首都医科大学学报
首都醫科大學學報
수도의과대학학보
JOURNAL OF CAPITAL UNIVERSITY OF MEDICAL SCIENCES
2015年
1期
141-146
,共6页
握力%蛋白质摄入量%膳食模式%上臂肌围%高血压病
握力%蛋白質攝入量%膳食模式%上臂肌圍%高血壓病
악력%단백질섭입량%선식모식%상비기위%고혈압병
handgrip strength%protein intake%dietary pattern%arm muscle circumference%hypertension
目的：探讨蛋白质摄入量对中老年人握力及高血压患病率的影响。方法抽取北京市房山区张坊村中老年村民134例，根据蛋白质摄入量将受试者分为蛋白质摄入较高组和蛋白质摄入较低组，使用24 h膳食回顾法进行膳食调查，计算产能营养素和能量的摄入量；分别应用握力计、电子血压计和血糖仪测定受试者的握力、血压和即刻血糖；同时收集人体测量指标并调查受试者睡眠和体力活动情况等生活习惯。采用t检验或χ2检验分析2组中老年人的握力、运动情况、人体测量指标、产能营养素和能量摄入量、膳食摄入习惯、高血压病和血糖异常情况的差异。结果高蛋白质摄入组握力和上臂肌围显著高于低蛋白质摄入组，高蛋白质摄入组对主食类、蔬果类、鱼肉类、蛋类、豆腐类及食用油的摄入均显著多于低蛋白质摄入组，在营养素摄入方面，高蛋白质摄入组人群碳水化合物、脂肪、膳食纤维和能量摄入均高于低蛋白质摄入组。在疾病患病率方面，高蛋白质组高血压病患病率低于低蛋白质摄入组。结论北京市房山区张坊村中老年人膳食模式不均衡，蛋白质摄入过少，可能与握力降低有关，同时也可能与高血压患病率增加有关。改善该村村民的膳食结构，适当增加蛋白质摄入量可能在一定程度上会增加握力和降低高血压患病率。
目的：探討蛋白質攝入量對中老年人握力及高血壓患病率的影響。方法抽取北京市房山區張坊村中老年村民134例，根據蛋白質攝入量將受試者分為蛋白質攝入較高組和蛋白質攝入較低組，使用24 h膳食迴顧法進行膳食調查，計算產能營養素和能量的攝入量；分彆應用握力計、電子血壓計和血糖儀測定受試者的握力、血壓和即刻血糖；同時收集人體測量指標併調查受試者睡眠和體力活動情況等生活習慣。採用t檢驗或χ2檢驗分析2組中老年人的握力、運動情況、人體測量指標、產能營養素和能量攝入量、膳食攝入習慣、高血壓病和血糖異常情況的差異。結果高蛋白質攝入組握力和上臂肌圍顯著高于低蛋白質攝入組，高蛋白質攝入組對主食類、蔬果類、魚肉類、蛋類、豆腐類及食用油的攝入均顯著多于低蛋白質攝入組，在營養素攝入方麵，高蛋白質攝入組人群碳水化閤物、脂肪、膳食纖維和能量攝入均高于低蛋白質攝入組。在疾病患病率方麵，高蛋白質組高血壓病患病率低于低蛋白質攝入組。結論北京市房山區張坊村中老年人膳食模式不均衡，蛋白質攝入過少，可能與握力降低有關，同時也可能與高血壓患病率增加有關。改善該村村民的膳食結構，適噹增加蛋白質攝入量可能在一定程度上會增加握力和降低高血壓患病率。
목적：탐토단백질섭입량대중노년인악력급고혈압환병솔적영향。방법추취북경시방산구장방촌중노년촌민134례，근거단백질섭입량장수시자분위단백질섭입교고조화단백질섭입교저조，사용24 h선식회고법진행선식조사，계산산능영양소화능량적섭입량；분별응용악력계、전자혈압계화혈당의측정수시자적악력、혈압화즉각혈당；동시수집인체측량지표병조사수시자수면화체력활동정황등생활습관。채용t검험혹χ2검험분석2조중노년인적악력、운동정황、인체측량지표、산능영양소화능량섭입량、선식섭입습관、고혈압병화혈당이상정황적차이。결과고단백질섭입조악력화상비기위현저고우저단백질섭입조，고단백질섭입조대주식류、소과류、어육류、단류、두부류급식용유적섭입균현저다우저단백질섭입조，재영양소섭입방면，고단백질섭입조인군탄수화합물、지방、선식섬유화능량섭입균고우저단백질섭입조。재질병환병솔방면，고단백질조고혈압병환병솔저우저단백질섭입조。결론북경시방산구장방촌중노년인선식모식불균형，단백질섭입과소，가능여악력강저유관，동시야가능여고혈압환병솔증가유관。개선해촌촌민적선식결구，괄당증가단백질섭입량가능재일정정도상회증가악력화강저고혈압환병솔。
Objective To investigate the effect of the protein intake on the patients' handgrip strength and the incidence of hypertension in the middle aged and elderly people.Methods Totally 1 34 middle aged and elderly villagers in Zhangfang village, Fangshan district,Beijing were selected randomly.According to the intake of protein,the villagers were separated into two groups, relatively high protein(RHP)group and relatively low protein(RLP)group.The diet intake was investigated using 24-hour dietary review method.Then the nutrients and energy intake were calculated.We measured the handgrip,the blood pressure and blood glucose using grip dynamometer,electronic sphygmomanometer and glucometer,respectively.We measured the parameters of anthropometry.Then we surveyed the daily life habit,such as sleeping and exercise.Then we used Student's t test and χ2 test to analyze the difference of indexes between two groups.Results The handgrip strength and arm muscle circumference were higher in RHP group than those in RLP group. The staple food,vegetable and fruit,fish and meat,egg,bean curd and oil were higher in RHP group than those in RLP group.The carbohydrate,fat,dietary fiber and energy were higher in RHP group than those in RLP group.The morbidity of hypertension was lower in RHP group than that in RLP group.Conclusion The dietary pattern in the villagers surveyed was imbalance.The low protein intake may be related to the low handgrip strength and the high morbidity of hypertension.To some extent,increasing the protein intake is likely to enhance the handgrip strength and reduce the morbidity of hypertension.
