統計學意義(F=19.13、11.09、13.89、6.11、15.12、6.19,P<0.05).對年齡、BMI、WHR、SBP、SUA、AST、TC與TG進行調整後,調料膳食模式(OR=1.33,95%CI:0.95 ~1.87)、西方膳食模式(OR=1.36,95%CI:0.979 ~1.902)與NAFLD呈正相關,而傳統健康膳食模式與NAFLD呈負相關(OR =0.79,95% CI:0.51~1.226).結論 膳食模式與NAFLD關繫密切,養成健康的飲食習慣對預防NAFLD的髮生至關重要.
목적 탐색불동선식모식여비주정성지방간병(NAFLD)적관계.방법 2011년4월지6월채용수궤정군추양방법대재신강극랍마의시접수건강체검적인원전개조사,입선부합요구대상2377례.측정체질지수(BMI)、요둔비(WHR)、수축압(SBP)、서장압(DBP)、삼선감유(TG)、총담고순(TC)、천동안산전안매(AST)、혈뇨산(SUA)등지표.채용전문설계적식물빈수량표(FFQ),응용주성분분석방법건립선식모식,근거각개연구대상불동선식모식적인자득분대소이사분위법장매충선식모식분별분위Q1、Q2、Q3、Q4사조.채용방차분석여Logistic회귀분석탐토불동선식모식여비주정성지방간병환병솔지간적관계.결과 주성분분석결과득도5충선식모식,분별명명위조료모식、서방선식모식、전통건강선식모식、고점령식여두제품모식、동식물단백모식.조료모식、서방선식모식여전통건강선식모식하각개분조인군적NAFLD환병솔적차이구유통계학의의(x2=149.873、8.247、18.766,P<0.05),3충선식모식하각조적생화지표비교야유불동적차이,기중조료모식하적년령、BMI、WHR、SUA、TG종Q1조도Q4조차이유통계학의의(F=8.42、5.64、12.78、10.72、9.63,P<0.05);서방선식모식하년령、WHR、SBP、SUA、TC여TG치재Q1 ~Q4조지간차이유통계학의의(F=9.84、6.87、6.11、10.61、6.87、8.13,P<0.05);이전통건강선식모식하종Q1도Q4조적년령、BMI、WHR、SBP、SUA、AST변화명현,차이유통계학의의(F=19.13、11.09、13.89、6.11、15.12、6.19,P<0.05).대년령、BMI、WHR、SBP、SUA、AST、TC여TG진행조정후,조료선식모식(OR=1.33,95%CI:0.95 ~1.87)、서방선식모식(OR=1.36,95%CI:0.979 ~1.902)여NAFLD정정상관,이전통건강선식모식여NAFLD정부상관(OR =0.79,95% CI:0.51~1.226).결론 선식모식여NAFLD관계밀절,양성건강적음식습관대예방NAFLD적발생지관중요.
Objective To explore the relationship between dietary patterns and non alcoholic fatty liver disease (NAFLD) in Karamay adults.Methods A total of 2377 subjects aged 20-75 years old who took health check-up during April and June 2011 were included in this investigation.Body mass index (BMI),waist to hip ratio (WHR),systolic blood pressure (SBP),diastolic blood pressure (DBP),triglyceride (TG),total cholesterol (TC),aspartate aminotransferase (AST) and serum uric acid (SUA)were measured.Food intake patterns and life style of the participants were accessed by using food frequency questionnaire (FFQ).Main component analysis and multivariate logistic regression model were used to explore the association of dietary patterns with NAFLD.Results Five dietary patterns were identified,including "condiment dietary pattern"," western dietary pattern"," conventional healthy dietary pattern","snacks and bean pattern",and "high protein dietary pattern".Subjects of "condiment dietary pattern","western dietary pattern" or "conventional healthy dietary pattern" showed significantly different prevalence of NAFLD (x2 values were 149.873,8.247 and 18.766,respectively; all P < 0.05).In condiment dietary pattern,age,BMI,WHR,SUA and TG were significantly different in Q4 group (F values were 8.42,5.64,12.78,10.72 and 9.63,respectively; all P <0.05).For those with western dietary pattern,age,WHR,SBP,SUA,TC and TG showed significant different trend (F values were 9.84,6.87,6.11,10.61,6.87 and 8.13,respectively; all P < 0.05).However,subjects with conventional healthy dietary pattern showed a significant different trend of age,BMI,WHR,SBP,SUA and AST (F values were 19.13,11.09,13.89,6.11,15.12,6.19,respectively ; all P < 0.05).After age,BMI,WHR,SBP,SUA,AST,TC and TG were adjusted,the risk of NAFLD of those with "condiment pattern" or "western pattern" were significantly increased (odds ratio (OR) were 1.33 (95% confidence interval (CI) 0.95-1.87) and 1.36 (95% CI 0.979-1.902),respectively).Conclusion Dietary pattern may be associated with NAFLD.People need to learn healthy dietary habit to prevent NAFLD.