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浙江大学学报（农业与生命科学版）
浙江大学学报(农业与生命科学版)  2013, Vol. 39 Issue (2): 215-221    DOI: 10.3785/j.issn.1008-9209.2012.11.616
论文     
宁夏城市居民营养素摄入量与代谢综合征相关危险因素调查及分析
李宏宇， 张娜， 李琳， 陶秀娟， 杨建军*， 张毓洪， 赵燚
宁夏医科大学公共卫生学院营养与食品卫生学系，银川750004
Relationship between dietary patterns and metabolic syndrome among urban populations in Ningxia, China. Journal of Zhejiang University
LI Hongyu, ZHANG Na, LI Lin, TAO Xiujuan, YANG Jianjun*, ZHANG Yuhong, ZHAO Yi
Department of Nutrition & Food Hygiene, School of Public Health, Ningxia Medical University, Yinchuan 750004, China
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摘要： 采用多阶段整群随机抽样法，分别抽取宁夏5个市区2 465名18 岁及以上居民，调查其膳食结构和生活方式，通过体格测量和血液生化指标检测，采用方差分析及逻辑斯蒂（Logistic）多因素分析法研究宁夏城市居民营养素摄入量与代谢综合征之间的关系. 结果表明：宁夏城市居民代谢综合征（metabolic syndrome, MS）患病率为26.2%，其中男性281例（占25%），女性366例（占27.3%），且性别构成差异无统计学意义(P>0.05)；MS组与对照组间吸烟、饮酒、锻炼等生活方式构成的差异无统计学意义(P>0.05)；MS组与对照组间日膳食摄入蛋白质及脂肪能量百分比差异有统计学意义(P<0.05)；MS组与对照组间的体质指数、腰围、收缩压、舒张压、空腹血糖、胆固醇、甘油三酯、高密度脂蛋白差异有统计学意义(P<0.05). Logistic多因素分析表明, 蛋白质、脂肪及碳水化合物的能量占总摄入能量的百分比过多是城市居民代谢综合征的重要危险因素，其中高蛋白质组：相对危险程度比值比（odds ratio, OR）=1.417；高脂肪组：OR=1.647；高碳水化合物组：OR=1.810；因此，应采取膳食营养干预措施来有效预防MS.
Abstract: It is well documented that the role of dietary composition in relation to the development of metabolic syndrome (MS) remains inconclusive. Several studies on the relationship between MS and energy intake have suggested that the macronutrient composition of the diet (proteins, fats, carbohydrates) may play an important contributing role to MS in adults. So, this study aims to investigate the possible relationship between MS and energy intake, percentage energy intake from macronutrients among urban populations in Ningxia, China. According to different economic levels from 2011 to 2012, 2 465 subjects (age: 1875 years) were selected using stratified cluster random sampling in Yinchuan, Wuzhong, Zhongwei, Guyuan, and Shizuishan in Ningxia, China. Dietary intake was assessed using 24h food records and a validated food frequency questionnaire. Body mass, height, waist circumference, blood pressure, triglyceride (TG), highdensity lipoprotein cholesterol (HDLC), and blood glucose were measured. Logistic regression models were adjusted for age, smoking, drinking, and physical activity factors. The results showed that there were 647 MS cases in all subjects. According to the diagnosis criteria of MS, the incidence of MS was 26.2% (men: 281 cases (25%); women: 366 cases (27.3%)), no significant difference in sex composition (P>0.05). As a way of lifestyle, there was no significant difference in smoking, drinking, exercise between MS group and control group (P>0.05); significant difference was found in tertian dietary intake of protein and fat energy percentage between MS group and control group (P<0.05). Compared with control group, body mass index, waist circumference, systolic pressure (SBP), diastolic pressure (DBP), fasting plasma glucose (FPG), cholesterol (TC), TG, and lowdensity lipoprotein cholesterol (LDLC) from MS group were significantly increased (P<0.05). After adjustment for age, gender, smoking, drinking and daily exercise levels, compared with the “normal” dietary pattern, Logistic multifactor analysis indicated that the subjects with the “high” protein energy intake to total energy intake had a higher odds ratio (OR) of high MS (OR: 1.417, 95% confidence interval (CI): 1.1241.787), and the subjects with the “high” fat energy intake to total energy intake had a higher OR of high MS (OR: 1.647, 95% CI: 1.2392.190), and the subjects with the “high” carbohydrate energy intake to total energy intake had a higher OR of high MS (OR: 1.810, 95% CI: 1.4032.330). In sum, the evidence of an association between macronutrient intake and MS is found. Obviously, the subjects with the “high” percentage of protein, fat, and carbohydrate energy intake to total energy intake excessive are the important risk factors of the MS in urban residents in Ningxia, China, so dietary intervention measures should be taken to prevent MS.
出版日期: 2013-03-20
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李宏宇
张娜
李琳
陶秀娟
杨建军*
张毓洪
赵燚

引用本文:

李宏宇， 张娜， 李琳， 陶秀娟， 杨建军*， 张毓洪， 赵燚. 宁夏城市居民营养素摄入量与代谢综合征相关危险因素调查及分析[J]. 浙江大学学报(农业与生命科学版), 2013, 39(2): 215-221.

LI Hongyu, ZHANG Na, LI Lin, TAO Xiujuan, YANG Jianjun*, ZHANG Yuhong, ZHAO Yi. Relationship between dietary patterns and metabolic syndrome among urban populations in Ningxia, China. Journal of Zhejiang University. Journal of Zhejiang University (Agriculture and Life Sciences), 2013, 39(2): 215-221.

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http://www.zjujournals.com/agr/CN/10.3785/j.issn.1008-9209.2012.11.616    或    http://www.zjujournals.com/agr/CN/Y2013/V39/I2/215

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