CAJ | 학술논문

目的：调查北京市郊区人口中饮食因素对代谢综合征（MS）的影响。方法2008年4月至2009年3月采用容量比例概率抽样法（PPS法）随机抽样横断面调查北京市平谷区8189户常住居民家庭，在每户家庭中用基什网格法（KISH法）随机抽取1人（18～76岁）。签署知情同意后进行问卷调查、体格检查及抽血检查。采用半定量食物频度法了解常见10类食物的摄入情况。最终，共6925人完成调查，其中6272（男性3132，女性3140）份有效问卷纳入本研究。MS采用美国国家胆固醇教育计划成人治疗方案第三次报告（NCEP-ATPⅢ2005）标准。计量资料比较采用t检验；采用多元logistic回归分析MS的影响因素。结果 MS总患病率24.69%，女性MS患病率高于男性（32.23%比17.18%，χ2=190.93，P<0.05）。MS与非MS者平均每天进食水果、动物内脏、畜肉类、水产海鲜类食品的次数有显著差异（χ2=21.18、32.06、9.40、10.98，均P<0.05）。每天进食水果、畜肉者MS患病率低于不进食水果和畜肉者；平均每天进食0～1次动物内脏、0～1次水产海鲜者低于不进食者和平均进食≥1次者。多元logistic回归发现，MS患病率男性低于女性（OR=0.42，95%CI=0.37～0.48），并随着年龄增长而增加（OR=1.32，95%CI=1.21～1.43）；与MS发病相关的饮食因素是不进食水果（OR=1.72，95%CI=1.33～2.21），平均每天进食≥1次畜肉类（OR=1.23，95%CI=1.07～1.42）、≥1次动物内脏（OR=3.93，95%CI=1.45～10.65）。分别根据宏量营养素所占能量的比例不同分段，未发现MS组与非MS组有所不同。结论所调查人群中与MS风险增加相关的因素是女性、增龄、不吃水果、平均进食畜肉≥1次/d、进食动物内脏≥1次/d。无论是否存在MS，人群宏量营养素占能比差异无统计学意义。
목적：조사북경시교구인구중음식인소대대사종합정（MS）적영향。방법2008년4월지2009년3월채용용량비례개솔추양법（PPS법）수궤추양횡단면조사북경시평곡구8189호상주거민가정，재매호가정중용기십망격법（KISH법）수궤추취1인（18～76세）。첨서지정동의후진행문권조사、체격검사급추혈검사。채용반정량식물빈도법료해상견10류식물적섭입정황。최종，공6925인완성조사，기중6272（남성3132，녀성3140）빈유효문권납입본연구。MS채용미국국가담고순교육계화성인치료방안제삼차보고（NCEP-ATPⅢ2005）표준。계량자료비교채용t검험；채용다원logistic회귀분석MS적영향인소。결과 MS총환병솔24.69%，녀성MS환병솔고우남성（32.23%비17.18%，χ2=190.93，P<0.05）。MS여비MS자평균매천진식수과、동물내장、축육류、수산해선류식품적차수유현저차이（χ2=21.18、32.06、9.40、10.98，균P<0.05）。매천진식수과、축육자MS환병솔저우불진식수과화축육자；평균매천진식0～1차동물내장、0～1차수산해선자저우불진식자화평균진식≥1차자。다원logistic회귀발현，MS환병솔남성저우녀성（OR=0.42，95%CI=0.37～0.48），병수착년령증장이증가（OR=1.32，95%CI=1.21～1.43）；여MS발병상관적음식인소시불진식수과（OR=1.72，95%CI=1.33～2.21），평균매천진식≥1차축육류（OR=1.23，95%CI=1.07～1.42）、≥1차동물내장（OR=3.93，95%CI=1.45～10.65）。분별근거굉량영양소소점능량적비례불동분단，미발현MS조여비MS조유소불동。결론소조사인군중여MS풍험증가상관적인소시녀성、증령、불흘수과、평균진식축육≥1차/d、진식동물내장≥1차/d。무론시부존재MS，인군굉량영양소점능비차이무통계학의의。
Objective To investigate the impact of dietary factors on metabolic syndrome(MS)in the rural population in Beijing city. Methods From April 2008 to March 2009,using the method of PPS random sampling cross-sectional survey for 8 189 permanent resident families in Beijing Pinggu district,in every family,use KISH table method to pick 1 person randomly(18-76 years old). The consent of each subjects for questionnaire,physical examination and blood tests were collected. Semi-quantitative food frequency method was used to understand common 10 kind of food intake. In the end,a total of 6 925 people completed the survey,of which 6 272(male 3 132,female 3 140)effective questionnaires were included in this study. MS was diagnosed with the national cholesterol education program adult treatment report the third (NCEP ATPⅢ-2005). Measurement data was compared by using t test. The influence factors of MS were analyzed by mul Stivariate logistic regression analysis. Results The total incidence of MS was 24.69%in this population,and was significantly higher in females than that in males(32.23%vs 17.18%,χ2=190.93, P<0.05). There were significant differences in daily frequencies of eating fruit,animal offal,livestock meat, aquatic food seafood between MS and non-MS group every day(χ2=21.18,32.06,9.40,10.98,all P<0.05). People who ate fruit and livestock meat every day had a lower prevalence of MS than that in those who did not eat fruit and meat. People who ate animal offal and aquaculture seafood 0-1 time/day had a lower prevalence of MS than those who did not eat or ate more than 1 time daily. It was found by multivariate logistic regression analysis that the prevalence of MS was lower in male than in female(OR=0.42,95%CI=0.37-0.48),and increased with age (OR=1.32,95%CI=1.21-1.43);the dietary factors that associated with MS morbidity was not to eat fruit(OR=1.72,95%CI=1.33-2.21),eating livestock meat for≥1 times daily on average(OR=1.23,95%CI=1.07-1.42), eating animal innards for≥1 times daily(OR=3.93,95%CI=1.45-10.65). There was no significant differences in macro nutrients proportion(lipid,carbohydrate and protein)between the MS non-MS groups(χ2=1.01,3.53,7.82, all P≥0.05). Conclusion The factors associated with increased risk for MS are female,age,not to eat fruit, livestock meat eating≥1 times daily,eating animal innards≥1 times daily. No significant differences in macro nutrients proportion(lipid,carbohydrate and protein)between the MS non-MS groups.